Patient Safety

Definitions

NPSF LogoFrom the National Patient Safety Foundation:

Patient safety is the prevention of healthcare errors, and the elimination or mitigation of patient injury caused by healthcare errors.

A healthcare error is an “unintended healthcare outcome caused by a defect in the delivery of care to a patient. Healthcare errors may be errors of commission (doing the wrong thing), omission (not doing the right thing), or execution (doing the right thing incorrectly). Errors may be made by any member of the healthcare team in any healthcare setting.”

 

Safety & Privacy Legislation

Controlled Substances Act (FDA)
Federal drug policy that regulates controlled substances’ manufacture and distribution and categorizes drugs into five “schedules” based on potential for benefit or abuse and international treaty status.

HIPAA Privacy Rule Summary (U.S. Dept. of Health & Human Services)
The HIPAA privacy rule was designed to protect patients’ private health information while still allowing necessary use of it to provide quality healthcare services.

Occupational Safety & Health Act of 1970
Act that governs occupational health and safety both in the federal government and the private sector.

 

AHRQ LogoSafety Resources

Agency for Healthcare Research and Quality (AHRQ)
Patient Safety Network (PSNet) main page.

Agency for Healthcare Research and Quality (AHRQ): Morbidity & Mortality Rounds on the Web (WebM&M)
“…features expert analysis of medical errors reported anonymously by our readers and includes interactive learning modules on patient safety (‘Spotlight Cases’).”

Agency for Healthcare Research and Quality (AHRQ): Patient Safety Topic Pages
Pages that address a diverse variety of topics on patient safety.

Clinical Procedures for Safer Patient Care
An open (free) textbook by Glynda Rees Doyle and Jodie Anita McCutcheon, British Columbia Institute of Technology. It was “developed to ensure best practice and quality care based on the latest evidence, and to address inconsistencies in how clinical health care skills are taught and practised in the clinical setting.”

 

Joint Commission 2015 Comprehensive Accreditation Manual for Hospitals
Download the Patient Safety Systems chapter here.

Joint Commission: National Patient Safety Goals
Information on national patient safety goals in different categories for the most recent calendar year. Topics include ambulatory health care, behavioral health care, critical access hospital, home care, hospital, laboratory services, long term care, nursing care center, and office-based surgery.

Society to Improve Diagnosis in Medicine (SIDM)
“Our Society is dedicated to honoring all those who have been harmed by diagnostic error. We will all be patients some day, and we will all want the same thing: That our diagnosis is made quickly, accurately, efficiently, and safely. The Society to Improve Diagnosis in Medicine will strive to unite everyone and every organization that shares this vision so that we can focus on how to improve the diagnostic process.”

 

Do No Harm: Jess’ Story (Video)

 

Health Information Privacy & Security

HIMSS: Privacy & Security
“Health information security and medical privacy are of utmost importance in today’s healthcare environment. HIMSS provides guidance and resources to assist healthcare entities navigate many of the complex and rapidly evolving issues that are facing the healthcare industry.”

U.S. Department of Health and Human Services (HHS): Health Information Privacy
Find information on The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules and The Patient Safety and Quality Improvement Act of 2005 (PSQIA) Patient Safety Rule.

 

News & Updates

Institute of Medicine (IOM): Quality & Patient Safety
IOM “is an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public.”

Medication Safety

Agency for Healthcare Research and Quality (AHRQ): Search Results for Medication Safety
Results for articles, conference info, tools, audiovisual resources, and more through the AHRQ.

CINAHL Database Search Results for Medication Safety/Errors
A sample search in the WCC library’s CINAHL database for articles on this topic.

Institute for Safe Medication Practices (ISMP): Medication Safety Tools and Resources
The ISMP “offers a wide range of resources and information to help healthcare practitioners in a variety of healthcare settings prevent errors and ensure that medications are used safely. All of the ISMP tools listed below are free, downloadable, and easy to use.

MedlinePlus: Medication Errors
Information on this topic from the National Library of Medicine’s MedlinePlus site.

FDA LogoU.S. Food and Drug Administration (FDA): Drug Safety Podcasts
These podcasts “provide emerging safety information about drugs in conjunction with the release of Public Health Advisories and other drug safety issues.”

U.S. Food and Drug Administration (FDA): Medication Errors
The “Division of Medication Error Prevention and Analysis (DMEPA) reviews medication error reports on marketed human drugs including prescription drugs, generic drugs, and over-the-counter drugs.”