U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Illinois State Medical Society. November 29, 2017; 1:00–2:00 PM (Eastern).
Root cause analysis can be utilized to inform improvement efforts. This webinar will review root cause analysis techniques and how to employ these methods to develop enhancements. An Annual Perspective outlined strategies to augment root cause analysis.
Improving Patient Safety With Human Factors Methods.
Armstrong Institute for Patient Safety and Quality. April 10-11, 2018; Constellation Energy Building, Baltimore, MD.
TeamSTEPPS Master Training Course.
Johns Hopkins Armstrong Institute for Patient Safety and Quality. March 6-7, 2018; Constellation Energy Building, Baltimore, MD.
Patient Safety Executive Development Program.
Institute for Healthcare Improvement. March 1–7, 2018. Boston, MA; The Charles Hotel, Cambridge, MA.
1st Annual Africa Forum on Quality and Safety in Healthcare.
Institute for Healthcare Improvement. February 19–21, 2018; South Africa Durban International Convention Center, Durban, South Africa.
Learning From Never Events: Aligning an Organization Around Safety.
Virginia Mason Institute. January 31-February 2, 2018. Virginia Mason Institute, Seattle, WA.
CUSP Implementation Workshop.
Armstrong Institute for Patient Safety and Quality. January 23, 2018; Constellation Energy Building Conference Center, Baltimore, MD.
Root Cause Analysis and Actions (RCA2).
Institute for Healthcare Improvement. January 10--March 21, 2018; Noon–1:00 PM (Eastern).
TeamSTEPPS Master Training Course: An Active Approach to Learning and Teaching TeamSTEPPS.
AHA Team Training. December 14–15, 2017; American Hospital Association, Chicago, IL.
IHI National Forum on Quality Improvement in Health Care.
Institute for Healthcare Improvement. December 10–13, 2017; World Center Marriott, Orlando, FL.
SCR Patient Safety Webinar Series.
National Networks of Libraries of Medicine South Central Region and UNT Health Science Center Institute for Patient Safety. December 5, 2017; 2:00–3:00 PM (Eastern).
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. December 4–8, 2017; Constellation Energy Building, Baltimore, MD.
ISMP Medication Safety Intensive.
Institute for Safe Medication Practices.December 1-2 2017, Maggiano's Pointe Orlando, Orlando, FL.
AAMI Foundation Annual Forum: Hot Topics in Patient Safety.
Association for the Advancement of Medical Instrumentation. November 18–19, 2017; Sheraton Hotel and Marina, San Diego, CA.
Creating a Culture of Safety and Quality Through Antibiotic Stewardship: A Practical Workshop.
National Quality Forum. November 15, 2017; Washington, DC.
Root Cause Analysis in Health Care: Tools and Techniques. 6th Edition.
Oakbrook Terrace, IL: Joint Commission Resources; 2017. ISBN: 9781599409849.
Using fault trees to advance understanding of diagnostic errors.
Rogith D, Iyengar SM, Singh H. Jt Comm J Qual Patient Saf. 2017;43:598-605.
Become a Patient Safety Trainer Conference—Canada.
Canadian Patient Safety Institute. September 28-29, 2017; OHA Education Centere, Toronto, ON.
Root cause analysis of ICU adverse events in the Veterans Health Administration.
Corwin GS, Mills PD, Shanawani H, Hemphill RR. Jt Comm J Qual Patient Saf. 2017;43:580–590.
Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned.
Neily J, Silla ES, Sum-Ping SJT, et al. Anesth Analg. 2017 Jul 1; [Epub ahead of print].
Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
van Pelt M, Weinger MB. Anesth Analg. 2017 Jun 9; [Epub ahead of print].
Root Cause Analysis
Investigating the causes of adverse events.
Sanchez JA, Lobdell KW, Moffatt-Bruce SD, Fann JI. Ann Thorac Surg. 2017;103:1693-1699.
Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review.
Henriksen K, Dymek C, Harrison MI, Brady JP, Arnold SB. Diagnosis. 2017;4:57–66.
Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief.
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2017.
Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports.
Riblet N, Shiner B, Watts BV, Mills P, Rusch B, Hemphill RR. J Nerv Ment Dis. 2017;205:436-442.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364