General Resources

Patient Safety Movement Foundation Resources

PatientAider®

This mobile app developed and curated by a nurse and donated to the Patient Safety Movement Foundation helps patients and family members navigate the hospital and become more empowered. Download it today.

Plan of Care Tools

Keep track of your loved one’s plan for care at home. Schedule virtual visits with the care team, especially during physician rounds or nursing bedside handoff, and document the important information that should be reviewed each time. The resources below can be used to coordinate and document your loved one’s care from any location while visitor restrictions are in place:

If You’ve Been Harmed

If you or a loved one has been seeking medical care, please visit ifyouvebeenharmed.org to help you navigate steps that can help you get the answers you are seeking and to ensure this doesn’t happen to anyone else, ever again.

Sharing Information with Others

Many others who don’t interact with the healthcare system routinely may not know how important it is that they keep themselves safe. Share the below infographics with those you know to ensure they are informed about the patient safety issue and what they can do about it!

Books

by Edward Salazar

This story evolved from a tragic accident involving a young man. Well, two tragedies actually. By society’s standards, he wasn’t very significant. He wasn’t famous; he wasn’t a political figure; he wasn’t a scholar. In fact, he never graduated from college. He didn’t have a lot of material possessions. He worked as a cook and server in the restaurant industry. In other words, this young man was just another ordinary person.

Advice from a Patient
by Haley Scott DeMaria and Diane Serbin Hopkins

Advice from a Patient is a collection of insights from patients or caregivers written as a reminder to healthcare professionals of the aspects of care that are important to different patients.  Diane S. Hopkins was one of the first Chief Experience Officers in the U.S and Haley Scott DeMaria survived injuries from a devastating bus crash when she was a member of the University of Notre Dame swim team. The two have teamed up to blend their unique long-term perspectives on the little and big things that are important to provide safe, compassionate and relevant care for each individual.  This book is a great option for book club learning for healthcare teams.

by Joni James Aldrich, Chris Jerry

No matter whether you are a clinician, support professional, patient, survivor, or advocate, Advocacy Heals U will reach you in ways you will not expect, which is why this book has seven pages of endorsements. Every person will go through an Event that will leave them stunned; the Need becomes apparent; the Advocacy will lead to strength and healing!

by Donna Helen Crisp

Donna Helen Crisp, a nurse ethicist, went into surgery expecting to go home the next morning.  Because of multiple medical errors, she spent weeks in a coma on an ICU ventilator and underwent four additional surgeries. When the hospital refused to comment, she spent years searching for – and finding – the truth of what happened to her.  As a nurse, teacher, lawyer, and patient, Crisp wrote Anatomy of Medical Errors: The Patient in Room 2 to give voice to a national conversation about improving medical care in hospitals.

by Robert M. Fox and Chris Landon

Fox, a lawyer specializing in medical malpractice, and Landon, a pediatrician, deliver a practical and straightforward guide intended to help patients avoid becoming victims of the healthcare system. Starting with tips on selecting a competent doctor and verifying credentials, Fox and Landon methodically take readers through their rules for receiving quality care.

by Julie K. Johnson, Helen W. Haskell, and Paul R. Barach

This unique compendium of case studies on patient safety – told from the perspective of the patient and family – illustrates 24 stories of preventable health care errors that led to irreparable patient harm. The reader is guided through a structured analysis of the events, eliciting lessons learned and strategies for preventing similar events in the future.

by Michael J. Saks & Stephan Lansman

Closing Death’s Door explores ways to improve patient safety and reduce iatrogenic injury when neither the healthcare industry itself nor the legal system has made a substantial dent in the problem. After reviewing evidence of the problem, the book explores innovative ways the law might more effectively bring about improvements in patient safety, such as by facilitating systems approaches in healthcare and correcting perverse incentives that prevent investment in safety. The series of ideas the authors present are intended to start a conversation that will lead to new legal policies that can help lower the risk of harm to patients.

by Dan Walter

A well-written study of one person’s experience at the hands of the most exalted research hospital in our country. Big healthcare brands don’t mean that you will get the most expert care or humane treatment.

by NAHQ, a Partner of the PSMF

HQ Essentials: Competencies for the Healthcare Quality Profession define industry-elevating healthcare quality competencies to ensure that healthcare quality professionals are well-prepared to continue serving and leading in the quality roles of today and tomorrow. HQ Essentials define six areas of competencies: performance improvement and process improvement; population health and care transitions; health data analytics; patient safety; regulatory and accreditation; and quality review and accountability. The HQ Essentials apply to all healthcare settings across the continuum regardless of organizational size or clinical specialty.

by NAHQ, a Partner of the PSMF

Written by healthcare quality experts and applicable to all practice settings, this vital resource offers healthcare quality professionals the theoretical and practical basis for safe, reliable, cost-effective care, including the use of state-of-the-art tools for measuring, monitoring, selecting, and managing data. Invaluable for preparing for the Certified Professional in Healthcare Quality® (CPHQ) certification exam, this is an optimal resource for the healthcare quality professional who aspires to achieve and maintain the CPHQ certification.

by James Reason

Modern technology has now reached a point where improved safety can only be achieved through a better understanding of human error mechanisms. In its treatment of major accidents, the book spans the disciplinary gulf between psychological theory and those concerned with maintaining the reliability of hazardous technologies. Much of the theoretical structure is new and original, and of particular importance is the identification of cognitive processes common to a wide variety of error types.

by Engineering and Medicine National Academies of Sciences, Institute of Medicine, Board on Health Care Services, Committee on Diagnostic Error in Health Care

Managing the Unexpected, Third Edition is a thoroughly revised text that offers an updated look at the groundbreaking ideas explored in the first and second editions. Revised to reflect events emblematic of the unique challenges that organizations have faced in recent years, including bank failures, intelligence failures, quality failures, and other organizational misfortunes, often sparked by organizational actions, this critical book focuses on why some organizations are better able to sustain high performance in the face of unanticipated change. High reliability organizations (HROs), including commercial aviation, emergency rooms, aircraft carrier flight operations, and firefighting units, are looked to as models of exceptional organizational preparedness. This essential text explains the development of unexpected events and guides you in improving your organization for more reliable performance.

by Karl E. Weick, Kathleen M. Sutcliffe

Managing the Unexpected, Third Edition is a thoroughly revised text that offers an updated look at the groundbreaking ideas explored in the first and second editions. Revised to reflect events emblematic of the unique challenges that organizations have faced in recent years, including bank failures, intelligence failures, quality failures, and other organizational misfortunes, often sparked by organizational actions, this critical book focuses on why some organizations are better able to sustain high performance in the face of unanticipated change. High reliability organizations (HROs), including commercial aviation, emergency rooms, aircraft carrier flight operations, and firefighting units, are looked to as models of exceptional organizational preparedness. This essential text explains the development of unexpected events and guides you in improving your organization for more reliable performance.

by Keith Lewis, Robert Canelli, et al.

This patient safety book is an innovative educational instrument that combines richly illustrated text with creative animations, and video re-enactments. The book serves as a tool to raise awareness of situations that can lead to undesirable outcomes and to improve patient safety. This publication can serve as an educational resource for patient safety in lecture halls, simulation centers, and private study.

by Chris Argyris

Organizational defenses that exist in most organizations can inhibit organizational performance. This book shows how to diagnose the organization to expose the weaknesses. Each chapter contains advice about how to reduce organizational defenses to bring about improved involvement and performance.

by Karen Curtiss

1/3 of all patients are accidentally harmed by hospital care. Author, Karen Curtiss, learned this the hard way — “If I’d had Safe & Sound in the Hospital, my dad would be alive today.” With quick checklists, simple forms and clever pull-out tools, you will know how to help get safe & sound hospital care for the people you love. Make sure everyone in your family has a copy! (It’s a better gift than flowers for someone in the hospital, too!)

by Peter Pronovost, M.D., Ph.D and Eric Vohr

Dr. Pronovost started a revolution by creating a simple checklist that standardized a common ICU procedure. His reforms are being implemented in all fifty states and have saved hundreds of lives by cutting hospital-acquired infection rates by 70%.

by Kapil Parakh and Anna Dirksen

An insider’s guide to searching online, communicating with your physician, and maximizing your health from a doctor who works at Google.

We’ve all been there. Late at night, staring into the glow of a phone trying to make sense of some health-related issue that we know nothing about. In Searching for Health, Dr. Kapil Parakh, with Anna Dirksen, brings to life knowledge he gained from working at Google and practicing medicine. Helping readers avoid common pitfalls, get the information they need, and partner effectively with their health team to figure out a path to good health together, the book distills decades of scientific research into a set of easy-to-follow tips.

Free resources can be found on their website: www.searchingforhealth.org.

by Charissa N. Montgomery

Super Safe Kids books and tools are aligned with national safety initiatives and serve as tools to improve safety for children and their families. With family-friendly language, the books and tools engage families in evidence-based safety practices.

by Laura Batz Townsend and Rachel Armbruster

The Story: Every day in the United States an estimated 550 people die from preventable medical errors, which is approximately 200,000 people a year, making it the 3rd leading cause of death in the United States (Healthgrades 2004). On April 14, my mom, Louise Batz, went to have knee replacement surgery. That night, a medical error caused Mom to sustain an injury from which she could not recover. She lost her life eleven days later. The Mission: The mission of the Louise H. Batz Patient Safety Foundation is to help prevent medical errors by ensuring that patients and families have the knowledge they need to promote a safe hospital experience for their loved ones and to support innovative advancements in patient safety.

by Atul Gawande

The volume and complexity of our knowledge has exceeded our ability to consistently deliver it – correctly, safely or efficiently. Atul Gawande makes a compelling argument for the checklist, which he believes to be the most promising method available in surmounting failure.

by Don Norman

In this entertaining and insightful analysis, cognitive scientist Don Norman hails excellence of design as the most important key to regaining the competitive edge in influencing consumer behavior.

by Dr. Julia Hallisy

The book provides hundreds of easy-to-follow action steps regarding medical care to keep the public safe and protected.

by Peter M. Senge

In The Fifth Discipline, Senge describes how companies can rid themselves of the learning “disabilities” that threaten their productivity and success by adopting the strategies of learning organizations—ones in which new and expansive patterns of thinking are nurtured, collective aspiration is set free, and people are continually learning how to create results they truly desire.

by Gerard J. Langley, Ronald D. Moen, Kevin M. Nolan, Thomas W. Nolan, Clifford L. Norman, Lloyd P. Provost

This new edition of this bestselling guide offers an integrated approach to process improvement that delivers quick and substantial results in quality and productivity in diverse settings. The authors explore their Model for Improvement that worked with international improvement efforts at multinational companies as well as in different industries such as healthcare and public agencies. This edition includes new information that shows how to accelerate improvement by spreading changes across multiple sites. The book presents a practical tool kit of ideas, examples, and applications.

by Brian Boyle

Brian Boyle tells a personal story of his fight back from near death after a horrific automobile accident. He focuses on his experience as a patient who, while in a two-month long medically induced coma, was unable to move or talk to anyone around him, yet he was able to hear, see and feel pain. Brian slowly clawed his way back to the living and found the strength to live to tell his story in his acclaimed memoir, Iron Heart.

by Joanne Laufer Milo

The Savvy Diabetic: A Survival Guide is a collection of tips, tools, and techniques, borne out of experiences and mistakes and lots of on-the-job learning. After 43 years as a Type 1 diabetic, Joanne Laufer Milo had successfully and deliberately avoided hospitals. She was suddenly confronted with her worst fears: an emergency appendectomy 3000 miles away from my home. She was terrified of losing the control of her diabetes which she had worked so hard to maintain. Five years later and several more hospitalizations and doctors’ appointments, as well as many experiences with travel and life, Laufer Milo wanted to share what she has learned, hoping her insights and experiences will help you to ~ Live well and in balance with diabetes ~ Survive the medical system as a person with diabetes ~ Feel validated in your feelings about this disease ~ Have more tools to help support someone you love who has diabetes ~ Smile and even laugh about your own experiences.

by Marty Makary, M.D.

Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market.

by Robert M. Wachter

In this comprehensive guide, Robert Wachter synthesizes what we do know, what we don’t know and what we need to know about how to make health care a high reliability industry. Unfortunately, patient harm in health care continues today, but careful attention by health care providers to the basic tenets of what Dr. Wachter writes about here, will help save countless lives.

by Dr. Gretchen LeFever Watson

Your Patient Safety Survival Guide by Dr. Gretchen LeFever Watson shows us how to make hospitals and care facilities safer. This book provides key safety habits for people to recognize so they can be sure hospital staff use them during every patient encounter. It includes concrete steps and actual scripts patients and families can use to become more effective advocates for their own safety. The book also explains how addressing the most common safety problems will set the stage for tackling other issues, including healthcare’s role in the overuse of opiate painkillers and its related heroin epidemic.

Guides

Batz Guide: Before Your Stay
Download
Batz Guide: During Your Stay
Download
Batz Guide: Full Patient Guide
Download
Batz Guide: Going Home
Download
Empowered Patient: Hospital Guide for Patients and Families
Download
Guide for Primary Care Physicians and General Neurologists: Diagnosing Guillain-Barre Syndrome (GBS) or Acute Inflammatory Demyelinating Polyradiculoneuropathy (AIDP), Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP), and other Variants
Download

Infographics

Mobile Apps

Tools