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)

Roadmap to Health Care Safety for Massachusetts.

May 3, 2023

Serious Reportable Events in Massachusetts.

May 22, 2023

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

April 18, 2007

When Things Go Wrong: Responding to Adverse Events.

March 22, 2006

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

November 16, 2011

Sources of Power: How People Make Decisions.

March 6, 2005

Out of the Crisis.

March 27, 2005

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

June 1, 2016

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

June 24, 2015

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

December 16, 2015

Reducing Diagnostic Errors.

November 21, 2012

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

March 6, 2005

Advancing Diagnostic Excellence in Maternal Health Care.

July 27, 2023 - July 27, 2023

Health Information Technology through the Lens of Patient Safety.

November 20, 2013

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

September 2, 2015

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

June 19, 2019

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

February 27, 2008

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

January 30, 2019

Standardizing Medication Labels: Confusing Patients Less, Workshop Summary.

June 4, 2008

Unmet Needs: Teaching Physicians to Provide Safe Patient Care.

March 17, 2010

Health Information Technology and Patient Safety: A Dynamic Discussion.

August 17, 2011

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

Shining a Light: Safer Health Care Through Transparency.

January 28, 2015

How Can Health Care Organizations Become More Health Literate?: Workshop Summary.

August 15, 2012

Health Literacy: A Prescription to End Confusion.

March 6, 2005

Declaration to Advance Patient Safety.

May 25, 2022

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

April 2, 2014

Implications of Health Literacy for Public Health: Workshop Summary.

October 8, 2014

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

Facilitating Patient Understanding of Discharge Instructions: Workshop Summary.

December 17, 2014

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

March 20, 2013

Armstrong Institute for Patient Safety and Quality.

January 8, 2014

Medication Reconciliation for Hospitalists.

December 18, 2013

NAM Scholars in Diagnostic Excellence program.

January 31, 2022

MedlinePlus: Patient Safety.

November 16, 2005

Patient Safety: Achieving a New Standard for Care.

March 6, 2005

Up Next for Patient Safety.

June 9, 2023

How to Talk About Patient Safety.

April 3, 2019

Fellowship in Diagnostic Excellence.

January 30, 2024

Assessment of Reasoning Tool.

November 1, 2017

Mark Graber Diagnostic Quality & Safety Award.

August 30, 2023

ImproveDX.

March 26, 2014

Master of Science in Medical and Healthcare Simulation.

February 18, 2015

Diagnostic Quality Improvement Repository.

January 10, 2024

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

December 7, 2021

Crossing the Quality Chasm: A New Health System for the 21st Century.

March 27, 2005

Clinician Well-Being Knowledge Hub.

April 4, 2018

NAM Action Collaborative on Clinician Well-Being and Resilience.

February 15, 2017

MRI Safety Week.

June 27, 2007

Mistaking error.

March 27, 2005

AHRQ Safety Program for Improving Antibiotic Use.

July 26, 2017

Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19.

June 3, 2020

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

May 24, 2023

Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report.

February 10, 2016

July 12, 2017

Emerging Topics in Quality Improvement.

February 14, 2023 - February 14, 2023

Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors.

August 19, 2015

Diagnostic Excellence.

October 11, 2017

Drive to Deprescribe.

June 23, 2021

How-to Guide: Prevent Obstetrical Adverse Events.

October 24, 2012

No Place Like Home: Advancing the Safety of Care in the Home.

July 18, 2018

Patient Safety Essentials Toolkit.

May 29, 2019

Advancing the Safety of Acute Pain Management.

March 27, 2019

Is misdiagnosis inevitable?

April 13, 2016

Petty, dangerous, disruptive doctors: watch out!

August 12, 2015

When missing a 'zebra' can land you in court.

March 7, 2018

Radiation Oncology Incident Learning System.

January 14, 2015

Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop.

June 7, 2021 - June 8, 2021

The Future of Nursing: Leading Change, Advancing Health.

March 31, 2011

The Future of Emergency Care in the United States Health System.

June 21, 2006

Will medicine ever become safer?

December 11, 2013

Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital.

March 21, 2018

How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.

August 8, 2012

Safer Together: A National Action Plan to Advance Patient Safety.

September 16, 2020

Safer Together Survey: Advancing Patient and Workforce Safety

January 18, 2023

Patient Safety and Quality Healthcare.

March 6, 2005

Crossing the Global Quality Chasm: Improving Health Care Worldwide.

September 12, 2018

Patient Safety Certificate Course.

October 24, 2018

2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.

September 26, 2012

2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process.

January 14, 2015

The Public's Views on Medical Error in Massachusetts.

December 17, 2014

The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety.

October 19, 2011

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

June 12, 2019

Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.

September 9, 2009

Medication Overload: America's Other Drug Problem.

June 19, 2019

How Doctors Think.

March 28, 2007

When We Do Harm: A Doctor Confronts Medical Error.

April 22, 2020

Eliminating Medication Overload: A National Action Plan.

April 1, 2020

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

November 30, 2016

A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury.

July 27, 2016

Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief.

May 31, 2017

Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief.

May 11, 2022

Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief.

September 7, 2021

Principles of Risk Management and Patient Safety.

March 9, 2011

Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report.

March 18, 2020

Patient Safety Handbook, Second Edition.

August 17, 2013

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

December 10, 2008

Related Resources

Diagnostic errors.

March 21, 2024

Creating Workforce Joy and Wellbeing.

March 6, 2024 - May 20, 2024

Hospital Harm Project.

October 31, 2023

Maryland Hospital Patient Safety Program Annual Report.

September 28, 2023

TeamSTEPPS Core Curriculum.

July 19, 2023

Serious Reportable Events in Massachusetts.

May 22, 2023

Patient Safety Authority Annual Reports.

May 1, 2023

GoodDx.org

April 26, 2023

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

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

How to Talk About Patient Safety.

April 3, 2019

Exploring vulnerability to patient safety events along the age continuum.

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

Health IT Patient Safety Supplemental Items for Hospitals.

July 18, 2018

Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations.

July 18, 2018

Journal of Patient Safety and Risk Management.

June 20, 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

See More About The Topic

Health Care Providers

Health Care Executives and Administrators

Policy Makers

Medicine

Online Education

FIRST Do No Harm.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

FIRST Do No Harm.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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