The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This webinar discussed how different stakeholders might view approaches to medical error management. It described how strategies have changed from paternalistic to inclusive processes that consider the impact of mistakes on patients and families and the role of communication is key to achieving fair and honest resolution to adverse incidents.
ProPublica. Kaiser Family Foundation's Barbara Jordan Conference Center, Washington, DC; March 23, 2016.
Reporting mechanisms to share performance data with consumers have been launched in an effort to increase transparency, but there are criticisms regarding their usefulness. In response to the launch of the Surgeon Scorecard, this session featured a discussion on causes of patient harm, the role of transparency in enhancing safety, and the value of publicly available data in assisting in provider selection. Featured panelists include Dr. Ashish Jha and Dr. Martin Makary.
This video series uses two real cases of patients who died due to preventable errors after elective surgery to illustrate fundamental concepts in patient safety and provide lessons for patients and families in engaging in their own care. The circumstances leading to the death of Lewis Blackman, one of the patients discussed in this video series, are discussed in more detail in a separate article that analyzes his death as an example of failure to rescue.
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