AMC PSO Resource Center.

Multi-use Website

AMC PSO Resource Center.

July 27, 2021

Academic Medical Center Patient Safety Organization.

Patient Safety organizations (PSO) are in a unique position to educate their members and the larger community on patient safety challenges. This PSO resource collection includes guidelines, papers and alerts drawn from the experiences the membership group to inform action covering topics such as virtual visits and inter-hospital transfers.

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The Canadian Quality and Patient Safety Framework for Health and Social Services.

May 22, 2019

Safer Together Annual Report.

November 21, 2023

Diagnostic Safety Toolkit.

May 27, 2020

Global Knowledge Sharing Platform for Patient Safety.

September 20, 2023

Safe Surgery.

July 9, 2008

WHO Patient Safety.

March 27, 2005

World Patient Safety Day.

March 6, 2023

Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag.

August 8, 2007

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

February 1, 2023

Institution of just culture physician peer review in an academic medical center.

October 13, 2021

Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report.

June 15, 2016

The London Declaration.

February 22, 2006

Med List.

April 4, 2007

Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center.

October 21, 2020

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

Global Patient Safety Collaborative.

May 16, 2007

Tennessee Center for Patient Safety.

September 14, 2011

VA Interprofessional Fellowship Program in Patient Safety.

November 22, 2006

Connecticut Center for Patient Safety.

June 20, 2007

National Center for Patient Safety Falls Toolkit 2004.

March 27, 2005

Healthcare Failure Mode and Effect Analysis.

March 6, 2005

TIPS (Topics in Patient Safety).

March 27, 2005

CHPSO Annual Reports.

August 15, 2023

The VA GAPS Center: Stories.

March 6, 2005

Patient Safety Huddle.

May 24, 2017

Massachusetts Alliance for Communication and Resolution Following Medical Injury.

March 5, 2014

Annual Communication, Apology, and Resolution (CARe) Forum.

August 10, 2023

Diagnostic Errors in Primary Care.

July 27, 2021

Ensuring Correct Surgery.

February 8, 2006

Development and expression of a high-reliability organization.

December 1, 2021

Factors associated with workplace violence among healthcare workers in an academic medical center.

April 27, 2022

The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.

July 25, 2018

Bias and racism teaching rounds at an academic medical center.

December 23, 2020

WHO Draft Guidelines for Adverse Event Reporting and Learning Systems.

December 21, 2005

Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009.

September 6, 2006

Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions.

May 3, 2006

10 Facts on Patient Safety.

June 27, 2018

Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles.

March 24, 2021

Peer Support Toolkit.

September 29, 2021

Patient Safety Curriculum.

December 10, 2008

North Carolina Center for Hospital Quality and Patient Safety.

May 17, 2006

To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study.

February 16, 2022

Evidence-based Recommendations for Best Practices in Weight Loss Surgery.

March 27, 2005

Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.

December 21, 2022

WHO Patient Safety Curriculum Guide: Multi-Professional Edition.

November 23, 2011

Engaging Patients for Patient Safety: Advocacy Brief.

February 14, 2024

Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization.

May 12, 2021

Take Charge: 5 Steps to Safer Healthcare.

April 21, 2021

The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety.

June 19, 2019

Voices from the Frontlines of Health Care Safety.

May 31, 2023

Strategic Alliance For Error Reduction in California Healthcare (SAFER).

March 6, 2005

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.

November 17, 2021

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

September 23, 2020

Roadmap to Health Care Safety for Massachusetts.

May 3, 2023

Implementation of patient safety structures and processes in the patient-centered medical home.

June 30, 2021

The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005.

March 18, 2020

Emerging Topics in Quality Improvement.

February 14, 2023 - February 14, 2023

Project Red (Re-Engineered Discharge).

June 9, 2010

Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations.

October 28, 2015

Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands.

February 1, 2023

Bad things can happen: are medical students aware of patient centered care and safety?

January 25, 2023

Medical Error.

September 28, 2005

Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005.

March 21, 2007

How to Talk About Patient Safety.

April 3, 2019

MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006).

February 13, 2008

MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003.

March 27, 2005

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Circle Up for COVID-19 Training.

May 13, 2020

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.

August 12, 2020

Race differences in reported "near miss" patient safety events in health care system high reliability organizations.

December 15, 2021

An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations.

May 26, 2021

Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.

December 7, 2011

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study.

December 21, 2022

Teamwork Toolkit.

July 24, 2019

Impact Wellbeing.

November 29, 2023

Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Health Workers.

March 9, 2022

Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals.

September 12, 2018

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.

October 20, 2021

Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents.

March 22, 2023

SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience.

May 13, 2015

Errors in Organizations.

August 1, 2012

World Hand Hygiene Day.

May 5, 2024 - May 5, 2024

Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice.

March 16, 2022

Ethics & Governance of Artificial Intelligence for Health.

July 14, 2021

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.

December 14, 2022

Broadening the concept of patient safety culture through value-based healthcare.

August 18, 2021

The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature.

October 5, 2022

Improving clinician well-being and patient safety through human-centered design.

March 8, 2023

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

February 3, 2016

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.

April 26, 2006

The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.

July 27, 2022

Reporting of unsafe conditions at an academic women and children's hospital.

September 29, 2021

Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication.

February 24, 2016

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

October 12, 2011

Medication Safety in Key Action Areas.

July 10, 2019

Technical Series on Safer Primary Care.

January 11, 2017

Joint Commission International Center for Patient Safety.

April 21, 2005

World Alliance for Patient Safety: forward programme.

March 6, 2005

Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study.

July 10, 2019

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National and State Healthcare-Associated Infections Progress Report.

November 30, 2023

Hospital Harm Project.

October 31, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Drive to Deprescribe.

June 23, 2021

Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity.

November 14, 2018

Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database.

October 17, 2018

The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference.

September 5, 2018

A framework for operationalizing risk: a practical approach to patient safety.

May 2, 2018

A hybrid methodology for modeling risk of adverse events in complex health-care settings.

March 15, 2017

Common Program Requirements. The Learning and Working Environment (Duty Hours).

March 10, 2017

Statement on the prevention of retained foreign bodies after surgery.

October 1, 2016

Standardize 4 Safety.

May 25, 2016

Patient Safety Project 2015–2017.

January 27, 2016

Managing risk during transition to new ISO tubing connector standards.

August 27, 2014

Diagnostic error: untapped potential for improving patient safety?

August 13, 2014

ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology.

April 30, 2014

State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics.

February 26, 2014

WebM&M Cases

Anesthesia: A Weighty Issue

August 21, 2013

ACR guidance document on MR safe practices: 2013.

March 21, 2013

Double checking the administration of medicines: what is the evidence? A systematic review.

October 3, 2012

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

January 12, 2011

Preventing maternal death.

February 3, 2010

ISMP medication error report analysis.

August 26, 2009

An international review of patient safety measures in radiotherapy practice.

July 8, 2009

Enteral Nutrition Safety Toolkit.

February 18, 2009

Preventing pediatric medication errors.

April 16, 2008

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

February 27, 2008

Medicare's decision to withhold payment for hospital errors: the devil is in the details.

January 30, 2008

See More About The Topic

Facility and Group Administrators

Risk Managers

Quality and Safety Professionals

Epidemiology of Errors and Adverse Events

Practice Guidelines