Narrow Results Clear All
- Patient Safety Primers 1
- WebM&M Cases 8
- Perspectives on Safety 7
- Commentary 49
- Review 6
- Study 71
- Slideset 2
- Book/Report 105
- Legislation/Regulation 13
- Newspaper/Magazine Article 556
- Newsletter/Journal 3
- Special or Theme Issue 9
- Glossary 1
- Toolkit 19
- Forum 1
- Award 7
- Clinical Guideline 1
- Grant 3
- Meeting/Conference 8
- Press Release/Announcement 31
Communication between Providers
- Sbar 1
- Communication between Providers 69
- Culture of Safety 70
Education and Training
- Students 5
Error Reporting and Analysis
- Never Events 14
- Error Reporting 208
Human Factors Engineering
- Checklists 29
Legal and Policy Approaches
- Regulation 52
- Logistical Approaches 42
- Policies and Operations 6
Quality Improvement Strategies
- Benchmarking 21
- Research Directions 5
- Specialization of Care 25
- Teamwork 25
- Clinical Information Systems 62
- Transparency and Accountability 18
- Alert fatigue 3
- Device-related Complications 53
- Diagnostic Errors 98
- Discontinuities, Gaps, and Hand-Off Problems 74
- Drug shortages 13
- Failure to rescue 3
- Fatigue and Sleep Deprivation 17
- Identification Errors 47
- Interruptions and distractions 3
- Delirium 1
- Medication Errors/Preventable Adverse Drug Events 151
- MRI safety 1
- Nonsurgical Procedural Complications 18
- Overtreatment 6
- Psychological and Social Complications 71
- Surgical Complications 144
- Transfusion Complications 4
- Home Care 20
- General Hospitals 175
- Long-Term Care 14
- Outpatient Surgery 17
- Patient Transport 2
- Psychiatric Facilities 5
- Allied Health Services 2
- Geriatrics 20
- Obstetrics 20
- Pediatrics 68
- Primary Care 18
- Radiology 16
- Internal Medicine 240
- Nursing 28
- Palliative Care 3
- Pharmacy 109
- Family Members and Caregivers 87
- Health Care Executives and Administrators 348
Health Care Providers
- Nurses 35
- Pharmacists 28
- Physicians 111
Non-Health Care Professionals
- Educators 25
- Engineers 12
- Media 20
- Policy Makers 110
- Australia and New Zealand 14
- Europe 67
- Canada 29
United States of America
United States Federal Government
- Department of Health and Human Services (HHS) 100
- United States Federal Government 111
Search results for "Patients"
Journal Article > Commentary
Fernando RJ, Shapiro FE, Rosenberg NM, Bader AM, Urman RD. J Patient Saf. 2019;15:18-23.
Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290.
Tools/Toolkit > Toolkit
Edmonton, AB: Canadian Patient Safety Institute. June 2015.
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?
Gawande A. New Yorker. May 11, 2015.
The overuse of medical care and its negative impact on personal health and finances is an emerging concern. This magazine article provides insights from a surgeon about how providing unnecessary care can contribute to patient harm and waste. Consequences of unneeded medical care include overtesting, overdiagnosis, and overtreatment. A previous AHRQ WebM&M perspective explored overuse as a patient safety problem.
Daley J. Colorado Public Radio. February 17, 2015.
Patient and family stories of harm are increasingly promoted as a strategy to provide insights into medical errors. This radio segment interviews a patient advocate whose daughter died due to medical errors, including failure-to-rescue and a health care–associated infection, and who speaks about that experience to educate clinicians on the importance of patient safety and listening to patients' families.
Chicago, IL: Health Research & Educational Trust; 2015.
Patient and family advisor programs have been implemented in health care as a way to incorporate the experiences of consumers into safety improvement work. This guide provides a framework to help hospitals develop partnership initiatives that focus on advisor recruitment, education, and teamwork to enhance efforts to engage patients and families in this role.
Jaffe I, Renincasa R. Morning Edition. National Public Radio. December 8–9, 2014.
Overprescribing of medications is a common problem in nursing homes. This two-part radio segment reports on the inappropriate use of antipsychotic medications as a chemical restraint for patients with dementia. The first part introduces the issue and includes insights from families that have experienced harm due to the practice. The second segment discusses programs that the Centers for Medicare and Medicaid Services has put in place to address the problem through a more patient-centered approach to care and suggests strengthening penalties against organizations that overuse antipsychotics.
Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014.
NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National Patient Safety Foundation; March 2014.
The National Patient Safety Foundation's Lucian Leape Institute recently convened two roundtables to discuss engaging patients and families in improving patient safety. This report describes the current landscape of patient engagement efforts, along with the potential benefits and challenges. To facilitate more productive partnerships in ensuring safety, the group provides recommendations and checklists for health care leaders, clinicians, patients, families, and policymakers. They advocate for patients to be equal partners in organizational and clinician care improvement activities. Patients are encouraged to feel empowered to ask questions and to actively participate in their care plans. A recent AHRQ WebM&M perspective explores the role of patient engagement in safety.
Journal Article > Study
Etchegaray JM, Ottosen MJ, Burress L, et al. Health Aff (Millwood). 2014;33:46-52.
Patient engagement is increasingly recognized as a key element for patient safety. Although patients and family members may provide unique insights into adverse events, they are rarely asked to participate in medical error investigations, such as root cause analyses. Using detailed interviews, this study revealed that clinicians and hospital administrators generally support including patients and family members in these types of activities, but they are not sure how best to do so. A group of patients and health care experts at a national conference explored these findings and felt that patient involvement was desirable, but they identified many concerns and limitations with this approach. A recent AHRQ WebM&M perspective by Dr. Saul Weingart discussed the opportunities for patient engagement in patient safety.
Journal Article > Review
Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review.
Berger Z, Flickinger TE, Pfoh E, Martinez KA, Dy SM. BMJ Qual Saf. 2014;23:548-555.
Patient engagement is touted as an important tool for detecting adverse events and ensuring safety. This systematic review found that more high-quality evidence is needed to inform practical application of patient engagement programs.
Harrow, Middlesex, UK: The Patients Association; 2013.
This publication provides patient and family accounts of incidents involving inadequate care or harm and highlights the need for improvements recommended in a National Health Services report.
Tools/Toolkit > Multi-use Website
Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
Studies have shown that a surprisingly large proportion of hospitalized patients are not aware of their diagnoses or treatment plan and that their preferences are often not taken into account in advanced care planning. This failure to provide patient-centered care indicates a need for increased patient engagement in safety and quality efforts. This toolkit published by the Agency for Healthcare Research and Quality is designed to help hospitals develop partnerships with patients around improving safety. Developed with input from clinicians and patients, the guide emphasizes four strategies—working with patients as advisors, improving bedside communication, integrating patients and families into shift changes, and using patient input to improve the discharge process. An AHRQ WebM&M perspective by Dr. Saul Weingart discusses the practical challenges of engaging patients in improvement efforts.
Web Resource > Multi-use Website
Global Sepsis Alliance.
Teegardin C. Atlanta Journal-Constitution. April 28, 2013.
Journal Article > Commentary
Petronio S, Torke A, Bosslet G, Isenberg S, Wocial L, Helft PR. Perm J. 2013;17:73-79.
This piece describes a two-step model to help physicians disclose medical errors to patients and families.
Cohn J. The Atlantic. March 2013;311:59–67.
This magazine article reports how technology, such as IBM's Watson, can improve the efficiency and accuracy of health care decision making.
Web Resource > Government Resource
US Food and Drug Administration.
This Web site raises awareness of risks associated with buying medications from online pharmacies and offers resources to help identify whether an online pharmacy is safe or fake.
Web Resource > Government Resource
Rockville, MD: Food and Drug Administration.
This Web site provides information related to the dangers of purchasing medical products online, including a link for consumers to report suspected illegal sites to the US Food and Drug Administration.
Tools/Toolkit > Fact Sheet/FAQs
Rockville, MD: Agency for Healthcare Research and Quality; October 2012. AHRQ Publication No. 01-0040d.
This AHRQ brochure provides practical advice for patients facing non-emergent surgery, to help them be generally informed about the procedure, aware of the risks, and prepared to contribute to the safety of their experience.