Improving Patient Safety in Medical Offices: A Resource List for Users

General Resources

  1. 2010 National Patient Safety Goals: Ambulatory Care
    http://www.jointcommission.org/patientsafety/nationalpatientsafetygoals/

    The purpose of the Joint Commission Ambulatory Care National Safety Goals is to improve patient safety in an ambulatory setting by focusing on specific goals. This Web site, which contains a link to the latest goals, includes improvements emanating from the Standards Improvement Initiative. In addition, the site has information on the new numbering system and minor language changes for consistency.

  2. 30 Safe Practices for Better Health Care Fact Sheet
    http://www.innovations.ahrq.gov/content.aspx?id=765

    This fact sheet is featured on AHRQ's Health Care Innovations Exchange Web site. The National Quality Forum has identified 30 safe practices that evidence shows can work to reduce or prevent adverse events and medication errors. These practices can be universally adopted by all health care settings to reduce the risk of harm to patients. This tool also provides background information about the National Quality Forum, as well as links to a report providing more detailed information about the 30 Safe Practices.

  3. AHRQ Health Care Innovations Exchange
    http://www.innovations.ahrq.gov/

    AHRQ's Health Care Innovations Exchange is a comprehensive program designed to accelerate the development and adoption of innovations in health care delivery. This program supports the Agency's mission to improve the safety, effectiveness, patient centeredness, timeliness, efficiency, and equity of care. It emphasizes reducing disparities in health care and health among racial, ethnic, and socioeconomic groups. The Innovations Exchange has the following components:

    • Searchable innovations and attempts.
    • Searchable Quality Tools.
    • Learning opportunities.
    • Networking opportunities.
  4. AHRQ Medical Errors and Patient Safety
     

    The AHRQ Medical Errors and Patient Safety Web site provides links to various resources and tools for promoting patient safety in the following categories:

    • Tips for Consumers and Patients.
    • Background.
    • Communication and Teamwork.
    • Design and Working Conditions.
    • Implementation and Transformation.
    • Patient Safety Organizations.
    • Patient Safety Research and Funding Opportunities.
    • Tools and Techniques.
  5. AHRQ Patient Safety Network
    http://www.psnet.ahrq.gov/

    AHRQ Patient Safety Network (PSNet) is a national Web-based resource featuring the latest news and essential resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings ("What's New"), and a vast set of carefully annotated links to important research and other information on patient safety ("The Collection"). Supported by a robust patient safety taxonomy and Web architecture, PSNet provides searching and browsing capability and allows users to customize the site around their interests (My PSNet). It also is tightly coupled with AHRQ's WebM&M, the popular monthly journal that features user-submitted cases of medical errors, expert commentaries, and perspectives on patient safety.

  6. CAHPS® Improvement Guide
    https://cahps.ahrq.gov

    The extensive and growing use of CAHPS® (Consumer Assessment of Healthcare Providers and Systems) surveys to assess the quality of health plans, medical groups, and other organizations has created a demand for practical strategies that organizations can use to improve patients' experiences with care. This guide is designed to help meet this need. It is aimed at executives, managers, physicians, and other staff responsible for measuring performance and improving the quality of services provided by health plans, medical groups, and individual physicians. Over time, this guide will be updated to include new improvement interventions and offer additional resources.

  7. Chasing Zero: Winning the War on Health Care Harm
    http://discoveryhealthcme.discovery.com/zero/media/program.html

    A near-fatal medical error almost cost the lives of twins born to actor Dennis Quaid and his wife. This real-life event inspires a new patient education documentary featuring the Quaid family's personal ordeal, along with stories of other families who faced medical errors. It also features experts who are leading efforts to help health care providers reduce medical errors and improve patient safety outcomes.

  8. The Commonwealth Fund
    http://www.commonwealthfund.org

    The Commonwealth Fund is a private foundation that aims to promote a high-performing health care system that achieves better access, improved quality, and greater efficiency. The organization focuses on society's most vulnerable populations, including low-income people, uninsured people, minority groups, young children, and older adults. The Commonwealth Fund provides information on a variety of health care topics, as well as free publications and innovations and tools for improving health care.

  9. Consumers Advancing Patient Safety
    http://www.patientsafety.org

    Consumers Advancing Patient Safety (CAPS) is a consumer-led nonprofit organization aimed at providing a collective voice for individuals, families, and healers who want to prevent harm in health care encounters through partnership and collaboration. CAPS features a transitions toolkit (available at http://www.patientsafety.org/page/142046/)  titled "Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient."

  10. Department of Defense Patient Safety Program
    http://health.mil/dodpatientsafety

    The Department of Defense Patient Safety Program is a comprehensive program designed to establish a culture of patient safety and quality within the Military Health System (MHS). The program encourages a systems approach to create a safer patient environment; engages MHS leadership; promotes collaboration across all three services; and fosters trust, transparency, teamwork, and communication.

  11. Innovations in Planned Care
    http://www.ihi.org/IHI/Results/WhitePapers/InnovationsinPlanned+CareWhitePaper.htm

    This is a white paper on the Institute for Healthcare Improvement (IHI) Web site that identifies challenges facing the current health care system and introduces a new design for the delivery of primary care.

  12. Institute for Healthcare Improvement
    http://www.ihi.org/ihi

    IHI is a reliable source of energy, knowledge, and support for an ongoing campaign to improve health care worldwide. IHI helps accelerate change in health care by cultivating promising concepts for improving patient care and turning those ideas into action.

  13. Institute for Safe Medication Practices
    http://www.ismp.org

    The Institute for Safe Medication Practices offers a wide variety of free educational materials and services on their Web site:

    • Special Medication Hazard Alerts.
    • Searchable information on a wide variety of medication safety topics.
    • Answers to frequently asked questions about medication safety.
    • Food and Drug Administration Patient Safety Videos.
    • Pathways for medication safety tools.
    • White papers on bar-coding technology and electronic prescribing.
    • A monitored message board to share questions, answers, and ideas.
  14. Joint Commission: Patient Safety
    http://www.jointcommission.org/PatientSafety/

    The Patient Safety pages on the Joint Commission Web site offer information on patient safety-related standards, the National Patient Safety Goals, the Speak Up™ initiatives (a national program urging patients to become active participants on their health care team), and other resources.

  15. Minnesota Alliance for Patient Safety
    http://www.mnpatientsafety.org

    The Minnesota Alliance for Patient Safety is a partnership among the Minnesota Hospital Association, Minnesota Medical Association, Minnesota Department of Health, and more than 50 other public and private health care organizations working together to improve patient safety.

  16. National Center for Patient Safety
    http://www.patientsafety.gov

    The National Center for Patient Safety (NCPS) was established in 1999 to develop and nurture a culture of safety throughout the Department of Veterans Affairs. The primary intended audience for the public Web site is health care professionals and health care administrators.

  17. National Committee for Quality Assurance
    http://www.ncqa.org/

    The National Committee for Quality Assurance (NCQA) is a private, not-for-profit organization dedicated to improving health care quality. NCQA develops quality standards and performance measures for a broad range of health care entities. These measures and standards are the tools that organizations and individuals can use to identify opportunities for improvement. The annual reporting of performance against such measures has become a focal point for the media, consumers, and health plans, which use these results to set their improvement agendas for the following year.

  18. National Patient Safety Foundation®
    http://www.npsf.org/

    The National Patient Safety Foundation® (NPSF) has been pursuing one mission since its founding in 1997 — to improve the safety of the health care system for the patients and families it serves. NPSF is dedicated to uniting disciplines and organizations across the continuum of care, championing a collaborative, inclusive, multistakeholder approach.

  19. National Quality Forum
    http://www.qualityforum.org/Topics/Safety.aspx

    The National Quality Forum is a nonprofit organization that aims to improve the quality of health care for all Americans through fulfillment of its three-part mission:

    • Setting national priorities and goals for performance improvement.
    • Endorsing national consensus standards for measuring and publicly reporting on performance; and
    • Promoting the attainment of national goals through education and outreach programs.
  20. Partnering With Patients To Create Safe Care
    http://www.ihi.org/ihi/files/Forum/2008/Handouts/DE24_PartnerPatients_Weingart.pdf  (PDF file, 5.4 MB; Plugin Software Help); audio available in MP3 format at http://webmedia.unmc.edu/nursing/grants/jcuddiga/ihi2008/media/sIH08136.htm 

    Partnering With Patients To Create Safe Care is a presentation from the IHI National Forum by representatives at the Dana-Farber Cancer Institute. The presentation highlights Dana-Farber's journey in family-centered care and the steps needed to advance patient and family participation in safety and quality initiatives.

  21. Pennsylvania Patient Safety Authority
    http://www.patientsafetyauthority.org/Pages/Default.aspx

    The Pennsylvania Patient Safety Authority is charged with taking steps to reduce and eliminate medical errors by identifying problems and recommending solutions that promote patient safety in various health care settings. The Web site features issues of current patient safety articles and highlights patient safety initiatives and tools. Users can browse by care setting, event (e.g., falls, medication errors), discipline, audience, and patient safety focus.

  22. Pittsburgh Regional Health Initiative
    http://prhi.org/

    Pittsburgh Regional Health Initiative provides a series of forums titled "Excellence in Chronic Care." Past topics include "Excellence in Chronic Care: Successes in Improving Diabetes Care," "Electronic Medical Records and Chronic Disease," "Helping Patients Achieve Diabetes Care Goals," and "Measurable Quality Improvement in Diabetes Care for Your Practice."

  23. Premier Safety Institute®
    http://www.premierinc.com/quality-safety/tools-services/safety/index.jsp

    The Premier Safety Institute provides safety resources and tools to promote a safe health care delivery environment for patients, workers, and their communities.

  24. Reducing Errors in Health Care: Translating Research Into Practice
    http://www.innovations.ahrq.gov/content.aspx?id=784

    This fact sheet is featured on AHRQ's Health Care Innovations Exchange Web site. It provides research-based information on medical errors and how to reduce them. It addresses patients at risk, describes how errors occur, and suggests ways to improve patient safety and promote safety.

  25. TransforMED Medical Home Tools and Resources
    http://transformed.com/resources.cfm

    TransforMED is a subsidiary of the American Academy of Family Physicians. TransforMED has assembled hundreds of the best and most current online resources related to the modules of the TransforMED Patient-Centered Medical Home model for use as self-education tools, quick reference guides, and templates.

  26. World Health Organization Collaborating Centre for Patient Safety Solutions
    http://www.ccforpatientsafety.org/patient-safety-solutions

    The Joint Commission, Joint Commission International, and World Health Organization host the Centre for Patient Safety Solutions. This Web site provides information about nine solutions for improving patient safety approved by the International Steering Committee. Areas covered by the solutions include: (1) Look-Alike, Sound-Alike Medication Names, (2) Patient Identification, (3) Communication During Patient Hand-Overs, (4) Performance of Correct Procedure at Correct Body Site, (5) Control of Concentrated Electrolyte Solutions, (6) Assuring Medication Accuracy at Transitions in Care, (7) Avoiding Catheter and Tubing Misconnections, (8) Single Use of Injection Devices, and (9) Improved Hand Hygiene To Prevent Health Care-Associated Infection.

  27. Why Not the Best?
    http://whynotthebest.org/contents/

    Why Not the Best is a health care quality improvement resource from the Commonwealth Fund. In this resource, health care organizations share successful strategies and tools to create safe, reliable health care processes and deliver high-quality care to patients. Case studies and tools are linked to performance measures for particular conditions or areas of care.

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Current as of June 2011
Internet Citation: Improving Patient Safety in Medical Offices: A Resource List for Users: General Resources. June 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2010/moimpgen.html