The Common Formats, authorized by the Patient Safety and Quality Improvement Act of 2005, facilitate Patient Safety Organization (PSO) collection of patient safety work product from health care providers in a standardized manner. Use of these forms will assure consistency of reporting among PSOs as they begin to aggregate patient safety event information. The formats are being used by health care providers and PSOs to report a comprehensive range of patient safety concerns, capturing both...
This toolkit and self-assessment tool help health care organizations develop a culture that supports respect and effective communication with patients and families around adverse events. The Disclosure Toolkit provides selected tools, literature, and other resources to help establish an environment that supports effective communication with patients and families. The Disclosure Culture Assessment Tool enables organizations to determine their current cultural environment and structures needed...
This document contains references to Web sites that provide practical resources hospitals can use to implement changes to improve patient safety culture and patient safety. This resource list is not exhaustive but is provided to give initial guidance to hospitals looking for information about patient safety initiatives. This document will be updated periodically.
The resources are organized into the following categories:
- General resources
- Resources by...
This user’s guide helps researchers and others establish, manage, and analyze patient registries to evaluate the real-life impact of health care treatments and evaluate patient outcomes. Originally published in 2007, the purpose of this revised and expanded second edition is to incorporate information on new methodological or technological advances into the existing chapters and to add new chapters to address emerging topics in registry science.
Topics covered include:
The Adverse Event Reporting System (AERS) is a computerized information database designed to support the U.S. Food and Drug Administration (FDA) postmarketing safety surveillance program for all approved drug and therapeutic biologic products. The FDA uses AERS to monitor for new adverse events and medication errors that might occur with these marketed products.
Reporting of adverse events from the point of care is voluntary in the United States. Health care professionals and...
The use of “triggers” or clues to identify adverse events is an effective method for measuring the overall level of harm in a health care organization. The Institute for Healthcare Improvement’s (IHI) Global Trigger Tool for Measuring Adverse Events provides instructions for training reviewers in this methodology and conducting a retrospective review of patient records using triggers to identify possible adverse events. This tool includes a list of known triggers as well as instructions for...
This survey, designed to be administered to outpatient medical office providers and staff, asks for opinions about the culture of patient safety and health care quality in medical offices.
The survey was designed for medical offices with at least three providers (physicians, either MD or DO; physician assistants; nurse practitioners; or other providers licensed to diagnose medical problems, treat patients, and prescribe medications). Survey administration in solo practitioner or...
In an effort to improve patient safety, the State Health Policy Survey Report: 2007 Guide to State Adverse Event Reporting Systems provides a comparison of systems authorized by State governments to collect information about adverse events. The report is intended to identify trends in adverse event reporting systems governance and can help identify health system weaknesses, complement other State functions, and help safeguard health care consumers.
This guide compares the following...
This tool gives health care workers information about the risks of occupational exposure to bloodborne pathogens, including hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV), and suggests actions to be taken when such exposures occur.
The following health topics are discussed:
- Occupational exposures to blood
- If an exposure occurs
- Risk of infection after exposure
- Treatment for the exposure
- Followup after...
This Web site is an online journal and forum on patient safety and health care quality.
The tool includes the following features:
- Expert analysis of medical error reports submitted anonymously by Web site users, in the following clinical areas and specialties:
- Clinical ethics
- Critical care
- Emergency medicine
- Family medicine
- Hospital medicine
- Laboratory medicine