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London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764.
The National Health Service (NHS) has a history of sharing analyses of problems in its system. Summarizing an NHS investigation into the death of a 3-year-old boy, this report highlights the need to improve organizational culture, complaint follow-up, and transparency to reduce opportunities for similar incidents.
Tools/Toolkit > Multi-use Website
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
This Web site provides a multistep toolkit, implementation guide, and best practice resources to support safe hospital discharge for older patients.
Rockville, MD: Agency for Healthcare Research and Quality; April 2007. AHRQ Publication No. 07-0025.
A key step in improving patient safety involves measurement of the culture of safety at the hospital and unit level, using validated surveys such as the Agency for Healthcare Research and Quality's (AHRQ) Hospital Survey on Patient Safety Culture. This report presents baseline survey data from nearly 400 hospitals, classified by hospital characteristics (eg, teaching status, bed size) and respondent characteristics (eg, hospital work area and staff position). Hospitals may use these data as benchmarks in order to better evaluate their own survey results.