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Program tools

Basic patient safety program tool kit for "getting started"

Introduction

The issue of Patient Safety has come to mean many things since the Institute of Medicine published its defining document in November 1999. Patient safety efforts include developing a "safety culture," reducing medical adverse events such as medication errors, and organizing and integrating many other patient safety related activities in healthcare facilities.

Requirements from the JCAHO (new patient safety standards, reporting serious adverse events such as sentinel events) have intensified the need for organizations to review and address the full scope of issues in a comprehensive manner. The intent of the following documents is to provide a few tools to assist organizations in implementation of a patient safety program.  These tools are based on tools developed by Tammy Lundstrom, MD, and the DMC Quality program.

Program tools

Selected tools are available in the files appended to this document and include a generic system-wide safety program based on a large urban system with multiple care sites. The program or plan is accompanied by several related documents, all of which may be customized as needed.

A list of annotated web links that provide rapid access to essential documents available directly from the website, such as the references to JCAHO patient standards, sentinel events etc. are listed elsewhere under Key Documents, Publications and Other Resources, and Education and Training.

Each organization determines specific goals for its safety program, identifies the safety issues that need to be addressed, and builds the plan into their departmental policies. These materials are only starting points for the continuous process of building the organization’s safety program.

Informed Consent and the Law Tool Kit

Developed by ASHRM to provide an overview of the informed consent process. Includes easy-to-follow outlines, speaker notes and visual aids.

Disclosure Program

A document shared by the American Society of Healthcare Risk Management that may be helpful for developing a process for disclosing medical errors to patients and family (.pdf) (178 KB). See Sample policies for more disclosure information.

Videotape Disclosure of Medical Errors: Demonstrated Strategy to Enhance Communication now available. Developed by ASHRM to describe the process of disclosure.

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