Patient Safety 2015: Final Technical Report.

Book/Report

Patient Safety 2015: Final Technical Report.

November 12, 2014

Washington, DC: National Quality Forum; 2016.

The value of current measures to track patient safety has been called into question. This technical report provides information about a consensus-driven initiative to evaluate the reliability of existing patient safety measures in tracking and assessing safety in hospitals, across various populations and settings. The related website offers resources related to the project history.

Information

Related website

Related Resources From the Same Author(s)

Identification and Prioritization of Health IT Patient Safety Measures.

March 16, 2016

Antibiotic Stewardship in Acute Care: A Practical Playbook.

July 13, 2016

Safe Practices for Better Healthcare–2009 Update.

March 18, 2009

Safe Practices for Better Healthcare: 2010 Update.

April 21, 2010

Standardizing a Patient Safety Taxonomy.

February 22, 2006

Patient Safety Measures: Complications.

January 30, 2005

National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report.

June 27, 2012

Preventing Medication Errors: A $21 Billion Opportunity.

February 16, 2011

National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.

December 3, 2008

When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"?

April 27, 2016

The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.

July 7, 2010

The Care We Need

July 8, 2020

Safe Practices for Better Healthcare: 2006 Update.

March 6, 2005

Serious Reportable Events in Healthcare—2011 Update.

May 30, 2007

Patient Safety Measures.

December 11, 2013

Improving Diagnostic Quality and Safety Final Report.

September 27, 2017

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

July 27, 2016

Advancing Anticoagulation Stewardship: A Playbook.

September 7, 2022

Final Report of the Commission on Care.

August 3, 2016

Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.

September 28, 2005

Compendium of Reports.

May 31, 2006

Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.

March 9, 2016

Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care.

May 4, 2016

Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge.

July 20, 2016

Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices.

February 24, 2016

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

November 30, 2016

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report.

June 29, 2016

Clinician Well-Being Knowledge Hub.

April 4, 2018

NAM Action Collaborative on Clinician Well-Being and Resilience.

February 15, 2017

Improving Diagnostic Accuracy Project 2016–2017.

October 19, 2016

Patient Safety Project 2015–2017.

January 27, 2016

Ambulatory Care Patient Safety 2017–2018.

November 22, 2017

Patient Safety Collaboration.

November 27, 2013

Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care.

October 5, 2016

20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives.

November 20, 2019

Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients.

February 3, 2016

Safety Assurance Factors for EHR Resilience: SAFER Guides.

January 29, 2014

The Future of Nursing: Leading Change, Advancing Health.

March 31, 2011

Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries.

July 27, 2016

Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report

October 28, 2020

Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations.

December 11, 2019

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

May 31, 2017

Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care.

May 12, 2021

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

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

October 5, 2021 - October 6, 2021

A Conversation on Transparency and Patient Safety.

April 13, 2016

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

October 19, 2011

Building the Case for Health Literacy: Proceedings of a Workshop.

August 8, 2018

Communicating Clearly About Medicines: Proceedings of a Workshop.

September 20, 2017

The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.

April 20, 2022

Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief.

November 15, 2023

Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being.

November 6, 2019

Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.

December 12, 2018

Health IT Patient Safety Action and Surveillance Plan.

July 17, 2013

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

February 9, 2011

Health IT Safety Center Roadmap.

July 29, 2015

Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use.

August 2, 2017

The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients.

February 21, 2024

Patient Safety as an Exercise in Behavioral Change.

October 24, 2012

To Err Is Human: Building a Safer Health System.

March 27, 2005

Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals.

August 10, 2022

Recent Evidence That Health IT Improves Patient Safety: Issue Brief.

May 13, 2015

Medication Management: Detailed Use Case.

July 4, 2007

Patient Safety, Spring 2019 Final CDP Report.

March 25, 2020

The Role of Human Factors in Home Health Care: Workshop Summary.

November 10, 2010

Health Care Comes Home: The Human Factors.

August 3, 2011

Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings.

September 11, 2013

The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.

September 20, 2006

Announcing 2009 Leapfrog top hospitals.

December 16, 2009

Partnership for Patients.

April 13, 2011

The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse.

July 1, 2019

Core Entrustable Professional Activities for Entering Residency.

August 6, 2014

Improving Diagnosis in Health Care.

September 23, 2015

The Safe Use Initiative and Health Literacy: Workshop Summary.

December 15, 2010

Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care.

January 16, 2019

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic.

October 4, 2017

Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care.

July 19, 2017

Professional Conduct Toolkit.

February 9, 2011

Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care.

October 24, 2018

Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril.

December 1, 2019

Complexity and the Adoption of Innovation in Health Care.

March 6, 2005

National Action Plan to Improve Health Literacy.

June 16, 2010

Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.

July 20, 2011

Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA.

March 30, 2022

Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.

July 27, 2011

Safer Together Annual Report.

November 21, 2023

New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings.

May 21, 2014

Coordination Between Emergency and Primary Care Physicians.

April 20, 2011

FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework.

April 30, 2014

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

March 27, 2005

Quality and Safety in Women's Health Care. Second Edition.

October 20, 2010

The Commonwealth Fund Quality Improvement Colloquium: Patient Safety Five Years After To Err Is Human.

March 27, 2005

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

November 16, 2011

Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation.

August 13, 2014

Keeping Patients Safe: Transforming the Work Environment of Nurses.

May 11, 2005

VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement.

July 5, 2006

Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis.

September 25, 2013

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

August 15, 2012

How to Identify and Address Unsafe Conditions Associated With Health IT.

December 18, 2013

Related Resources

Top 10 Patient Safety Concerns.

March 12, 2024

Diagnostic Safety Supplemental Item Set for Medical Office SOPS.

March 4, 2024

State of Care.

November 20, 2023

Maryland Hospital Patient Safety Program Annual Report.

September 28, 2023

CHPSO Annual Reports.

August 15, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

GoodDx.org

April 26, 2023

Driving Learning and Improvement After RCA2 Event Reviews.

January 11, 2023

Annual Perspective

Patient Safety in the Ambulatory Care Setting

August 5, 2022

National Patient Safety Board Advocacy Coalition.

December 8, 2021

Diagnostic Errors in Primary Care.

July 27, 2021

Each Baby Counts.

April 1, 2021

Overall Hospital Quality Star Ratings.

April 1, 2021

Cutaneous Procedures Adverse Events Reporting (CAPER).

March 17, 2021

An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.

January 20, 2021

Use of an audit with feedback implementation strategy to promote medication error reporting by nurses.

November 25, 2020

Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital.

October 28, 2020

Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic.

September 30, 2020

Making Healthcare Safer III.

March 18, 2020

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

June 19, 2019

Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.

April 13, 2019

Diagnostic Excellence Initiative.

November 7, 2018

Behind Human Error, Second Edition.

November 10, 2017

The Field Guide to Human Error Investigations, Third Edition.

August 24, 2017

Radiotherapy Incident Reporting and Analysis System.

October 12, 2016

How PSOs Help Health Care Organizations Improve Patient Safety Culture.

September 28, 2016

Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries.

July 27, 2016

Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability.

July 20, 2016

Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge.

July 20, 2016

Safety.

June 15, 2016

See More About The Topic

Quality and Safety Professionals