Newsletter/Journal FIRST Do No Harm. Citation Text: Wakefield, MA: Quality and Patient Safety Division, Massachusetts Board of Registration in Medicine. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 16, 2013 Wakefield, MA: Quality and Patient Safety Division, Massachusetts Board of Registration in Medicine. This free newsletter provides information on quality and patient safety initiatives in Massachusetts. Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Wakefield, MA: Quality and Patient Safety Division, Massachusetts Board of Registration in Medicine. Copy Citation Related Resources From the Same Author(s) Roadmap to Health Care Safety for Massachusetts. May 3, 2023 Serious Reportable Events in Massachusetts. May 22, 2023 Health IT and Patient Safety: Building Safer Systems for Better Care. November 16, 2011 Emerging Topics in Quality Improvement. February 14, 2023 - February 14, 2023 Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. November 30, 2016 A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 AHRQ Safety Program for Improving Antibiotic Use. July 26, 2017 Health Literacy: Past, Present, and Future: Workshop Summary. September 2, 2015 The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. January 26, 2022 A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. April 18, 2007 Advancing Diagnostic Excellence in Maternal Health Care. July 27, 2023 - July 27, 2023 Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data. July 15, 2020 Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. August 19, 2020 Patient safety in primary care: conceptual meanings to the health care team and patients. November 25, 2020 Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. December 17, 2014 Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014 Implications of Health Literacy for Public Health: Workshop Summary. October 8, 2014 How Can Health Care Organizations Become More Health Literate?: Workshop Summary. August 15, 2012 Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. June 4, 2008 Health Literacy: A Prescription to End Confusion. March 6, 2005 Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021 The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. September 14, 2022 Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. September 15, 2021 Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. February 3, 2021 Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. March 22, 2023 Work-arounds in health care settings: literature review and research agenda. January 16, 2008 Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 When Things Go Wrong: Responding to Adverse Events. March 22, 2006 Sources of Power: How People Make Decisions. March 6, 2005 Out of the Crisis. March 27, 2005 Patient Safety Certificate Course. October 24, 2018 Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. May 24, 2023 Hospitalists as emerging leaders in patient safety: targeting a few to affect many. August 31, 2005 A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety. June 30, 2021 Evaluation of the culture of safety and quality in pediatric primary care practices. July 6, 2022 Communication in health care: impact of language and accent on health care safety, quality, and patient experience. August 4, 2021 An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. February 15, 2023 Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. March 20, 2013 Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. September 11, 2019 Considering the safety and quality of artificial intelligence in health care. September 16, 2020 The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. November 10, 2010 Patient safety assurance in the age of defensive medicine: a review. March 2, 2022 Keeping Patients Safe: Transforming the Work Environment of Nurses. May 11, 2005 Joint Statement on Multiple Patients Per Ventilator. April 22, 2020 Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. January 19, 2022 The PROMISES Project. February 5, 2014 Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. October 14, 2020 Mistaking error. March 27, 2005 Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. February 10, 2021 Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. September 16, 2020 Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. December 10, 2008 Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. February 27, 2008 Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. January 11, 2023 Sentinel Event Program. August 14, 2013 Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. November 18, 2020 Care Transitions Program. September 21, 2005 Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. February 17, 2021 HEAR Her Concerns. April 6, 2022 Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020 Crossing the Quality Chasm: A New Health System for the 21st Century. March 27, 2005 The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. March 18, 2020 The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. February 15, 2023 To Err Is Human: Building a Safer Health System. March 27, 2005 Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. October 12, 2011 Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. February 27, 2008 Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. June 24, 2020 Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. August 19, 2015 Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. August 25, 2021 The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure. July 25, 2018 Safety Is Personal: Partnering With Patients and Families for the Safest Care. April 2, 2014 Quality and safety in surgery: challenges and opportunities. September 8, 2021 Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. November 12, 2014 Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. June 29, 2022 The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. August 18, 2021 Crossing the Global Quality Chasm: Improving Health Care Worldwide. September 12, 2018 Ambulatory medication safety in primary care: a systematic review. July 6, 2022 Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. July 20, 2022 Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020 Patient safety and mental health-a growing quality gap in Canada. October 6, 2021 Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients: a case for investment in nursing. January 19, 2022 Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. July 22, 2020 Implementing standardized reporting and safety checklists. June 1, 2011 Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022 Distractors in obstetric ultrasound: do sonographers have safety concerns? October 9, 2019 The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. October 5, 2022 Up Next for Patient Safety. June 9, 2023 Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. November 9, 2022 Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. November 2, 2022 Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. March 16, 2022 Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022 Quality and Safety in Women's Health Care. Second Edition. October 20, 2010 ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. July 26, 2017 Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. February 15, 2023 Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. October 12, 2022 What COVID-19 teaches us about implicit bias in pediatric health care. February 24, 2021 State medical board regulation of compounding in physician offices. June 9, 2021 Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. February 6, 2019 A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. November 27, 2013 Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. July 27, 2022 Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. January 26, 2022 View More Related Resources Collaborative for Accountability and Improvement. May 7, 2024 Patient Safety Authority Annual Reports. April 30, 2024 Diagnostic errors. March 21, 2024 Creating Workforce Joy and Wellbeing. March 6, 2024 - May 20, 2024 Hospital Harm Project. October 31, 2023 Maryland Hospital Patient Safety Program Annual Report. September 28, 2023 TeamSTEPPS Core Curriculum. July 19, 2023 Serious Reportable Events in Massachusetts. May 22, 2023 GoodDx.org April 26, 2023 Healthcare Safety Investigations Conference 2022. August 3, 2022 The REPAIR Project. July 1, 2022 Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. October 5, 2021 - October 6, 2021 Alliance for Innovation on Maternal Health. August 21, 2021 HANYS' Report on Report Cards. November 20, 2019 Patient Safety. September 25, 2019 Get the Medications Right Institute. August 7, 2019 Patient Safety Learning. July 17, 2019 Creating a Safe Space: Psychological Health and Safety of Healthcare Workers. June 5, 2019 Better Health for Mothers and Babies. May 29, 2019 Communication and Resolution After an Adverse Health Care Incident. May 22, 2019 How to Talk About Patient Safety. April 3, 2019 Exploring vulnerability to patient safety events along the age continuum. April 3, 2019 The Kentucky Institute for Patient Safety and Quality. November 7, 2018 Patient Safety Certificate Course. October 24, 2018 Treatment Overkill. October 17, 2018 Health IT Patient Safety Supplemental Items for Hospitals. July 18, 2018 Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations. July 18, 2018 Journal of Patient Safety and Risk Management. June 20, 2018 Ariadne Labs. May 23, 2018 Clinician Well-Being Knowledge Hub. April 4, 2018 View More See More About The Topic Health Care Providers Health Care Executives and Administrators Policy Makers Medicine Online Education
Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. November 30, 2016
The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. January 26, 2022
A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. April 18, 2007
Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data. July 15, 2020
Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. August 19, 2020
Patient safety in primary care: conceptual meanings to the health care team and patients. November 25, 2020
Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014
Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021
The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. September 14, 2022
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. September 15, 2021
Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. February 3, 2021
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. March 22, 2023
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. May 24, 2023
A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety. June 30, 2021
Communication in health care: impact of language and accent on health care safety, quality, and patient experience. August 4, 2021
An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. February 15, 2023
Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. September 11, 2019
The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. November 10, 2010
Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. January 19, 2022
Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. October 14, 2020
Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. February 10, 2021
Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. September 16, 2020
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. February 27, 2008
Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. January 11, 2023
Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. November 18, 2020
Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. February 17, 2021
Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020
The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. March 18, 2020
The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. February 15, 2023
Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. October 12, 2011
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. February 27, 2008
Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. June 24, 2020
Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. August 19, 2015
Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. August 25, 2021
The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure. July 25, 2018
Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. November 12, 2014
Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. June 29, 2022
The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. August 18, 2021
Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. July 20, 2022
Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020
Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients: a case for investment in nursing. January 19, 2022
Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. July 22, 2020
Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022
The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. October 5, 2022
Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. November 9, 2022
Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. November 2, 2022
Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. March 16, 2022
Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022
ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. July 26, 2017
Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. February 15, 2023
Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. October 12, 2022
Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. February 6, 2019
A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. November 27, 2013
Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. July 27, 2022
Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. January 26, 2022
Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. October 5, 2021 - October 6, 2021
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations. July 18, 2018