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Approach to Improving Safety
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Search results for "Human Factors Engineering"
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Tools/Toolkit > Fact Sheet/FAQs
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.
Institute for Safe Medication Practices. June 2016.
Mistakes associated with look-alike medication names are a safety concern in health care. Tall Man lettering is one recommended strategy to reduce confusion associated with similarities in drug names. This list includes medications recognized by clinicians and professional organizations as those suited for the application of Tall Man lettering to make their use safer.
Tools/Toolkit > Toolkit
Patient Safety and Incident Management Toolkit.
Edmonton, AB: Canadian Patient Safety Institute. June 2015.
Engaging patients and families in safety can uncover concerns and inform improvement efforts. This three-component toolkit provides resources that focus on incident management, patient safety management, and system factors to prevent and respond to failures or near misses.
Tools/Toolkit > Multi-use Website
Human Factors.
WHO Patient Safety. Geneva, Switzerland: World Health Organization; 2009.
To support patient safety work, this Web site shares information and measurement tools for organizations to assess human factors in the context of teams, individuals, and systems.
Book/Report
Patient & Family Hand Hygiene Guide.
Edmonton, AB, Canada: Canadian Patient Safety Institute; March 2011.
Explaining the importance of hand hygiene in the health care setting, this publication provides strategies for patients and families to prevent spreading health care–associated infections.
Tools/Toolkit > Toolkit
A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook.
Waltham, MA: Masspro, Massachusetts Coalition for the Prevention of Medical Errors, Massachusetts Extended Care Foundation; 2007.
This manual provides nursing home staff with a step-by-step guide for medication management to reduce medication errors in long-term care.
Tools/Toolkit > Toolkit
Wristband Color Standardization.
Englewood, CO: Colorado Foundation for Medical Care, Colorado Hospital Association, Western Alliance for Patient Safety; 2007.
This Web site offers information and a toolkit regarding standardizing the colors of wristbands, stickers, and placards to signify risk alert status for hospital-based patient care.
Tools/Toolkit > Toolkit
Starter Kit for Alarm Fatigue.
Philadelphia, PA: National Association of Clinical Nurse Specialists; January 2015.
Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit provides checklists, resources, and implementation guidance to help clinical nurse specialists develop and lead alarm management programs with the goal of reducing fatigue and distraction related to nuisance alarms.
Tools/Toolkit
Medication safety checklist.
Chicago, IL: American Medical Association; 2011.
This checklist helps patients take an active role in ensuring safe medication use.
Tools/Toolkit > Multi-use Website
Standardization Projects.
Washington State Hospital Association.
This Web site provides toolkits and information to help Washington hospitals adopt standard practices for emergency code calls, surgery preparation, isolation precautions, and wristband use.
Newspaper/Magazine Article
Reducing patient harm from opiates.
ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.
This article lists common risks associated with opiates, a high-alert medication, as well as recommended safety improvements to reduce these risks.
Tools/Toolkit > Fact Sheet/FAQs
An 8-Step Check List for Medicine Safety.
Vienna, VA: The Partnership for Safe Medicines; 2005.
This checklist will help patients determine if medications are possibly counterfeit, and it explains how to report problems.
Tools/Toolkit > Toolkit
Communicating Critical Test Results.
Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.
This set of materials provides checklists, worksheets, and other aids to help implement a reliable critical test result communication program. A previous AHRQ WebM&M commentary addressed the issue of communication surrounding critical laboratory values.