Narrow Results Clear All
Approach to Improving Safety
- Communication Improvement 3
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis 4
- Human Factors Engineering 1
-
Legal and Policy Approaches
- Credentialing, Licensure, and Discipline
- Logistical Approaches 2
- Quality Improvement Strategies 7
- Specialization of Care 1
- Technologic Approaches 1
Safety Target
Search results for "Credentialing, Licensure, and Discipline"
- Web Resource
- Credentialing, Licensure, and Discipline
Download Citation File:
- View: Basic | Expanded
- Sort: Best Match | Most Recent
Legislation/Regulation > Government Resource
Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule.
Centers for Medicare & Medicaid Services. Fed Regist. 2016;81:39447-39480.
This proposed rule suggests updates to the government requirements hospitals must comply with to participate in Medicare and Medicaid. Changes include emphasis on the role of leadership engagement and safety culture as ways to generate improvements in areas such as reducing hospital-acquired infections and readmissions. Comments on the proposed rule are due August 15, 2016.
Web Resource > Multi-use Website
Clinical Learning Environment Review (CLER) Program.
Chicago, IL: Accreditation Council for Graduate Medical Education, 2014.
Many graduate medical education programs have instituted patient safety didactics or online courses to meet accreditation standards, but these are likely insufficient in the face of real-world practices commonly witnessed by trainees in clinical settings. Recognizing the importance of this hidden curriculum on shaping trainees' behaviors, the Accreditation Council for Graduate Medical Education (ACGME) created the Clinical Learning Environment Review (CLER) program to evaluate teaching institutions in six focus areas: patient safety, quality improvement, transitions in care, supervision, duty hours, and professionalism. During 2013, the ACGME visited more than 100 teaching hospitals in the United States as part of this program. According to ACGME leaders, the early findings show an overall lack of trainee engagement in the systems-based practices. Available on the Web site, the CLER Pathways to Excellence report describes discoveries from the first year of the program and provides a guide for teaching institutions to create clinical environments that support patient safety training and practices.
Web Resource > Government Resource
PSO Privacy Protection Center.
Agency for Healthcare Research and Quality.
This Web site supports AHRQ implementation of the Patient Safety and Quality Improvement Act of 2005 by providing technical assistance and educational materials to Patient Safety Organizations. The site includes updates on the latest definitions and common formats.
Book/Report
Windows into Safety and Quality in Health Care 2008.
Sydney, Australia: Australian Commission on Safety and Quality in Health Care; 2008. ISBN: 9780980346275.
This report compiles public and private data to provide insight into the quality and safety of patient care in Australian hospitals.
Newspaper/Magazine Article
Five hospitals release data on inspections.
Kowalczyk L. Boston Globe. April 21, 2007:B1.
This article reports on the results from Joint Commission site inspections of five Boston-area hospitals.
Book/Report
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor.
Washington, DC: United States Government Accountability Office; May 2006. Publication GAO-06-544.
This investigation determined that the U.S. Veterans Administration has taken steps to improve the reliability of their practitioner licensure and certification screening processes for employees and new hires but found that some weaknesses still exist.
Legislation/Regulation
Summary of Proposed Changes to ACGME Common Program Requirements Section VI.
Accreditation Council for Graduate Medical Education.
Implementation of resident duty hours, meant to address fatigue in health care, has long been a subject of patient safety discussions. This website provides a summary of proposed changes to the current ACGME residency Common Program Requirements that shape working hours, offers rationale for the revisions.
Book/Report
VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events.
Draper D. Washington, DC: United States Government Accountability Office; December 3, 2013. Publication GAO-14-55.
Evaluation of provider behavior can identify problems that affect patient safety. This report analyzed data and expert interviews from four Veterans Affairs medical centers to identify weaknesses in peer review processes. Investigators found inconsistent adherence to peer review policy elements, such as timely review performance and peer review trigger development, and make recommendations to drive actions that address these issues.
Web Resource > Multi-use Website
Joint Commission Center for Transforming Healthcare.
The Joint Commission.
The Joint Commission has traditionally focused on accreditation of health care organizations and, through its Joint Commission Resources arm, on quality improvement (QI) in areas related to its accreditation functions. In the first major initiative under the leadership of new president Dr. Mark Chassin, The Joint Commission launched this Center, which will focus on applying rigorous QI methods to improve safety in a number of challenging areas (the first three are hand hygiene, handoff communication, and preventing wrong site surgery) and disseminating the lessons from these efforts. This Web site provides more information about the Center and its goals.
Web Resource > Multi-use Website
ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health.
American Congress of Obstetricians and Gynecologists.
This Web site offers a patient safety review program to help assess and improve safety in ambulatory obstetrics and gynecology practices.
Legislation/Regulation > Government Resource
Patient Safety and Quality Improvement; Final Rule.
US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.
This final rule outlines how to become a Patient Safety Organization (PSO), and supports AHRQ action to receive applications from qualified entities that wish to become PSOs. The interim guidance will remain in effect until January 19, 2009, the official activation date for the final rule.
Journal Article > Government Resource
Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007.
Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2008;57:513-517.
This report further discusses the investigation of a Hepatitis C outbreak that resulted from unsafe injection practices at an endoscopy clinic.
Book/Report
Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.
Baker M. Manchester, England: NHS North West; February 2007.
This report shares findings from an investigation into individual and system failures that contributed to a radiologist misreading mammograms for a 2-year period.
Book/Report
VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement.
Washington, DC: United States Government Accountability Office; May 2006. Publication GAO-06-648.
This report reviews findings from a federal inspection indicating that Veterans Affairs (VA) facilities, while complying with basic credentialing policies, are not routinely submitting malpractice data as required to be used by the VA to inform privileging determinations.
