Patient Safety Web Sites & Resources
General Topics and Tools
- AHRQ: Toolkit for Establishing a Community-Based Safety Advisory Council
- AHRQ Innovations Exchange
- AHRQ Patient Safety Organizations
- AHRQ Patient Safety Primers
- Common Formats for Collecting and Reporting Patient Safety Information
- The National Center for Patient Safety (Veterans Affairs)
- The Joint Commission: National Patient Safety Goals
- The Joint Commission’s 2007 Report on Improving America’s Hospitals
- Institute of Medicine’s Health Care Quality Initiative
- The Institute for Healthcare Improvement
- World Health Organization Patient Safety Programs
- Duke University Patient Safety/QI modules
- Society of Hospital Medicine’s Care Transitions for Older Adults Resource Room
- Reducing Health Care Hazards: Lessons from the Commercial Aviation Safety Team
- National Quality Forum report: The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care [.pdf]
- Washington State Department of Health’s Adverse Events website
Communication
Error Disclosure
- Alleviating “Second Victim” Syndrome- How We Should Handle Patient Harm. Carolyn M. Clancy, MD, Agency for Healthcare Quality and Research. J Nurs Care Qual. 2012; 27:1-5. This commentary discusses second victims and describes how blame-free reporting and disclosure can minimize harm.
- Guilty, Afraid, and Alone — Struggling with Medical Error. Delbanco T, Bell SK. N Engl J Med. 2007;357:1682-1683.
- Coming Clean on Medical Mistakes Talaga T, Cribb R. Toronto Star. March 19, 2007.
- Disclosing Harmful Medical Errors to Patients Gallagher TH, Studdert D, Levinson W N Engl J Med 2007;356:2713-9
- A 62-Year-Old Woman With Skin Cancer Who Experienced Wrong-Site Surgery: Review of Medical ErrorGallagher THJAMA 2009;302(6):669-677
Hand Hygiene and Infection Control
Health Literacy
- Plain Language Toolkit (Group Health Cooperative)
- Improving Health Literacy (Group Health Cooperative)
- AMA Foundation’s Health Literacy Kit and Health Literacy Video
- Health Literacy Resources (compiled by Gail Nielsen)
- Health Literacy Teleconference Presentation by Gail Nielsen [2MB .pdf, September 2008]
- Michigan Cancer Consortium’s Booklet on Prostate Cancer Decision-Making
- National Institute for Literacy’s Health Literacy Discussion List
- Resources for Tear Sheets/Tear Pads: Krames Pritchell & Hull
- Rhode Island Health Literacy Project
- AHRQ’s Pharmacy Health Literacy Center
- CAHPS Consortium Item Set for Addressing Health Literacy
Laboratory Quality and Safety
Newsletters/misc tools
Patient/consumer-oriented materials and information
- Arizona CERT’s Guidelines for Safe Medication Use
- Washington State Medical Association
- Food and Drug Administration
- Agency for Healthcare Research and Quality
- Washington State Department of Health
- SafeMedication.com (ASHP)
- Partnership for Patient Safety
- Washington State Hospital Association
- National Quality Forum’s Guidelines for Consumer-Focus Public Reporting [.pdf]
- AHRQ: Talking to Consumers about Health Care Quality
- AHRQ: Questions are the Answer campaign
- Restaurant PSA [.wmv]
- Cell Phone PSA [.wmv]
- Consumers Advancing Patient Safety
- Washington Poison Center’s “Prevention and Treatment Guide – Medications”
- Washington Health Foundation’s “My Health Home Bookshelf”
- Institue for Patient and Family Centered Care *NEW*
Patient Safety Culture
- Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions Taylor JA et al, Agency for Healthcare Quality and Research. BMJ Qual Saf. 2012;21:101-111. The study results showed that hospital units with poor safety climate had an increased risk of preventable adverse events for patients and an increased risk of injuries among nurses, indicating a close link between safety culture and nurses’ working conditions.
- AHRQ survey
- AHRQ’s Preliminary Report presents results from its updated Hospital Survey on Patient Safety Culture.
- AHRQ Survey to Assess Medical Office Safety Culture
- Leapfrog Never Events Fact Sheet
- On-line Patient Safety Climate Survey: Tool Development and Lessons Learned Advances in Patient Safety: From Research to Implementation Volumes 4, AHRQ Publication Nos. 050021 (1-4).
- Safety Attitudes Questionnaire and Safety Climate Survey University of Texas, Houston The Safety Climate Survey: Psychometric and Benchmarking Properties Technical Report 03-03 J B Sexton and E J Thomas
Patient Safety Curriculum
Procedure Safety
- Variations in surgical outcomes associated with hospital compliance with safety practices Brooke BS et al, Agency for Healthcare Quality and Research. Surgery. 2012 Jan 17; [Epub ahead of print].
This study looked at nearly 80,000 Medicare patients to determine whether implementation of the National Quality Forum’s (NQF) Safe Practices for Better Healthcare was associated with more effective treatment of postoperative complications. The results showed that hospitals that had fully implemented the safe practices had a lower incidence of failure to rescue and lower overall postoperative mortality.
Please visit the SCOAP website to access resources related to surgical safety.
Organizations
International
- World Alliance for Patient Safety
- Australian Council for Safety and Quality in Health Care
- Australian Patient Safety Foundation
- Canadian Patient Safety Institute
- Danish Society for Patient Safety
- National Patient Safety Agency (UK)
National
- Agency for Healthcare Research and Quality (AHRQ)
- AHRQ’s Innovations Exchange
- Food and Drug Administration
- National Patient Safety Foundation
- National Quality Forum
- National Center for Patient Safety
- The Joint Commission
Local/State/Regional
- Ann Arbor VA Medical Center/ University of Michigan Health System – Patient Safety Enhancement Program
- The Bay Area Patient Safety Collaborative
- The Betsy Lehman Center for Patient Safety and Medical Error Reduction
- National Academy for State Health Policy
- California Hospital Patient Safety Organization
- Coalition for Quality and Patient Safety of Chicagoland
- Colorado Patient Safety Coalition
- Connecticut Center for Patient Safety
- Florida Patient Safety Corporation
- Georgia Hospital Association Partnership for Health and Accountability
- Indiana Medical Error Reporting System Report
- The Maine Patient Safety Organization Network
- Maryland Patient Safety Center
- Massachusetts Coalition for the Prevention of Medical Errors
- Michigan Health and Safety Coalition
- Minnesota Alliance for Patient Safety
- Mississippi Patient Safety Coalition
- Missouri Center for Patient Safety
- Ohio Patient Safety Institute
- Oregon Patient Safety Commission
- Pennsylvania Patient Safety Authority
- Strategic Alliance for Error Reduction (SAFER) Healthcare California
- Texas Patient Safety Organization, Inc.
- Virginians Improving Patient Care and Safety
