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Innovations
Adding Nurse Practitioners and Creating a Multidisciplinary Care Team Reduce Length of Stay and Costs at Academic Medical Center 2/27/2013
Adding a nurse practitioner and a multidisciplinary team reduced length of stay and costs at an academic medical center.
Standardized Protocols and Processes Enhance Compliance With Recommended Care, Improve Staff Perceptions of Patient Safety at a Birthing Center 2/20/2013
Regions Hospital improved the safety and reliability of labor and delivery care by adopting standardized protocols and processes to guide care, along with strategies to improve communication among providers.
Clinical Microsystem Improvements in Children's Hospital Lead to Fewer Codes and More Timely Delivery of Essential Care 2/13/2013
A children's hospital uses a clinical "microsystem" approach to improve patient safety and quality, leading to fewer codes and more timely care.
Real-Time, Resident-Specific Medication Information and Alerts, Supported by Medication Safety Teams, Enhance Efficiency and Reduce Medication Errors in Nursing Homes 1/30/2013
Real-time, resident-specific medication information and alerts, with support from a medication safety team, enhance the efficiency of medication administration and reduce medication errors.
Increasing Patient Health Literacy Leads to Improved Reporting of Medication Allergies 1/23/2013
The West Los Angeles Healthcare Center implemented a program to improve nurses' and patients' awareness and reporting of medication allergies and adverse drug reactions. Key program elements include a training module for nurses, educational brochures for patients, and distribution of an allergy/adverse drug reaction questionnaire to patients.
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QualityTools
A Systems Approach to Quality Improvement in Long-Term Care:  Safe Medication Practices Workbook 1/30/2013
This 200-page resource manual outlines a systems approach to medication management in long-term care.
Disclosure Toolkit and Disclosure Culture Assessment Tool 6/27/2012
This toolkit and self-assessment tool help health care organizations develop a culture that supports respect and effective communication with patients and families around adverse events.
Tools for Building a Clinician and Staff Support Program 6/20/2012
These tools and resources guide health care facilities in organizing institution-wide support for clinicians following adverse events.
Common Formats for Patient Safety Event Reporting 1/11/2012
The Common Formats were authorized by the Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act). They facilitate Patient Safety Organizations’ (PSOs) collection of patient safety work product from health care providers in a standardized manner. The formats are being used by health care providers and PSOs to report a comprehensive range of patient safety concerns, capturing both structured and narrative information.
Registries for Evaluating Patient Outcomes: A User’s Guide: 2nd Edition 4/27/2011
This user’s guide helps researchers and others establish, manage, and analyze patient registries to evaluate the real-life impact of health care treatments and evaluate patient outcomes.

Last updated: February 27, 2013.