Resources & News for Healthcare Professionals
Browse our resources to support your work in patient safety.
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System-Focused Event Investigation and Analysis Guide
System-Focused Event Investigation and Analysis Guide, AHRQ Communication and Optimal Resolution (CANDOR) Toolkit: The "Solutions Meeting" section of this guide (and Appendix F) offer a walk-through on how to run an action planning meeting. It includes brainstorming, evaluating solutions for effectiveness and sustainability, measurement, and a description of the expected outputs.
Institute for Safe Medication Practices
The Institute for Safe Medication Practices (ISMP) is a nonprofit organization devoted entirely to preventing medication errors.
Surveys on Patient Safety Culture (SOPS)
AHRQ’s Surveys on Patient Safety Culture (SOPS) program was developed to be used by all types of staff in hospitals, nursing homes, medical offices, community pharmacies, and ambulatory surgery centers to assess patient safety culture.
National Quality Forum
National Quality Forum (NQF) is a nonprofit, nonpartisan, membership-based organization that works to catalyze improvements in healthcare. OPSC is a proud NQF member.
TeamSTEPPS
AHRQ’s TeamSTEPPS is a teamwork system designed for health care professionals. It has a three-phased process aimed at creating and sustaining a culture of safety and provides higher quality, safer patient care.
National Coordinating Council for Medication Error Reporting and Prevention
The mission of the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) is to maximize the safe use of medications and to increase awareness of medication errors through open communication, increased reporting and promotion of medication error prevention strategies.
Oregon Ambulatory Surgery Center Infection Prevention and Control Toolkit
This toolkit was developed by OPSC to help Oregon’s ASCs implement infection prevention quality improvement projects, reduce infection risks, and better protect patients.
Massachusetts Alliance for Communication and Resolution Following Medical Injury
MACRMI is a Massachusetts alliance of patient advocacy groups, healthcare facilities and their insurers, and statewide provider organizations committed to transparent communication, sincere apologies and fair compensation in cases of avoidable medical harm.
Statement on Preventing Harm from Oversedation
Published by OPSC, the Statement on Preventing Harm from Oversedation is a starting point for hospitals to use in efforts to decrease patient harm associated with sedation.
Patient Safety Network (PSNet)
AHRQ’s Patient Safety Network features a collection of the latest news and resources on patient safety, innovations and toolkits, opportunities for free CME and trainings.
ThinkReliability
ThinkReliability provides consultation and instruction through Cause Mapping workshops focused on how to thoroughly investigate and prevent everything from day-to-day recurring problems to catastrophic events.
Plan-Do-Study-Act Worksheet
The The Institute for Healthcare Improvement’s Plan-Do-Study-Act (PDSA) Worksheet is a useful tool for documenting a test of change.
How to Improve: Model for Improvement
This resource on IHI’s website provides information about The Model for Improvement, a simple yet powerful tool for accelerating improvement in healthcare organizations.
“Speak Up for Patient Safety” Training Materials
Presentation slides and materials packet from OPSC’s one-day course on communicating before, during, and after an adverse event.
Oregon Health and Science University Pacific Northwest Evidence-Based Practice Center
The Oregon Health and Science University Pacific Northwest Evidence-based Practice Center conducts systematic reviews of health care topics for federal and state agencies, professional associations, and foundations.
ASC and Nursing Facility Knowledge Share Series
The Knowledge Share Webinar Series provides free infection prevention training designed by the Oregon Patient Safety Commission for ambulatory surgery centers (ASCs) and nursing facilities in Oregon.
AHRQ Pharmacy Health Literacy Center
This site provides pharmacists with recently released health literacy tools and other resources from the Agency for Healthcare Research and Quality (AHRQ).
PDSA Cycle Gift Wrapping Activity
This exercise is a fun team building activity that also allows participants to work through the different stages of the Plan-Do-Study-Act (PDSA) cycle.
A Daughter’s Frustration with the Dearth of Patient—and Family—Centered Care
2014 Patient Experience Journal paper that gives a first person account of a hospitalization that lacked patient-centered care and provides resources for hospitals.
Institute for Healthcare Improvement
The mission of the Institute for Healthcare Improvement is to improve health and health care worldwide.
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