Medical errors

QualityTools

AHRQ Common Formats 04/24/14

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...

Disclosure Toolkit and Disclosure Culture Assessment Tool 04/26/12

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...

Tools for Building a Clinician and Staff Support Program 04/26/12

These tools and resources guide health care facilities in organizing institution-wide support for clinicians following adverse events. Included is a toolkit for organizations to use regardless of where they are on the spectrum—from those in the early stages of looking at different support models to those who may already have programs in place.

The following tools are also available:

  • Organizational assessment tool for clinician support
  • Building a clinician...
Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture 01/20/11

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...
MedWatch Safety Alerts 11/11/10

MedWatch is a free tool for providers and consumers that offers many ways to help them stay informed about the medical products they prescribe, use, or dispense every day. MedWatch provides safety alerts directly to users through the channel they select, such as mobile text messages or e-mail. Safety messages cover human drugs, medical devices, vaccines and other biologics, dietary supplements, and cosmetics.

Subscription is required. Standard text messaging rates apply for...

Registries for Evaluating Patient Outcomes: A User's Guide: 2nd Edition 10/27/10

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:

    ...
Patient Safety Primers 03/11/10

Patient Safety Primers are guides for health care professionals on safety ideas to put into action in hospitals and health care settings. Each tool refers to a specific topic and provides detailed background information as well as current resources and links.

The topics available include:

  • Safety target
    • Adverse events after hospital discharge
    • Diagnostic errors
    • Disruptive and unprofessional behavior
    • Handoffs and signouts
    • Health...
Institute for Healthcare Improvement Global Trigger Tool for Measuring Adverse Events 05/11/09

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...

Five Steps to Safer Health Care: Patient Fact Sheet 01/16/09

This fact sheet provides steps patients can follow to get safer health care.

Steps include:

  • Ask questions if you have doubts or concerns
  • Keep and bring a list of all the medicines you take
  • Get the results of any test or procedure
  • Talk to your doctor about which hospital is best for your health needs
  • Make sure you understand what will happen if you need surgery
Speak Up Campaign 12/10/08

In March 2002, the Joint Commission, together with the Centers for Medicare and Medicaid Services, launched a national campaign to urge patients to take a role in preventing health care errors by becoming active, involved, and informed participants on their health care team.

The campaign features brochures, posters, and buttons on the following patient safety topics:

  • Help prevent errors in your care
  • Help avoid mistakes in your surgery
  • Information...

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