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Approach to Improving Safety
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Book/Report
Learning From Mistakes.
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.
Web Resource > Multi-use Website
Connecticut Center for Patient Safety.
PO Box 231335, Hartford, CT 06123-1335.
The Connecticut Center for Patient Safety works to improve patient safety in Connecticut hospitals and protect the rights of injured patients. This Web site shares patients' stories of medical error and provides information and resources related to patient safety.
Tools/Toolkit > Government Resource
Engaging Clinicians.
National Patient Safety Agency. London, England: NHS; 2005.
This resource pack contains tools (eg, presentation templates, case studies of error, and cartoons) that can be used to increase awareness of patient safety and the importance of incident reporting by health care providers.
Book/Report
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
US Government Accountability Office. Washington, DC: US Government Accountability Office; 2004. Publication GAO-05-83.
The Government Accountability Office studied patient safety programs at four Department of Veterans Affairs (VA) health facilities and recommends that the VA emphasize leadership action and open communication to support safety improvement.