Narrow Results Clear All
- WebM&M Cases 86
Perspectives on Safety
- Perspective 15
- Commentary 640
- Review 319
- Study 1984
- Image/Poster 10
- Slideset 4
- Book/Report 131
- Legislation/Regulation 42
- Newspaper/Magazine Article 178
- Newsletter/Journal 6
- Special or Theme Issue 53
- Toolkit 26
- Web Resource 158
- Award 5
- Clinical Guideline 4
- Grant 7
- Meeting/Conference 27
- Press Release/Announcement 16
Communication between Providers
- Sbar 17
- Communication between Providers 545
Culture of Safety
- Just Culture 14
Education and Training
- Simulators 107
- Students 48
Error Reporting and Analysis
- Error Analysis 535
- Never Events 18
Human Factors Engineering
- Checklists 168
Legal and Policy Approaches
- Regulation 42
- Logistical Approaches 217
- Policies and Operations 4
Quality Improvement Strategies
- Benchmarking 73
- Reminders 20
- Research Directions 15
- Specialization of Care 209
- Teamwork 289
- Clinical Information Systems 350
- Computer-Assisted Therapy 6
- Telemedicine 10
- Transparency and Accountability 4
- Alert fatigue 16
- Device-related Complications 166
- Diagnostic Errors 201
- Discontinuities, Gaps, and Hand-Off Problems 411
- Drug shortages 8
- Failure to rescue 5
- Fatigue and Sleep Deprivation 74
- Identification Errors 106
- Inpatient suicide 2
- Interruptions and distractions 71
- Delirium 6
- Medication Errors/Preventable Adverse Drug Events 804
- MRI safety 2
- Nonsurgical Procedural Complications 108
- Overtreatment 2
- Psychological and Social Complications 121
- Second victims 6
- Surgical Complications 496
- Transfusion Complications 15
- Home Care 25
- Operating Room 445
- General Hospitals 1131
- Long-Term Care 58
- Outpatient Surgery 31
- Patient Transport 30
- Psychiatric Facilities 11
- Allied Health Services 13
- Complementary and Alternative Medicine 1
- Dentistry 5
- Anesthesiology 124
- Critical Care 296
- Dermatology 12
- Gynecology 47
- Cardiology 56
- Geriatrics 96
- Hematology 26
- Nephrology 14
- Pulmonology 13
- Neurology 17
- Obstetrics 76
- Pediatrics 257
- Primary Care 112
- Radiology 72
- Nursing 371
- Palliative Care 4
- Pharmacy 321
- Family Members and Caregivers 26
Health Care Executives and Administrators
- Nurse Managers 441
- Quality and Safety Professionals
- Risk Managers 653
Health Care Providers
- Nurses 464
- Pharmacists 166
- Physicians 549
Non-Health Care Professionals
- Educators 383
- Engineers 113
- Media 10
- Policy Makers 146
- Patients 75
- Africa 3
- China 9
- Australia and New Zealand 162
- Central and South America 9
- United Kingdom 377
- Canada 182
United States of America
United States Federal Government
- Department of Health and Human Services (HHS) 117
- United States Federal Government 200
Search results for "Quality and Safety Professionals"
- Quality and Safety Professionals
van Boxtel CJ. Amsterdam, The Netherlands: IOS Press. ISSN: 09246479.
This quarterly journal supports high-quality medical practice with a particular focus on medical, ethical, and legal issues associated with risk and safety.
Web Resource > Multi-use Website
Foundation for Health Care Quality, 705 2nd Avenue, Suite 703, Seattle, WA 98104.
This coalition supports a network of patient safety professionals to facilitate dialogue, promote initiatives on eliminating wrong-site surgery, and improve medication safety.
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report.
Hanlon C, Rosenthal J. Washington, DC: National Academy for State Health Policy; 2007.
This report summarizes a September 2007 symposium that brought together patient safety officials from 11 states. The meeting examined existing and emerging issues and also provided participants with policy solutions based on strategies successfully implemented in Pennsylvania.
Perspectives on Safety > Interview
Patient Safety Programs, July 2006
Allan Frankel, MD, is Director of Patient Safety for Partners HealthCare, the merged entity of Harvard hospitals and clinics that includes Massachusetts General and Brigham and Women's Hospital. Dr. Frankel, an anesthesiologist by training, has been a key member of the faculty of the Institute for Healthcare Improvement, co-chairing numerous Adverse Drug Events and Patient Safety Collaboratives. Dr. Frankel's work in patient safety focuses on leadership training, high reliability in health care, teamwork development, and cultural change. We asked Dr. Frankel to speak with us about developing a comprehensive patient safety program.
Perspectives on Safety > Perspective
with commentary by John Whittington, MD, Patient Safety Programs, July 2006
One of the most important interventions is for hospital leadership to get the hospital's board involved with safety and quality. Not only does the board have fiduciary responsibility for the organization, but they have responsibility for quality and safety...
Landro L. The Wall Street Journal. March 22, 2006:A1.
This article reports on design guidelines that will require newly constructed hospitals to have only private rooms. Single-patient rooms may help reduce infection rates, improve recovery time, and enhance patient safety.
Harmon KT. Patient Safety & Quality Healthcare. March/April 2006;3:20-26.
The author, a former flight surgeon, describes safety concepts and guidelines that have minimized mishaps in naval aviation and discusses how these may be applied to health care.
Journal Article > Review
Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety.
Koshy R. Transfusion. 2005;45(suppl 4):189S-205S.
The author examines technological advances for improving safety, such as bar coding, computerized physician order entry, radiofrequency identification, smart cards, decision support systems, and information technology standardization, and shares several strategies for implementation.
Journal Article > Study
Dowell D, Manwell LB, Maguire A, et al; MEMO Investigators. Healthc Q. 2005;8:suppl 2-8.
In this AHRQ-funded study, investigators conducted focus groups with patients to explore health care quality and safety issues. The authors conclude that patients can provide important insight for systems improvement and error reduction.
Meeting/Conference > Maryland Meeting/Conference
Johns Hopkins Armstrong Institute for Patient Safety and Quality. November 13-14, 2018; Constellation Energy Building, Baltimore, MD.
Meeting/Conference > Missouri Meeting/Conference
Missouri Center for Patient Safety. November 5, 2018; Saint Luke’s North Hospital, Kansas City, MO.
Second victims are clinicians who experience considerable emotional distress, shame, and self-doubt after being involved in a medical error. This workshop will explore strategies that addresses individual stages of recovery and trains peers to participate in that process. Sue Scott will lead the session.
Meeting/Conference > Louisiana Meeting/Conference
Society to Improve Diagnosis in Medicine. November 4–6, 2018; Hyatt Regency New Orleans, New Orleans, LA.
Diagnostic error reduction continues to gain momentum in the research and frontline patient safety communities. This annual conference will focus on the theme, "Innovating to Improve Diagnosis" to discuss clinical reasoning skills, patient engagement, and health information technology as contributors to effective diagnosis. Featured speakers include Dr. Robert Wachter, Dr. Kelley Skeff, and C. Michael Armstrong.
Meeting/Conference > Massachusetts Meeting/Conference
Harvard Medical School. October 15–16, 2018; Sheraton Boston Hotel, Boston, MA.
This multidisciplinary conference will offer insights from safety leaders about applying strategies and guidelines to quality and safety improvement in the acute care setting. The session will cover various topics of interest to professionals who work in the field, including medication safety, care redesign, and leadership skill development. Keynote speakers include Richard Boothman, Dr. Tejal Gandhi, and Dr. Thomas H. Lee.
Bethesda, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health. May 21, 2018. PA-18-790; PA-18-791.
Journal Article > Commentary
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131:e78-e81.
This commentary discusses how sleep deprivation affects patient safety and provides recommendations to address health care worker fatigue. Strategies include training to help clinicians recognize fatigue-related cognitive and performance decline, adjusting schedules to minimize work demands, and designing standard practices to reduce the potential for fatigue-related error.
Journal Article > Study
Brewer G, Holt B, Malik S. J Safety Res. 2018;64:129-133.
Tools/Toolkit > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; January 2018.
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in several landmark patient safety initiatives. The CUSP approach emphasizes improving safety culture by through a continuous process of reporting and learning from errors, improving teamwork, and engaging staff at all levels in safety efforts. Most recently, an AHRQ-funded project using the CUSP model achieved a 40% reduction of central line–associated bloodstream infections in intensive care units nationwide. This toolkit includes modules on how to build the CUSP team, identify recurring safety concerns, and improve teamwork and communication.
Horsham, PA: Institute for Safe Medication Practices; 2017.
This updated report outlines 14 consensus-based best practices to ensure safe medication administration, such as diluted solutions of vincristine in minibags and standardized metrics for patient weight. The set of recommended practices has expanded since it was first developed in 2014 to include actions related to eliminating the prescribing of fentanyl patches for acute pain and use of information about medication safety risks from other organizations to motivate improvement efforts.
Journal Article > Study
Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale.
Monaca C, Bestmann B, Kattein M, Langner D, Müller H, Manser T. J Patient Saf. 2017 Nov 21; [Epub ahead of print].
Safety culture is traditionally measured from the health care team's perspective. Researchers used a large online survey to develop and validate an 11-item scale to measure patients' perception of safety culture. A recent Annual Perspective explored the growing field of patient engagement in safety.
Journal Article > Study
Puthumana JS, Fong A, Blumenthal J, Ratwani RM. J Patient Saf. 2017 Aug 4; [Epub ahead of print].
Incident reporting generates data about adverse events. This qualitative study of patient safety analysts sought insights about how incident report data is synthesized and used. Participants reported that existing software for safety reporting does not support needed analysis such as trends over time, integration of data from multiple sources, and categorization of events. The results highlight the need to develop sociotechnical approaches to error reporting.