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- Communication Improvement 20
- Culture of Safety 6
- Education and Training
- Error Reporting and Analysis 5
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Quality Improvement Strategies 8
- Specialization of Care 1
- Teamwork 2
Search results for "Book/Report"
- Patient Education
Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2019. AHRQ Publication No. 19-0033.
The Agency for Healthcare Research and Quality conducts safety culture surveys in a wide variety of clinical settings and makes the results publicly available on a regular basis. This report contains responses to the Community Pharmacy Survey on Patient Safety Culture from 331 participating pharmacies, most of which were chain drugstores or pharmacies within integrated health systems. The areas of strength were similar to the 2015 report, with most community pharmacies scoring well for patient counseling and openness of communication regarding unsafe situations. Inadequate staffing and production pressures were the commonly identified barriers to safety. A PSNet perspective explored safety issues in the community pharmacy setting in detail.
Chicago, IL: American Hospital Association; 2017.
The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help health care systems target eight areas of focus that have potential to reduce the impact of opioid misuse, including improving prescribing practices, collaborating with communities, and educating patients.
Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
The ambulatory environment presents unique situations that can introduce safety challenges into care processes. This report explores factors in home-based care that can affect patient safety, including insufficient household readiness for patients and poor communication between caregivers, patients, and the medical team. The authors recommend areas of research to address the gaps in understanding how to improve patient safety in the home.
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.
Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383.
Poor health literacy has been identified as an important threat to patient safety, particularly through potentially contributing to adverse drug events. This workshop report reveals how health literacy affects patients' abilities to follow discharge instructions and makes recommendations to improve after-visit summaries to augment patient understanding of directions.
McIver SB, Wyndham R. Toronto, Canada: ECW Press; 2013. ISBN: 9781770411104.
This book includes stories of medical errors in Canada, shares patient and family perspectives, and discusses strategies to improve safety.
Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN: 9789289002943.
Exploring the value of engaging patients in their care, this report reviews successful interventions that involved patients in safety improvement efforts.
Golden, CO: HealthGrades Inc.; May 2012.
This report used Medicare hospitalization data from 2008–2010 to explore correlations between patient–provider communication and patient safety in high-performing hospitals in the United States.
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.
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
This guide introduces strategies for hospital managers to prevent avoidable readmissions.
London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.
This report analyzed how medication information is shared among UK practices and patients after a hospital stay and found that 81% of general practices thought that patient information given to them from hospitals was incomplete or inaccurate.
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Cambridge, MA: New England Healthcare Institute; August 12, 2009.
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.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
The quality of care delivered at US hospitals continues to improve, according to data gathered by the Joint Commission from nearly 1,500 institutions. Hospitals improved their provision of evidence-based care for patients with heart attacks, congestive heart failure, and pneumonia, and also improved at prevention of health care–associated infections in surgical patients. As in the 2007 report, adherence to the National Patient Safety Goals was more mixed. Although performance improved in some areas (including medication reconciliation and eliminating "do not use" abbreviations), many hospitals do not systematically perform time outs prior to procedures, or have reliable mechanisms for communicating critical test results.
Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
This guide contains comprehensive information about best practices and implementation tools to help health care facilities build a culture of patient-centered care.
Corina I, Shapiro E. Wantagh, NY: Pulse; 2007.
This publication provides information to prepare patients' friends or family members to play an active role in the medical care of another person.
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.
Gawande A. New York, NY: Metropolitan Books; 2007. ISBN: 0805082115.
The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.
This report shares findings from an expert panel convened to study the causes of medication error in the outpatient setting and provide recommendations for reducing errors associated with prescription and over-the-counter medications.
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.