The AACE Patient Safety Exchange is a website with the mission of
improving the quality and safety of the medical care for patients
with diabetes and other metabolic and endocrine disorders. As the
practice of medicine becomes more complex, the potential for
medical errors injurious to patients increases. Our goal is to
eliminate these errors.
The University of Washington’s Center for Health Sciences
Interprofessional Education, Research and Practice is dedicated
to creating an atmosphere of openness and commitment to
furthering collaboration between the different health care
professions. The Center’s core faculty and staff are
multidisciplinary health sciences faculty and clinicians from
Dentistry, MEDEX, Medicine, Nursing, and Pharmacy who are
passionate about advancing interprofessional communication to
improve patient safety and quality improvement in healthcare.
The Center for Patient Partnerships’ mission is to engender
effective partnerships among people seeking health care, people
providing health care, and people making policies that guide the
health care system.
For more than 30 years, CRICO has been the patient safety and
medical professional liability company owned by and serving the
Harvard medical community. CRICO is an internationally
renowned leader in evidence-based risk management, proudly
serving more than 12,000 physicians (including residents and
fellows), 20 hospitals, and nearly 300 health care organizations
and other related entities.
The High Reliability website and the San Bernardino Group
provides this educational website for executives, managers,
workers, and researchers who seek a utilitarian or operational
understanding of HRO, one they can begin to practice the same day
they learn it. This educational venue comes from individuals with
over 40 years of practice of what is now called HRO and from work
with leading HRO researchers. We have taught these precepts to
others who, in turn, have changed their organizations.
We aim to improve the lives of patients, the health of
communities, and the joy of the health care workforce by focusing
on an ambitious set of goals adapted from the Institute of
Medicine’s six improvement aims for the health care system:
Safety, Effectiveness, Patient-Centeredness, Timeliness,
Efficiency, and Equity. We call this the “No Needless List”:
The Institute for Patient- and Family-Centered Care provides
leadership to advance the understanding and practice of
patient- and family-centered care in hospitals and other
health care settings.
Our aim is to help those in government and the private sector
make informed health decisions by providing evidence upon which
they can rely. Each year, more than 2,000 individuals, members,
and nonmembers volunteer their time, knowledge, and expertise to
advance the nation’s health through the work of the IOM.
Today, we find ourselves drawn to the science of economics. We’ve
come to the conclusion that the outcomes we create across society
are outcomes of our choosing – whether by acts of commission, or
acts of omission. For most problems, it is not that we cannot
find an elusive ‘cure.’ Rather, it generally comes down to the
basic problem presented to the economist: how do we steward
limited resources for the greater collective good? Perfection or
utopia, the complete elimination of harm, is not in our future.
The Lean Enterprise Institute, Inc. founded by James P. Womack in
1997, is a nonprofit education, publishing, research, and
conference organization with an action plan. Compared with
traditional “think” tanks, we are a “do” tank. We carefully
develop hypotheses about lean thinking and experiment to see
which approaches work best in the real world. We then write up
and teach what we discover, providing new methods for
organizational transformation.
LifeWings Partners LLC is a team of physicians, nurses, former
NASA astronauts, former military flight surgeons, pilots, flight
crew, former military officers, and healthcare risk managers. The
team has melded together the best practices of high reliability
organizations such as commercial aviation, U.S. Navy aircraft
carriers, nuclear submarines, and nuclear power and thoughtfully
adapted those practices for use in healthcare organizations.
A panel of widely recognized patient safety experts advise The
Joint Commission on the development and updating of NPSGs. This
panel, called the Patient Safety Advisory Group, is composed of
nurses, physicians, pharmacists, risk managers, clinical
engineers and other professionals who have hands-on experience in
addressing patient safety issues in a wide variety of health care
settings.
HRET and partners at the Institute for Safe Medication Practices
(ISMP) and the Medical Group Management Association (MGMA) Center
for Research have developed several resources to help outpatient
settings take steps to improving patient safety.
SafetyShare is a free, public electronic newsletter distributed
by the Premier Safety Institute to more than 40,000 subscribers
with timely healthcare safety-related information, news and
resources. The goal of SafetyShare is to enhance and promote a
safe health care environment for patients workers and the
environment.
Sorry Works! makes disclosure a reality for healthcare
organizations by helping people literally conceptualize
disclosure. For too long, healthcare professionals have
been instructed to “deny and defend” post-event, so, it is
difficult and scary to conceptualize disclosure. This is
where Sorry Works! makes the difference. Sorry Works!
provides high quality content on disclosure and Five-Star for
both acute and long-term care health professionals and their
organizations as well as associated insurance and legal
professionals.
In September 2002, The Robert Wood Johnson Foundation (RWJF)
launched Urgent Matters as a program to reduce emergency
department crowding and assess the condition of the health care
safety net through Learning Networks I and II. A decade later,
Urgent Matters has become a dissemination vehicle with the goal
of improving emergency care and hospital patient flow.
In support of its mission, the Network maintains a Database
including information about the care and outcomes of high-risk
newborn infants. The Database provides unique, reliable and
confidential data to participating units for use in quality
management, process improvement, internal audit and peer review.
Produced for the Agency for Healthcare Research and Quality by a
team of editors at the University of California, San Francisco
with guidance from a prominent Editorial Board and Advisory
Panel.