Narrow Results Clear All
- Communication Improvement 12
- Culture of Safety 6
Education and Training
- Students 1
- Error Reporting and Analysis 4
- Human Factors Engineering 2
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Policies and Operations 1
- Quality Improvement Strategies 4
- Specialization of Care 1
- Teamwork 6
- Technologic Approaches 1
Search results for "Book/Report"
NHS England Never Events Taskforce. London, UK: NHS England; February 27, 2014.
Examining risks in surgical care such as deviation in practice, this report outlines strategies to improve outcomes, including better adoption of care standards, determining organizational safety policies, and multidisciplinary training initiatives.
London, UK: General Medical Council; November 2013.
This publication analyzes patient safety concerns reported by physicians in training in the United Kingdom.
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration.
Tucker AL. Cambridge, MA: Harvard Business School; November 19, 2012. (Revised September 2013). HBS Working Paper No. 13-044.
Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings.
Roundtable on Value and Science Driven Healthcare; Institute of Medicine. Washington, DC: National Academies Press; 2013. ISBN: 9780309288965.
This publication reports on a workshop that explored methods to engage patients and families in safety improvement efforts, including shared decision making and providing information to consumers about costs.
Sevdalis N. London, UK: The Health Foundation; June 2013.
Heilman J, ed. Albuquerque, NM: University of New Mexico; May 2013.
Salas E, Frush K, eds. Oxford, UK: Oxford University Press; 2013. ISBN: 9780195399097.
Health care has been recently been directed toward focusing on the value of teamwork in reducing risks. This publication provides extensive information about team training, including key concepts, guidelines, insights from health care workers, and strategies to improve teamwork and monitor performance.
Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: The National Academies Press; 2012. ISBN: 9780309256810.
This report details the results of a workshop on health literacy in health care organizations.
Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional and organizational learning.
WHO Patient Safety. Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958.
Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of Engineering. Washington, DC: The National Academies Press; 2011. ISBN: 9780309120647.
Berkman ND, Sheridan SL, Donahue KE, et al. Evidence Report/Technology Assessment: Number 199. Rockville, MD: Agency for Healthcare Research and Quality; March 2011. AHRQ Publication No. 11-E006.
This evidence report updates a 2004 study to reveal how health literacy affects health outcomes.
Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557.
This report studied teamwork development experiences of labor and delivery units to identify processes and dynamics that affected teamwork improvement.
Washington, DC: United States Department of Health and Human Services; 2010.
Vincent C. West Sussex, UK: Wiley-Blackwell; 2010. ISBN: 9781405192217.
Dr. Charles Vincent, a psychologist by training, is unquestionably one of the founders of the modern patient safety movement and continues to publish groundbreaking research in the field. This essential textbook discusses the evolution of patient safety efforts, outlines current medical error reduction strategies, and emphasizes practical examples of initiatives to improve patient safety. Dr. Vincent was interviewed for AHRQ WebM&M in 2012, and discussed his career as well as the current state of patient safety in the United Kingdom.
Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.
Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010.
Medical schools face an urgent need to transform their curricula to emphasize patient safety, according to this report from the Lucian Leape Institute at the National Patient Safety Foundation. Based on a roundtable discussion among leading medical education and patient safety experts, this report concludes that the traditional curricular focus on medical knowledge and technical expertise must shift to incorporate key concepts in systems analysis and patient-centered care. The piece includes specific recommendations for medical school and academic medical center leadership to develop rigorous safety curricula and evaluation methods. The report also emphasizes the importance of a culture of safety in teaching hospitals, stressing that unprofessional behavior and authority gradients prevent students from reporting and learning from errors.
Schuster PM, Nykolyn L. Philadelphia, PA: F.A. Davis Company; 2010. ISBN: 9780803620803.
This publication promotes fundamental communication skills to enable nurses to prevent errors and support patient safety.
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.
This report analyzed the causes and rates of prescribing errors in the National Health Service and found that educational level had little impact on medication errors and that many were intercepted before reaching patients. The authors suggest that a standardized national prescription chart could help prevent errors.
MacLennan PA, Owsley C, Rue LW III, McGwin G Jr. Washington, DC: American Automobile Association Foundation for Traffic Safety; August 2009.
This report provides results of a survey about older adults' awareness of common medications that may impair the ability to drive.