FIRST Do No Harm.

Newsletter/Journal

FIRST Do No Harm.

January 16, 2013

Wakefield, MA: Quality and Patient Safety Division, Massachusetts Board of Registration in Medicine.

This free newsletter provides information on quality and patient safety initiatives in Massachusetts.

Available at

Related Resources From the Same Author(s)

North Carolina Center for Hospital Quality and Patient Safety.

May 17, 2006

Roadmap to Health Care Safety for Massachusetts.

May 3, 2023

Patient Safety Certificate Course.

October 24, 2018

AHRQ Safety Program for Improving Antibiotic Use.

July 26, 2017

Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group.

June 12, 2019

ACOG Committee Opinion #320: partnering with patients to improve safety.

February 15, 2006

ACOG Committee Opinion #327: "Do not use" abbreviations.

March 1, 2006

Emerging Topics in Quality Improvement.

February 14, 2023 - February 14, 2023

Up Next for Patient Safety.

June 9, 2023

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

July 25, 2018

Keeping Patients Safe: Transforming the Work Environment of Nurses.

May 11, 2005

Dissemination of Lean methods to improve Pap testing quality and patient safety.

April 8, 2008

Health IT and Patient Safety: Building Safer Systems for Better Care.

November 16, 2011

Principles of pediatric patient safety: reducing harm due to medical care.

June 15, 2011

A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety.

June 30, 2021

Serious Reportable Events in Massachusetts.

May 22, 2023

Med List.

April 4, 2007

Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses.

August 19, 2020

Robert L. Wears Patient Safety Leadership Award.

December 1, 2021

Communication in health care: impact of language and accent on health care safety, quality, and patient experience.

August 4, 2021

A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook.

April 18, 2007

Patient's Toolkit for Diagnosis.

October 12, 2018

Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute.

June 1, 2016

Reducing Diagnostic Errors.

November 21, 2012

Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human.

December 16, 2015

RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.

June 24, 2015

National Agenda for Action: Patients and Families in Patient Safety.

March 6, 2005

Society to Improve Diagnosis in Medicine. DxQI Seed Grant Program.

December 7, 2021

ACT for Better Diagnosis.

September 19, 2018

Assessment of Reasoning Tool.

November 1, 2017

Fellowship in Diagnostic Excellence.

February 28, 2023

Mark Graber Diagnostic Quality & Safety Award.

August 30, 2023

ImproveDX.

March 26, 2014

Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response.

March 22, 2017

Health Information Technology through the Lens of Patient Safety.

November 20, 2013

Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows.

March 22, 2023

Taking action to close the loop on diagnostic error: a Constellation and SIDM Collaborative.

June 1, 2021 - June 1, 2022

MRI Safety Week.

June 27, 2007

Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data.

July 15, 2020

Safety Is Personal: Partnering With Patients and Families for the Safest Care.

April 2, 2014

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

June 19, 2019

Disclosure of adverse events in pediatrics.

January 11, 2017

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.

July 7, 2021

Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.

June 1, 2022

TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis?

June 3, 2021 - June 3, 2021

Shining a Light: Safer Health Care Through Transparency.

January 28, 2015

Clinical data sharing improves quality measurement and patient safety.

March 24, 2021

Sources of Power: How People Make Decisions.

March 6, 2005

When Things Go Wrong: Responding to Adverse Events.

March 22, 2006

The Guide for Hospital and Health System Leaders for Diagnostic Quality and Safety.

September 16, 2020

Patient and Family Advisory Council Leader's Guide for Diagnostic Quality and Safety.

September 9, 2020

Improving Telediagnosis: A Call to Action.

April 14, 2021

Clinical Reasoning Toolkit.

October 2, 2013

Transforming Education on Diagnostic Reasoning: Ready, Set, Go!

June 2, 2021

The neurologist and patient safety.

May 11, 2005

Investigating the mediating effect of patient self-efficacy on the relationship between patient safety engagement and patient safety in healthcare professionals.

March 22, 2023

Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities.

May 24, 2023

Diagnostic Excellence.

October 11, 2017

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

June 15, 2016

Order from Chaos: Accelerating Care Integration.

November 7, 2012

Health Information Technology and Patient Safety: A Dynamic Discussion.

August 17, 2011

Unmet Needs: Teaching Physicians to Provide Safe Patient Care.

March 17, 2010

Analysis of results from event investigations in industrial and patient safety contexts.

April 7, 2021

The Patients' View: 2004 ISQSH National Survey.

January 4, 2006

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.

January 19, 2022

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review.

February 15, 2023

Radiation Oncology Incident Learning System.

January 14, 2015

Diagnostic Error in Medicine 16th International Conference.

October 8, 2023 - October 11, 2023

Declaration to Advance Patient Safety.

May 25, 2022

Center for Health Care Human Factors.

October 11, 2017

Online Patient Safety Certificate Program.

July 30, 2014

CUSP Implementation Training.

October 17, 2023 - October 18, 2023

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.

December 13, 2017

Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance.

July 12, 2017

The Kentucky Institute for Patient Safety and Quality.

November 7, 2018

Trainee autonomy and patient safety.

December 6, 2017

Social risk, health inequity, and patient safety.

October 5, 2022

How to Talk About Patient Safety.

April 3, 2019

A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.

June 24, 2015

Distractors in obstetric ultrasound: do sonographers have safety concerns?

October 9, 2019

Out of the Crisis.

March 27, 2005

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork.

September 11, 2019

Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals.

June 29, 2022

Automation failures and patient safety.

December 2, 2020

Leadership style and patient safety: implications for nurse managers.

August 26, 2015

Center for Diagnostic Excellence.

November 9, 2016

Medically Induced Trauma Support Services (MITSS).

March 27, 2005

Improving Telediagnosis--a Call to Action: Final Project Findings.

October 13, 2021

Patient Safety, Spring 2019 Final CDP Report.

March 25, 2020

Hospitalists as emerging leaders in patient safety: targeting a few to affect many.

August 31, 2005

A Crisis in Health Care: A Call to Action on Physician Burnout.

January 30, 2019

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

March 20, 2013

Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers.

April 22, 2020

Nursing and patient safety in the operating room.

January 23, 2008

The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety.

January 26, 2022

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.

May 20, 2015

Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams.

March 16, 2022

Patient safety: honoring advanced directives.

February 21, 2007

Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief.

November 30, 2016

Health Literacy: Past, Present, and Future: Workshop Summary.

September 2, 2015

Related Resources

TeamSTEPPS Core Curriculum.

July 19, 2023

Serious Reportable Events in Massachusetts.

May 22, 2023

Finding & Creating Joy in Work.

September 13, 2023 - November 21, 2023

Patient Safety Authority Annual Reports.

May 1, 2023

GoodDx.org

April 26, 2023

Diagnostic errors.

August 31, 2022

Healthcare Safety Investigations Conference 2022.

August 3, 2022

The REPAIR Project.

July 1, 2022

Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief.

October 5, 2021 - October 6, 2021

Alliance for Innovation on Maternal Health.

August 21, 2021

Maryland Hospital Patient Safety Program Annual Report.

August 1, 2021

HANYS' Report on Report Cards.

November 20, 2019

Patient Safety.

September 25, 2019

Get the Medications Right Institute.

August 7, 2019

Patient Safety Learning.

July 17, 2019

Creating a Safe Space: Psychological Health and Safety of Healthcare Workers.

June 5, 2019

Better Health for Mothers and Babies.

May 29, 2019

Communication and Resolution After an Adverse Health Care Incident.

May 22, 2019

Exploring vulnerability to patient safety events along the age continuum.

April 3, 2019

How to Talk About Patient Safety.

April 3, 2019

The Kentucky Institute for Patient Safety and Quality.

November 7, 2018

Patient Safety Certificate Course.

October 24, 2018

Treatment Overkill.

October 17, 2018

Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations.

July 18, 2018

Health IT Patient Safety Supplemental Items for Hospitals.

July 18, 2018

Ariadne Labs.

May 23, 2018

Clinician Well-Being Knowledge Hub.

April 4, 2018

ISMP Follow-up Survey on Smart Pump Data Usage.

March 21, 2018

NHS Resolution.

March 7, 2018

RxAwareness.

October 25, 2017

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