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Medical Errors & Patient Safety
Selected resources on patient safety, medical mistakes and errors that put the patient at risk.

AHRQ WebM&M: Morbidity & Mortality Rounds on the Web

A peer-reviewed, Web-based journal showcasing patient safety lessons drawn from real cases of medical errors. This site features expert analysis of medical errors reported anonymously by readers, interactive learning modules on patient safety, and forums for online discussion. Links to resources for those interested in medical errors and patient safety are provided. Format: Journal    Provider: Agency for Healthcare Research and Quality

Anesthesia Patient Safety Foundation

The mission of the Anesthesia Patient Safety Foundation is to ensure that no patient shall be harmed by anesthesia. The purposes of APSF are to: foster investigations that will provide a better understanding of preventable anesthetic injuries; encourage programs that will reduce the number of anesthetic injuries; and promote national and international communication of information and ideas about the causes and prevention of anesthetic morbidity and mortality. Format: Website    Provider: Anesthesia Patient Safety Foundation

Appendix B: Search Strategies by Working Condition and for the Campbell Collaboration Database

This is an appendix to "The Effect of Health Care Working Conditions on Patient Safety," a publication of the Agency for Healthcare Research and Quality. These search filters, hedges, and strategies are used to access information contained in the international Campbell Collaboration (C2), a non-profit organization that aims to help people make well-informed decisions about the effects of interventions in the social, behavioral and educational arenas. The Collaboration's objectives are to prepare, maintain and disseminate systematic reviews of studies of interventions. They acquire and promote access to information about trials of interventions and build summaries and electronic brochures of reviews and reports of trials for policy makers and researchers and the public. Format: Website    Provider: National Center for Biotechnology Information

CDER - Medication Errors

Center for Drug Research and Evaluation site for medication errors. Format: Website    Provider: Center for Drug Research and Evaluation

Duke University Hospital Focus on Care Quality and Patient Safety

Policy actions and onging challenges in patient safety issues in the Duke University Health System. Format: Other    Provider: Duke University Health System Adobe Acrobat Reader required

Duke University Hospital Patient Safety Core Teams

Duke Hospital's initiatives towards creating a culture and teams for patient safety. Format: Website    Provider: Duke University Health System

Duke University Hospital. Department of Accreditation & Patient Safety

The Department supports Duke University Hospital as a resource for patient safety, performance improvement and regulatory affairs. This site contains resources regarding accreditation and patient safety for the hospital and the health system with related national and local links. Format: Website    Provider: Duke University Hospital

The Effect of Health Care Working Conditions on Patient Safety

This is a publication of the Agency for Healthcare Research and Quality Evidence (Report/Technology Assessment, number 74; AHRQ Publication No. 03-E024, March 2003). Appendix B: The Search Strategies by Working Condition and for the Campbell Collaboration Database contains search filters, hedges, and strategies for patient safety information retrieval in many online databases. Format: Website    Provider: Agency for Healthcare Research and Quality Adobe Acrobat Reader required

Error Reduction in Health Care: A Systems Approach to Improving Patient Safety

This book moves beyond the "how and why" medical errors occur in hospital settings. Instead, it offers innovative, valuable and useful ideas on how to create a safe environment for patient care. Format: Book    WX153 Er79 Provider: Jossey-Bass

FDA Patient Safety News

A televised series for health care personnel, carried on satellite broadcast networks aimed at hospitals and other medical facilities across the country. It features information on new drugs, biologics and medical devices, on FDA safety notifications and product recalls, and on ways to protect patients when using medical products. A free monthly podcast is available. Format: Website    Provider: Food and Drug Administration

First Do No Harm: A Practical Guide to Medication Safety and JCAHO Compliance

Profiles organizations that are putting landmark thinking into patient safety. Includes a section on reporting programs for adverse drug events from MedWatch. Format: Book    WB330 F51 Provider: Opus Communications

Human Simulation and Patient Safety Center

The Human Simulation and Patient Safety Center is a joint project of the School of Medicine, the School of Nursing, and the Department of Anesthesiology at Duke University. The lab is committed to advancing the state-of-the-art in medical education and educational technologies. Format: Website    Provider: Duke University Human Simulation & Patient Safety Center

Institute for Healthcare Improvement: Patient Safety: General

A collection of content IHI evaluated — including change concepts, measures, resources, improvement stories, and downloadable tools — to help you improve patient safety in your organization. Format: Website    Provider: Institute for Healthcare Improvement

Institute for Safe Medication Practices (ISMP)

A nonprofit organization educating the healthcare community about safe medication practices. The institute tracks published medical dosage errors. The link, "Textbook Errata," lists corrections when a medication dosing error or other serious error has been identified in a published article or textbook. This site also links to medication safety alerts which are listed by date since 1996 Format: Website    Provider: Institute for Safe Medication Practices

Joint Commission International Center for Patient Safety

This website ids designed to serve as a central repository of resources and information related to all all aspects of patient safety. Its content aims to be relevant for patients, employers, physicians, and pharmacists, as well as all types of healthcare organizations worldwide. Format: Website    Provider: Joint Commission International Cener for Patient Safety

Making Health Care Safer: A Critical Analysis of Patient Safety Practices

A project of AHRQ whose mission is to collect and critically review the existing evidence on practices relevant to improving patient safety. Format: Website    Provider: Agency for Healthcare Research and Quality Adobe Acrobat Reader required

Medical Errors & Patient Safety

Links to medical error and patient safety online journals, documents, conferences, speaches and congressional hearings. Format: Website    Provider: Agency for Healthcare Research and Quality

Medical Errors - The Scope of the Problem: An Epidemic of Errors

This site provides current statistics on the occurrence of medical errors, their types and cost, where they occur, updates on what's being done via special reports, public fears, and more. Format: Website    Provider: Agency for Healthcare Research and Quality

Medication Errors

Publication of the American Pharmaceutical Association dealing with the prevention & control of medication errors. Format: Book    QZ42 M46 Provider: American Pharmaceutical Association

MedWatch: Medical Product Safety Information

The FDA's Medical Products Reporting Program for drugs, biologics, medical & radiation-emitting devices, and special nutrition products (e.g., medical foods, dietary supplements and infant forumlas).The site also offers the databases of three FDA reporting systems: Vaccine Adverse Event Reporting System, Special Nutritional Adverse Event Reporting System, and Manufacturerer and User Facility Device Experience Reporting. Format: Website    Provider: Food and Drug Administration

National Patient Safety Foundation: Resources

Resource link for the National Patient Safety Foundation, an independent organization focused on research and education with a commitment to making patient safety a national priority. The site also features individual state safety resources. Format: Website    Provider: National Patient Safety Foundation

National Quality Forum

The mission of the NQF is to improve American healthcare through endorsement of consensus-based national standards for measurement and public reporting of healthcare performance data that provide meaningful information about whether care is safe, timely, beneficial, patient-centered, equitable and efficient. Format: Website    Provider: National Quality Forum

NIH Clinical Alerts

Clinical alerts are provided to expedite the release of findings from clinical trials funded by the NIH (National Institutes of Health), where such release could significantly affect morbidity and mortality. Format: Website    Provider: National Library of Medicine

Patient Safety - Quality Improvement

Patient safety tutorials developed by the Department of Community and Family Medicine. The modules define quality improvement, the how's and why's of chart audits, the culture of safety, the evolution of quality and safety in healthcare, the anatomy of an error, and mistake proofing care. Format: Website    Provider: Duke University Medical Center

Patient Safety Data Standards Relevant Web Links

The following list of links is provided for use as a reference tool for researchers and other interested parties who wish to locate statistical data on medical errors. Format: Website    Provider: Institute of Medicine

Patient Safety Indicators (Overview)

A set of indicators providing information on potential inhospital complications and adverse events following surgeries, procedures, and childbirth. Format: Website    Provider: Agency for Healthcare Research and Quality

Patient Safety Toolbox for States

This electronic toolbox is intended to provide states with tools they can use or modify as they develop or improve adverse event reporting systems. The toolkit includes information (policies, practices, forms, reports, methods, and contracts) related to states' reporting systems, links to other Web resources, and fast facts and issues related to patient safety. Format: Website    Provider: National Academy for State Health Policy

Patient Safety: A Guide to JCAHO Compliance and Beyond

Written to provide general advice on placing a hospital within the patient safety movement. Six chapters explain JCAHO patient standards, tasks to get a program up and running, ideas for moving beyond the basics, guidance, tools to improve safety and success stories. Format: Book    W84.AA1 M33p Provider: Opus Communications Inc.

Patient Safety: Achieving a New Standard for Care

Puts forward a road map for the development and adoption of key heatlh care data standards to support both information exchange and the reporting and anlaysis of patient safety data. Format: Website    Provider: National Academies Press

Potentially Inappropriate Medications for the Elderly According to the Revised Beers Criteria

Inappropriate medication use in older adults. Please cite: Fick DM, Cooper JW, Wade WE, Waller JL, Maclean JR, Beers MH. Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts. Arch Intern Med. 2003;163:2716-2724. Format: Website    Provider: Duke Clinical Research Institute

Radiation Event Medical Management (REMM)

A toolkit that provides guidance for health care providers, primarily physicians, about clinical diagnosis and treatment during mass casualty radiological/nuclear (rad/nuc) events. Format: Website    Provider: U.S. Department of Health and Human Services

Side Effects of Drugs Annual

A yearly worldwide survey of new data and trends in adverse drug reactions and interactions. Complements Meyler's Side Effects of Drugs. Format: Book    Ref.12 QV38 Si13e Provider: Excerpta Medica

To Err is Human: Building a Safer Health System

Examines the quality of health care in America and how to achieve a threshold of change in quality. Also available in print: WB100 T55 Format: Book    Provider: National Academies Press

When is a Medical Product Too Risky?

An interview with FDA's top drug official. Format: Website    Provider: Food and Drug Administration