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Patient Safety & Quality Improvement: Home

Resources on patient safety and quality improvement for healthcare providers.

Washington Manual of Patient Safety and Quality Improvement, 2016

"We hope this manual provides a broad overview for the fundamentals of patient safety and quality improvement,
as well as insight into how these principles apply to clinical settings. Each chapter of the manual starts with a
clinical vignette and discussion questions meant to show how patient safety and quality improvement principles
apply in the clinical setting. We also list additional resources at the end of each chapter, which provide more information
about a particular topic. This manual was a joint effort of many faculty members from multiple departments at
Washington University. This cooperation among professionals with different professional priorities and backgrounds
supports the principle that, in modern health care systems, effective patient safety and quality improvement needs
a multidisciplinary team approach."

Emily Fondahn, MD  BJH Patient Safety and Quality Physician Liaison, Washington University School of Medicine; Mike Lane, MD, MPHS  Division of Infectious Diseases, Washington University School of Medicine; Andrea Vannucci, MD, DEAA  Patient Safety Officer, Washington University School of Medicine

Deming's System of Profound Knowledge

Deming's System
Institute for Healthcare Improvement Open School


Systems Thinking

An error may allow a problem to pass through a hole in one layer, but in the next layer the holes are not lined up so the problem should be caught.
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Getting Articles via Interlibrary loan

 Article Fees based on

Patient safety is in your hands....


Safety e-journals  Safety e-books
BMJ quality & safety   " An international peer review publication providing research, opinions, debates and reviews for academics, clinicians and healthcare managers focused on the quality and safety of health care and the science of improvement." ABC of patient safety  "This book offers a practical approach to understanding and improving patient safety in both primary and secondary care."
Drug healthcare & patient safety     "An international, peer reviewed, open access journal exploring patient safety issues in the healthcare continuum from diagnostic and screening interventions through to treatment, drug therapy and surgery."  Around the patient bed: human factors & safety in health care   "This book examines the problem and investigates the tools to improve health care quality and safety from a human engineering viewpoint."
Drug safety  "The premier international journal covering the disciplines of pharmacovigilance, pharmacoepidemiology, benefit-risk assessment, risk management and medication error prevention.Drug Safety specializes in definitive reviews on the epidemiology, clinical features, prevention and management of adverse effects of individual drugs and drug classes."

Error reduction in health care: a systems approach to improving patient safety     "A good place to start is by getting an understanding not just of the extent of the medical injury, but also of the theories of why people make mistakes and how to prevent them. The next step is to learn what is available in terms of methods for understanding risk, analyzing mistakes, and designing care processses."  

Joint commission journal on quality & patient safety  is " a peer-reviewed publication dedicated to providing health professionals with the information they need to promote the quality and safety of health care."  Medical error & patient safety: human factors in medicine  "This book provides a souce of useful ideas, concepts, and techniques that could be selectively applied to reduce an intolerable rate of unacceptable errors, mistakes, goofs, or shortcomings in expected human performance."
Journal of patient safety  "The Journal of Patient Safety, an academic, peer-reviewed journal, is a new venue dedicated to both rigorous research and field application articles covering to all areas of patient safety and quality health care."  Patient safety: achieving a new standard for care  "This report begins to lay the foundation and framework for a national health information infrastructure." 
Journal of patient safety & infection control  "The official journal of the Hospital Infection Society—India, is a peer-reviewed publication aimed at spreading awareness, encouraging and augmenting research and education in the field of healthcare associated infections and usage of antimicrobials in human infections and diseases in order to take patient safety and infection control to highest levels." Patient Safety: A case-based comprehensive guide  "The purpose of this book is to engage front-line clinicians and move patient safety from the boardroom to the bedside because only by practicing patient safety, will we be able to make a difference in the lives of our patients and their families."
Patient safety in surgery   "This open access, online journal publishes articles on all issues related to safety and quality of patient care in surgery and surgical subspecialties." Understanding patient safety  "This book aims to teach the key principles of patient safety to a diverse audience: physicians, nurses, pharmacists, other healthcare providers, quality and safety professionals, risk managers, hospital administrators, and others. "

Therapeutic advances in drug safety   "delivers the highest quality peer-reviewed articles, reviews, and scholarly comment on pioneering efforts and innovative studies pertaining to the safe use of drugs in patients. The journal has a strong clinical and pharmacological focus and is aimed at clinicians and researchers in drug safety, providing a forum in print and online for publishing the highest quality articles in this area." 




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Root-Cause Analysis - Fishbone Diagram or "Five-Whys"?

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By repeating "why" five
times, the nature of the
problem as well as its
solution becomes clear.

S. Toyoda
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