Narrow Results Clear All
- Communication between Providers 4
- Culture of Safety 4
- Education and Training 5
- Error Reporting and Analysis 4
- Human Factors Engineering 1
- Quality Improvement Strategies
- Specialization of Care 1
- Technologic Approaches 2
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors 1
- Medical Complications 3
- Medication Safety 4
- Nonsurgical Procedural Complications 2
- Surgical Complications 2
Search results for "Book/Report"
- Patient Self-Management
Watts E, Rayman G. Diabetes UK. London, UK; 2018.
Chronic disease management can add complexity to inpatient care regimens. Researchers worked with patients, system leaders, and clinicians to examine areas of risk for hospitalized patients with diabetes and determine solutions such as specialized teams, clinical leadership, and improved use of technology. A WebM&M commentary illustrated safety challenges associated with providing care for hospitalized patients with diabetes.
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process.
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center; 2017.
Advocates for improving diagnosis emphasize the role of the patient as key to success. This report examines factors to consider when designing interventions to strengthen patient participation in the diagnostic process. Recommendations to enhance relationships with patients to reduce diagnostic error focus on managing misperceptions that can affect decision-making and communication.
Rockville, MD: Agency for Healthcare Research and Quality; April 2018.
Patient engagement in the process of care is important to improve safety in primary care. This guide includes case studies and highlights handoffs, teach-back, tools to prepare patients for appointments, and brown-bag medication management as strategies to encourage patients and caregivers to participate in safety.
Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm.
Wright J, Lawton R, O'Hara J, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2016.
Hospitals and health care providers are developing new ways to involve patients and families in safety efforts. This report discusses a National Health Service program designed to enhance feedback opportunities from consumers and assess these initiatives. Although the investigators found no direct care improvements associated with the interventions, the approaches they used to test patient engagement strategies (such as the ability to raise concerns) were successful.
Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
Engaging patients in their care is increasingly advocated as a way to improve safety. This book recommends actions for patients and families to reduce risk of error during their primary care visit, hospitalization, communications with providers, and discharge. A past AHRQ WebM&M perspective highlighted the importance of involving patients in safety.
Farbstein K. Rockville, MD: Access Intelligence, LLC; 2011. ISBN: 9781885461452.
This book explores patient-centered care and provides strategies to help patients actively participate in their care.
Kurz M, Tobin WN. Chestnut Hill, MA: Medically Induced Trauma Support Services Inc.; 2011.
This publication reports on how to engage patients and families in improving patient safety.
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III).
Berns SD, ed. White Plains, NY: March of Dimes; December 2010.
This report discusses efforts to enhance safety in obstetrics care and provides recommendations to improve clinical and system processes.
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.
Oakbrook Terrace, IL: The Joint Commission; 2010.
This report reveals how hospitals can improve communication, cultural competency, and patient-centeredness to enhance patient experience of care.
National Quality Forum. Washington, DC: National Quality Forum; 2010.
The National Quality Forum originally published the Safe Practices for Better Healthcare in 2003. These practices are intended to be universally applicable, "gold standard" interventions for reducing preventable harm, and have been widely endorsed and implemented. As in the 2009 update, the 34 specific practices are organized into seven content areas: creating a culture of safety, providing patient-centered care and disclosing errors, matching health care needs with delivery capacity, facilitating information transfer and clear communication between providers, managing medications safely, preventing health care–associated infections, and implementing safe practices for specific clinical conditions and sites of care. There are no major changes in the recommended practices since 2009, but the report contains specific recommendations on engaging patients and families in safety efforts.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
This brief provides information on 101 sentinel events reported to the state of Utah in 2009. The report also includes background on efforts to address such incidents.
Frampton SB, Charmel PA, eds. San Francisco, CA: Jossey-Bass; 2009. ISBN: 9780470377024.
This book explains the fundamentals of patient-centered care, describes current trends in the field, and highlights best practices and policies necessary to make care more patient centered.
National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.
This report resulted from a consensus program involving 28 national organizations that sought to outline goals for improving the US health care system and share examples of such efforts in patient safety and other identified areas.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.
Through a discussion of a vincristine administration error, this booklet and video illustrate how system weaknesses can contribute to failure.
Bethesda, MD: National Council on Patient Information and Education; August 2007.
This report discusses poor medication adherence as a public health issue, describes contributing factors, and outlines a 10-step action plan to improve adherence.
Oakbrook Terrace, IL: Joint Commission Resources; 2006. ISBN: 0866889965.
This book illustrates how health care providers have worked with patients to ensure safe care through improved communication, education, and health literacy assessment.