RESOURCES
Click below for resources
Policies to eliminate avoidable harm in health care
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1.1 Patient safety. policy, strategy and implementation framework
Patient And Family Engagement: A Framework For Understanding The Elements And Developing Interventions And Policies
PCAST Report: President's Council of Advisors on Science and Technology Report
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1.2 Resource mobilization and allocation
World Health Organization: Resource Mobilization
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1.3 Protective legislative measures
World Health Organization: Legislative Measures
21st Century Cures Act: HHS Proposes New Rule to Further Implement the 21st Century Cures Act
White House Executive Order: Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence
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1.4 Safety Standards, regulation and accreditation
AHRQ: Accreditation and Regulation: Can They Help Improve Patient Safety?
Journal of Patient Safety and Risk Management: Who killed patient safety?
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1.5 World Patient Safety Day and Global Patient Safety Challenges
World Health Organization: World Patient Safety Day
High-reliability system
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2.1 Transparency, openness and No blame culture
Lucian Leape Institute: Shining A Light - Safer Health Care Through Transparency
AHRQ: High Reliability
Harvard Business Review: Building a Culture of Transparency in Health Care
AHRQ: Cuture of Safety
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2.2 Good governance for the health care system
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2.3 Leadership capacity for clinical and Managerial functions
Joint Commission Center for Transforming Healthcare: High Reliability in Healthcare
The Joint Commission: Sentinel Event Alert 57
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2.4 Human factors/ ergonomics for health systems resilience
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2.5 Patient safety In emergencies and settings of extreme adversity
Safety of clinical processes
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3.1 Safety of risk-prone clinical procedures
World Health Organization: Clinical Risk
World Health Organization: Surgical Safety Checklist
World Health Organization: Safe Childbirth Checklist Implementation Guide
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3.2 Global Patient Safety Challenge: Medication Without Harm
World Health Organization: Medication Without Harm
PSMF: Medication Errors
AHRQ: Health Literacy Tools for Use in Pharmacy
PLOS ONE: Predicting dispensing errors in community pharmacies
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3.3 Infection prevention and control & antimicrobial resistance
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3.4 Safety of medical devices, Medicines, blood and vaccines
University of Rochester: Hazards With Medical Devices: The Role of Design
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3.5 Patient safety In primary care and transitions of care
SIDM: Improve Diagnosis Toolkit
AHRQ: AHRQ Tools To Reduce Hospital-Acquired Conditions
AHRQ: Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings
AHRQ: Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
Health Expectations: Involving patients and carers in patient safety in primary care: A qualitative study of a co‐designed patient safety guide
AHRQ: Engaging Family Caregivers With Structured Communication for Safe Care Transitions
Patient and Family Engagement
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4.1 Co-development of policies and programmes with patients
Sage Journals: The role of the patient in patient safety: What can we learn from healthcare's history?
The Joint Commission: Speak Up Campaigns
AHRQ: Engaging Patients and Families in Their Health Care
Study: Teaching Pediatrics Residents How to Obtain Informed Consent
WHO: London Declaration
H2Pi: Why do we need a Patient and Family Advisory Council?
H2Pi: Assessment Tool for Patient and Family Engagament
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4.2 Learning from patient experience for safety Improvement
AHRQ: Patient Experience
IHI: Safety Is Personal: Partnering with Patients and Families for the Safest Care
Study (BMJ): The patient is in: patient involvement strategies for diagnostic error mitigation
AHRQ: Missed CANDOR Implementation Opportunities
PEC: Patient Education and Counseling
SIDM: PFAC Toolkit for Exploring Diagnostic Quality 2024 - Society to Improve Diagnosis in Medicine
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4.3 Patient advocates and patient safety champions
World Health Organization: Patient Advocates and Champions
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4.4 Patient safety incident disclosure to victims
CANDOR Toolkit: Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
Study: Teaching Pediatrics Residents How to Obtain Informed Consent
MACRMI: MACRMI - Massachusetts Alliance for Communication and Resolution following Medical Injury
CRICO: Guidelines for Disclosure
NSQHS: Open disclosure of things that
don’t go to plan in health care
MACRMI: Interfacing with Patients -Best Practices for CARe Programs
AHRQ: Missed CANDOR Implementation Opportunities
BMJ: Disclosing medical errors: prioritising the needs of patients and families
NEJM: Responding to Medical Errors — Implementing the Modern Ethical Paradigm
Collaborative for Accountability and Improvement: What to do if you think you have been harmed by your healthcare
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4.5 Information and education to patients and families
The Joint Commission: Speak Up Campaigns
Dòcola: FREE Patient Education
IHI: Ask Me 3: Good Questions for Your Good Health
AHRQ: Prepare for medical appointments
PREPARE: Prepare for your care
The Conversation Project: Have you had the conversation?
MedStar Health: What YOU Need to Know about Sepsis
AHRQ: The CAHPS Ambulatory Care
Health worker education, skills and safety
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5.1 Patient safety in professional education and training
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5.2 Centres of excellence for patient safety education and training
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5.3 Patient safety competencies as regulatory requirements
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5.4 Linking patient safety with appraisal system of health workers
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5.5 Safe working environment for health workers
Information, research and risk management
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6.1 Patient safety incident reporting and learning systems
AHRQ Reporting: Reporting Patient Safety Events
WHO: Patient Safety Incident Reporting and Learning Systems
OECD: Measuring Patient Safety
New England Journal of Medicine: The Safety of Inpatient Health Care
New England Journal of Medicine: Constancy of Purpose for Improving Patient Safety — Missing in Action
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6.2 Patient safety information systems
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6.3 Patient safety surveillance systems
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6.4 Patient safety research programmes
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6.5 Digital technology for patient safety
Synergy, partnership and solidarity
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7.1 Stakeholders engagement
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7.2 Common understanding and shared commitment
National Academy Of Medicine: Common understanding and shared commitment
AHRQ: Team-based Primary Care
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7.3 Patient safety networks and collaboration
World Health Organization: Patient safety networks and collaboration
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7.4 Cross geographical and multisectoral initiatives for patient safety
World Health Organization: Cross geographical and multisectoral initiatives for patient safety
WMTY World: What Matters to You?
OECD: Measuring Patient Safety
WHO: High-level forum: Towards an Africa Patient Safety Initiative
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7.5 Alignment with technical programmes and initiatives
