Activating knowledge for patient safety practices: a Canadian academic-policy partnership.

Margaret B Harrison; Wendy Nicklin; Marie Owen; Christina Godfrey; Janice McVeety; Val Angus

Commentary

Activating knowledge for patient safety practices: a Canadian academic-policy partnership.

January 30, 2005

Harrison MB, Nicklin W, Owen M, et al. Worldviews Evid Based Nurs. 2012;9(1):49-58.

View more articles from the same authors.

This commentary describes an initiative to ensure that relevant patient safety information is accessible for organizations involved across Canada.

PubMed citation

Available at

Related Resources From the Same Author(s)

Safety in home care: a mapping review of the international literature.

October 23, 2013

Effectively leading for quality.

October 4, 2017

Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there?

July 12, 2023

Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level.

August 26, 2020

Transformational improvement in quality care and health systems: the next decade.

November 25, 2020

Epidemiology of medical error.

March 27, 2005

Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology.

June 14, 2017

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.

March 20, 2013

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.

November 24, 2021

Factors influencing perioperative nurses' error reporting preferences.

March 28, 2007

Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over.

September 6, 2017

The opioid crisis: origins, trends, policies, and the roles of pharmacists.

April 10, 2019

Errors and omissions in anesthesia: a pilot study using a pilot's checklist.

July 13, 2005

Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study.

May 3, 2023

Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis.

May 25, 2022

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.

September 15, 2021

Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.

October 22, 2014

Managing cognitive biases during disaster response: the development of an aide memoire.

May 20, 2020

Hospital autopsy: endangered or extinct?

July 8, 2015

Predictive combinations of monitor alarms preceding in-hospital code blue events.

January 9, 2013

Not thinking clearly? Play a game, seriously!

November 16, 2016

How organisations contribute to improving the quality of healthcare.

June 12, 2019

Tackling implicit bias in health care.

August 17, 2022

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.

March 22, 2023

Organizational factors that promote error reporting in healthcare: a scoping review.

September 14, 2022

Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.

November 12, 2014

How to stay on the right side of the infection control code.

July 20, 2005

Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.

April 9, 2014

Decision support tools, systems, and artificial intelligence in cardiac imaging.

October 3, 2018

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

Assigning responsibility to close the loop on radiology test results.

July 12, 2017

General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all.

April 18, 2018

Hospital costs associated with adverse events in gynecological oncology.

June 8, 2011

Quality and safety education for nurses: a nursing leadership skills exercise.

June 4, 2014

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study.

February 10, 2021

Family support role in hospital rapid response teams: a scoping review.

April 13, 2022

Disclosing medical errors to patients: a challenge for health care professionals and institutions.

October 21, 2009

Untenable expectations: nurses' work in the context of medication administration, error, and the organization.

February 1, 2023

Medication errors in pediatrics—the octopus evading defeat.

March 6, 2005

Case study: preventing surgical complications at Baystate Medical Center.

November 21, 2007

The practice of medicine: understanding diagnostic error.

September 23, 2020

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

Critical incident stress debriefing after adverse patient safety events.

August 9, 2017

Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory.

July 12, 2006

Disclosing adverse events to patients: international norms and trends.

April 30, 2014

Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial.

February 7, 2018

Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers.

September 23, 2020

Interventions and measurements of highly reliable/resilient organization implementations: a literature review.

October 28, 2020

Building safer systems through critical occurrence reviews: nine years of learning.

November 10, 2010

Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.

August 16, 2017

Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis.

April 25, 2018

Doctors' experiences of adverse events in secondary care: the professional and personal impact.

February 11, 2015

Disclosing medical errors: views from the United States and the United Kingdom.

May 21, 2014

The teaching of a structured tool improves the clarity and content of interprofessional clinical communication.

April 29, 2009

Rules, safety and the narrativisation of identity: a hospital operating theatre case study.

March 15, 2006

'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department.

January 18, 2006

The effect of hospital organizational characteristics on postoperative complications.

December 11, 2013

Safety of medication use in primary care.

March 4, 2015

Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence

December 1, 2021

Culture change at the source: a medical school tackles patient safety.

January 31, 2006

A literature review of the individual and systems factors that contribute to medication errors in nursing practice.

September 16, 2009

Clinicians in quality improvement: a new career pathway in academic medicine.

February 25, 2009

Disclosing medical errors to patients: a status report in 2007.

August 15, 2007

Disclosing harmful medical errors to patients: a time for professional action.

September 21, 2005

Physicians with multiple patient complaints: ending our silence.

May 8, 2013

Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness.

September 9, 2015

Outcomes-based nurse staffing during times of crisis and beyond.

February 16, 2022

Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].

May 25, 2005

Using in situ simulation to improve in-hospital cardiopulmonary resuscitation.

May 5, 2010

A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events.

November 15, 2017

The relationship between patient safety culture and patient outcomes: a systematic review.

April 2, 2014

Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting.

June 24, 2020

How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.

May 29, 2019

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.

March 6, 2019

JAMA professionalism: disclosure of medical error.

August 24, 2016

The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.

October 4, 2017

Disclosing errors that affect multiple patients.

June 3, 2009

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

March 3, 2010

Microsystems in health care: Part 2. Creating a rich information environment.

March 6, 2005

The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center.

February 1, 2023

Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions.

June 25, 2014

Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.

March 24, 2010

Is physician mentorship associated with the occurrence of adverse patient safety events?

April 10, 2019

Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety.

September 16, 2015

The health care cost of drug-related morbidity and mortality in nursing facilities.

March 6, 2005

Applying hierarchical task analysis to medication administration errors.

October 19, 2005

Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review.

October 21, 2015

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.

November 2, 2011

Interruptions during the delivery of high-risk medications.

June 2, 2010

Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.

May 10, 2023

Development of a trigger tool to identify adverse events and harm in emergency medical services.

September 20, 2017

Bedside detection of awareness in the vegetative state: a cohort study.

January 30, 2005

Factors that influence the expected length of operation: results of a prospective study.

January 4, 2012

Interruptions and miscommunications in surgery: an observational study.

May 16, 2012

The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.

March 4, 2015

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

November 10, 2010

Enhancing communication in surgery through team training interventions: a systematic literature review.

December 22, 2010

Are med school grads prepared to practice medicine?

May 7, 2014

Medication rounds: a tool to promote medication safety for children with medical complexity.

March 8, 2023

Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review.

October 10, 2018

Related Resources

World Patient Safety Day.

March 6, 2023

Moving beyond implicit bias in antiracist academic medicine initiatives.

September 7, 2022

How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do.

May 4, 2022

The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety.

May 4, 2022

Do No Harm: Are We Preventing Medication Errors in Children with Medical Complexity?

April 7, 2021 - April 7, 2021

Communication about medical errors.

February 24, 2021

Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training

January 13, 2021

Two decades since To Err Is Human: progress, but still a "chasm".

January 13, 2021

Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care

October 2, 2019

Patient Options for Safe and Effective Disposal of Unused Opioids.

September 25, 2019

PC standards for maternal safety.

September 11, 2019

Patient Safety Primers

Opioid Safety

September 7, 2019

Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida.

September 4, 2019

Creating a just culture: the Ottawa Hospital's experience.

August 21, 2019

How to prevent or reduce prescribing errors: an evidence brief for policy authors.

August 7, 2019

PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations.

July 31, 2019

Evidence Brief: Implementation of High Reliability Organization Principles.

July 24, 2019

Deprescribing Guidelines: Special Section on Symposium Results.

June 26, 2019

How organisations contribute to improving the quality of healthcare.

June 12, 2019

Recommendations from a national panel on quality improvement in obstetrics.

April 24, 2019

Saving without compromising: teaching trainees to safely provide high value care.

April 17, 2019

Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship.

April 17, 2019

Why do hundreds of US women die annually in childbirth?

March 27, 2019

Adaptive expertise in medical decision making.

October 17, 2018

Ten principles for more conservative, care-full diagnosis.

October 10, 2018

Transformational leadership in nursing and medication safety education: a discussion paper.

June 1, 2016

Strategies for developing and recognizing faculty working in quality improvement and patient safety.

June 1, 2016

An organizational learning framework for patient safety.

April 13, 2016

Nontechnical skills in pediatric surgery: factors influencing operative performance.

April 13, 2016

Leveraging trainees to improve quality and safety at the point of care: three models for engagement.

November 18, 2015

See More About The Topic

Health Care Executives and Administrators

Educators

Policy Makers

Quality Improvement Strategies

Education and Training

Activating knowledge for patient safety practices: a Canadian academic-policy partnership.

Opioid Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Activating knowledge for patient safety practices: a Canadian academic-policy partnership.

Opioid Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site