Error reporting

Innovations

Monthly Multidisciplinary Patient Safety Conferences Improve Hospital Staff Perceptions of Organization's Safety Culture and Increase Reporting of Adverse Events 02/09/10

Northwestern Memorial Hospital holds monthly patient safety meetings, known as Patient Safety Morbidity and Mortality Conferences, that serve as a forum for clinicians and staff from all...

Proactive Reporting, Investigation, Disclosure, and Remedying of Medical Errors Leads to Similar or Lower Than Average Malpractice Claims Costs 12/14/09

A Veterans Affairs Medical Center developed a comprehensive process designed to proactively identify and remedy medical errors. Key elements of the process include widely publicizing the...

Improvement Projects Led by Unit-Based Teams of Nurse, Physician, and Quality Leaders Reduce Infections, Lower Costs, Improve Patient Satisfaction, and Nurse–Physician Communication 12/04/09

The University of Pennsylvania Health System uses unit-based clinical leadership teams, composed of a physician leader, nurse leader, and quality/safety project manager, to develop unit-specific...

Full Disclosure of Medical Errors Reduces Malpractice Claims and Claim Costs for Health System 10/03/09

The University of Michigan Health System adopted a process of full disclosure of medical errors that involves multiple components, including an online incident reporting system and outreach to...

Comprehensive Program to Promote "Fair and Just Principles" Improves Employee Perceptions of How a Health System Responds to Errors 06/24/09

Aurora Health Care implemented a comprehensive program designed to promote a culture of safety through their “fair and just principles,” which emphasizes a nonpunitive response to 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...

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...

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...

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...

Adverse Event Reporting System (AERS) 06/08/10

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....

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.