Fact Sheet/FAQs Five Steps to Safer Health Care. Citation Text: American Hospital Association; American Medical Association; U.S. Department of Health and Human Services. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 27, 2005 American Hospital Association; American Medical Association; U.S. Department of Health and Human Services. Free full text Free full text (PDF) Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: American Hospital Association; American Medical Association; U.S. Department of Health and Human Services. Copy Citation Related Resources From the Same Author(s) The National Healthcare System Action Alliance to Advance Patient Safety. November 14, 2022 - November 14, 2022 Partnership for Patients. April 13, 2011 Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. July 29, 2015 Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. July 20, 2011 National Action Plan to Improve Health Literacy. June 16, 2010 Sentinel Event Program. August 14, 2013 TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. November 22, 2006 New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014 AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). March 4, 2015 AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). April 3, 2019 Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. August 27, 2008 Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007 National Action Plan for Adverse Drug Event Prevention. September 24, 2014 Medication Management: Detailed Use Case. July 4, 2007 Medication safety issue brief. Counterfeit drug prevention and identification. September 21, 2005 Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 2, 2016 Patient Safety and Quality Improvement; Final Rule. October 22, 2008 Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020 Patient Safety Organizations: Hospital Participation, Value, and Challenges. October 16, 2019 Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. January 23, 2008 Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021 Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. August 9, 2017 Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022 Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. August 5, 2015 Trends in Nursing Home Deficiencies and Complaints. October 29, 2008 Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019 Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. January 18, 2012 Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016 Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014 Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Adverse Events in Hospitals: State Reporting Systems. January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. November 24, 2010 Adverse Events in Hospitals: Methods for Identifying Events. March 17, 2010 The Food and Drug Administration's National Drug Code Directory. September 6, 2006 Adverse Events in Hospitals: Public Disclosure of Information About Events. January 20, 2010 Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019 2005 Quest for Quality Prize. October 5, 2005 Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. March 27, 2005 Physician's Guide to Patient Safety Organizations. August 4, 2010 American Hospital Association–McKesson Quest for Quality Prize. October 24, 2022 The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care. March 6, 2005 Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012 National Action Alliance to Advance Patient Safety Webinar Series. June 27, 2023 - June 27, 2023 AMA Prior Authorization (PA) Physician Survey. March 15, 2023 Better Health for Mothers and Babies. May 29, 2019 SAFER Guides: What You Need to Know. November 19, 2014 Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. June 10, 2020 Ways to Improve Electronic Health Record Safety. September 19, 2018 A Guide to Patient Safety in the Medical Practice. February 20, 2008 ONC Health IT Certification Program: Enhanced Oversight and Accountability. November 30, 2016 MRIs and sandbags filled with metal shot. June 14, 2006 Patient Safety Reporting System. April 26, 2006 Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. May 25, 2016 Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. September 5, 2007 Stem the Tide: Addressing the Opioid Epidemic. November 8, 2017 Patient Safety. October 29, 2008 Center for Patient Safety. July 13, 2005 Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. December 8, 2010 Adverse Drug Events. March 26, 2014 Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. June 2, 2021 Hospital Performance Report. October 28, 2021 Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. October 19, 2016 Profiles in Excellence: Quality Improvement Lessons--Parts 1 and 2. November 11, 2015 Looking Collectively at Risk. March 6, 2005 July 2011 Author in the Room Teleconference. January 30, 2005 Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders. April 15, 2021 - April 15, 2021 Antimicrobial Stewardship Toolkit. July 16, 2014 Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. January 4, 2012 Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. September 26, 2007 Leading a Strategic Planning Effort. March 6, 2005 Eliminating Dangerous Abbreviations, Acronyms and Symbols. July 6, 2005 Patient safety leader reflects on ‘To Err is Human’ report December 11, 2019 Training Program for Nurses on Shift Work and Long Work Hours. October 10, 2021 Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. October 8, 2014 Midwest Alliance for Patient Safety. August 8, 2018 There and Home Again, Safely. February 20, 2013 Serious Reportable Events. August 27, 2014 Maryland Hospital Patient Safety Program Annual Report. August 1, 2021 TeamSTEPPS Video Toolkit. July 21, 2021 Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. June 22, 2011 The Report of the Short Life Working Group on Reducing Medication-related Harm. March 28, 2018 A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 Core Entrustable Professional Activities for Entering Residency. August 6, 2014 Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. July 25, 2018 Learning Not Blaming. September 9, 2015 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Guiding Principles to Achieve Continuity in Medication Management. December 1, 2022 The value from investments in health information technology at the U.S. Department of Veterans Affairs. May 5, 2010 Q3 Health Innovation Partners. January 8, 2020 Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 Patient Safety. March 27, 2005 Recommendations for Safe Use of Insulin in Hospitals. February 8, 2006 Adverse Events. August 18, 2010 Indiana Medical Error Reporting System. March 21, 2007 View More Related Resources National Healthcare Quality and Disparities Reports. November 7, 2022 How To Create a My Medicines List. October 13, 2022 HEAR Her Concerns. April 6, 2022 Accidental exposures to fentanyl patches continue to be deadly to children. July 21, 2021 Speak Up [brochures]. April 1, 2021 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety. February 17, 2021 FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020 FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020 Choosing a Patient Safety Organization March 1, 2020 Sepsis Smart. October 30, 2019 10 Medication Safety Tips for Hospitalized Patients. September 25, 2019 Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. April 17, 2019 Visual acuity, literacy, and unintentional misuse of nonprescription medications. June 13, 2018 RxAwareness. October 25, 2017 Health Literacy Tools for Providers of Medication Therapy Management. August 16, 2017 All consumer medication information is not created equal: implications for medication safety. April 19, 2017 Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. March 22, 2017 Making health care safer. Think sepsis. Time matters. September 7, 2016 AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition. July 1, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. March 11, 2015 Explicit and Standardized Prescription Medicine Instructions. January 21, 2015 FDA Pharmacists Help Consumers Use Medicines Safely. November 19, 2014 Patient Safety Briefing Film. November 5, 2014 My Medicines. July 9, 2014 Four Medication Safety Tips for Older Adults. June 18, 2014 Medication Safety Program. June 11, 2014 Be an Active Member of Your Health Care Team. May 21, 2014 Addressing opioid misuse. April 2, 2014 Safety Problems With Your Child's Medical Device? July 31, 2013 Making Medical Devices Safer at Home. January 9, 2013 View More See More About The Topic Patients Health Literacy Improvement Patient Education
The National Healthcare System Action Alliance to Advance Patient Safety. November 14, 2022 - November 14, 2022
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. July 29, 2015
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). March 4, 2015
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. August 27, 2008
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007
Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 2, 2016
Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020
Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021
Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022
Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. August 5, 2015
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019
The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care. March 6, 2005
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. September 5, 2007
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. December 8, 2010
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. June 2, 2021
Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders. April 15, 2021 - April 15, 2021
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. October 8, 2014
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022
The value from investments in health information technology at the U.S. Department of Veterans Affairs. May 5, 2010
FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. April 17, 2019
All consumer medication information is not created equal: implications for medication safety. April 19, 2017
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. March 22, 2017
FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. March 11, 2015