Narrow Results Clear All
- Communication between Providers 7
- Culture of Safety 15
- Education and Training
- Error Reporting and Analysis 17
- Human Factors Engineering 7
- Legal and Policy Approaches 7
- Logistical Approaches 2
- Quality Improvement Strategies
- Research Directions 2
- Specialization of Care 2
- Teamwork 5
- Technologic Approaches 5
- Device-related Complications 2
- Discontinuities, Gaps, and Hand-Off Problems 5
- Identification Errors 1
- Medical Complications 6
- Medication Errors/Preventable Adverse Drug Events 5
- Surgical Complications 7
- Internal Medicine 13
- Surgery 5
- Nursing 1
- Pharmacy 3
- Family Members and Caregivers 3
- Health Care Executives and Administrators 39
Health Care Providers
- Nurses 3
- Non-Health Care Professionals 15
- Patients 3
Search results for "Education and Training"
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
Preventing surgical complications including surgical site infections are a worldwide target for improvement. This toolkit builds on the success of the Comprehensive Unit-based Safety Program to initiate change. The tools represent practical strategies that helped members of a large-scale collaborative to identify areas of weakness, design improvements, and track the impact of the interventions.
Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883.
High reliability has been recently adopted as a goal for health care. This book reviews the primary elements of high reliability organizations and describes how hospitals can apply these concepts to enhance health care safety. The author also underscores the importance of leadership commitment to ensure success.
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
Opioids are high-risk medications that are increasingly problematic for patients and providers. This guide provides instructions to help hospitals implement initiatives to improve safe prescribing and administration of opioids. Highlighted recommendations include strategies to assess processes, identify best practices, and engage staff to reduce adverse events involving opioids.
Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676.
Committed leadership is essential to enhance organizational safety. Drawing from previous recommendations to generate lasting improvements in response to the Francis inquiry, this report discusses a model that focuses on learning, influencing, resilience, creativity, and systems thinking to help clinicians frame discussions about improving quality and safety in health care.
Horsham, PA: The Institute for Safe Medication Practices; July 2015.
To address the lack of standards on intravenous (IV) push medication administration, this guidance reflects applied expert opinion and current evidence regarding IV push medication administration to support application of best practices to facilitate safe care. To ensure the applicability and use of the recommendations in hospitals, the authors sought broader consensus and review from the field.
Harrisburg, PA: Patient Safety Authority; April 2018.
This report summarizes progress in patient safety improvement in the past decade and reviews the 2017 activities of the Patient Safety Authority, including an update on efforts to standardize their reporting processes and to reduce health care–associated infections in nursing homes. The report also summarizes the new 5-year strategic plan for the agency that explicitly emphasizes a focus on improving diagnosis.
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).
The 115 articles freely available in this latest issue of AHRQ's Advances in Patient Safety represent the state of the art in patient safety. Serving as an update and extension to the prior volume, the articles are grouped into four major content areas—assessment, culture and redesign, performance and tools, and technology and medication safety—and are freely available online through the link below.
Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.
OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.
This report shares successful patient safety strategies employed in Ontario hospitals to address medication safety, patient incident management, infection issues, and administrative process improvements.
Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).
With 4 volumes and 140 articles (all of which are freely available through the link below), this expansive collection of literature illustrates the progress made since the 1999 Institute of Medicine's report, To Err is Human: Building a Safer Health System. The efforts represent a successful collaboration between the Agency for Healthcare Research and Quality and the Department of Defense-Health Affairs in meeting the challenge of improving patient safety knowledge, research, and implementation.
Daley Ullem E, Gandhi TK, Mate K, Whittington J, Renton M, Huebner J. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018.
The role of hospital boards in influencing and financing efforts to improve safety is of recognized importance. However, leaders must have the skills and mindset needed to understand and perform quality governance responsibilities. This report provides a framework drawn from the Institute of Medicine six elements of quality to clarify responsibilities of trustees and health system leaders with regard to quality oversight.
Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2018.
The National Health Service (NHS) is a global leader in patient safety improvement. This report reviews the results of a study that explored whether staff had access to information needed to prevent errors. Clinicians in four acute NHS hospitals were surveyed to assess how information is used by nurses, staff, and senior hospital managers. The report concluded that robust access to patient information improved care and proactive risk management activities.
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.
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.
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Boutwell A, Bourgoin A , Maxwell J, DeAngelis K, Genetti S, Savuto M, Snow J. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No.16-0047-EF.
This toolkit provides information for hospitals to help reduce preventable readmissions among Medicaid patients. Building on hospital experience with utilizing the materials since 2014, this updated guide explains how to determine root causes for readmissions, evaluate existing interventions, develop a set of improvement strategies, and optimize care transition processes.
London, UK: Royal College of Surgeons of England; 2016.
Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0035-2-EF.
Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277.
This publication provides information about the role of nurses in health care safety and explores how organizational dynamics, leadership, and hazard identification can affect the abilities of frontline nurses to deliver safe care. Helpful resources such as checklists, sample control plans, and review exercises are also included.
McKimm A, ed. London, UK: BMJ Publishing Group Ltd; 2014.
This Web site provides access to a collection of practice reports on patient safety and quality improvement initiatives in the United Kingdom. The latest update includes articles on efforts to enhance the safety of medication reconciliation, warfarin administration, learning culture, information documentation, and handoffs.
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.
Chicago, IL: Health Research & Educational Trust; July 2013.