Agency for Healthcare Research and Quality: Real-life examples of safety scenarios are described in Impact Case Studies. An online web tool allows users to search for case studies by state or topic, including safety-related topics such as catheter-associated urinary tract infection, health care-associated infections and adverse drug events.
ACT for Better Diagnosisfrom the Society to Improve Diagnosis in Medicine. Helmed by the Coalition to Improve Diagnosis, this initiative focuses on collaborative learning and crossdisciplinary sharing of knowledge to support and disseminate improvements in diagnostic accuracy, communication, and timeliness.
Improving Diagnosis in Health Care, published in 2015, this report investigates diagnostic errors, something that most patients will experience at least once in their lifetime.
Health care-associated infections
Antimicrobial stewardship toolkits Agency for Healthcare Research and Quality released a set of toolkits to improve antibiotic stewardship in acute settings. The package includes a review: Antimicrobial stewardship: another focus for patient safety? This review summarizes the literature on antimicrobial stewardship to illustrate its relationship with patient safety. Interventions to reduce unnecessary antibiotic use included guidelines for controlling Clostridium difficile infection rates, mandatory outpatient parenteral therapy consultations, and performing medication reconciliation. AHRQ also has released an "Acute Care Hospital Toolkit" to support implementation of the "Four Moments of Antibiotic Decision Making" and improve antibiotic prescribing.
"Antibiotic Resistance Threats in the United States, 2019" (2019 AR Threats Report) is a publication of the Antibiotic Resistance Coordination and Strategy Unit within the Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention. The full 2019 AR Threats Report, including methods and appendices, is available online.
Patient Safety Published by the Patient Safety Authority, an independent agency of the Commonwealth of Pennsylvania, this journal's first edition was published in September 2019. The publication says it publishes original, peer-reviewed research and data analyses, and gives patients a voice.
Global Journal on Quality and Safety in Healthcare An official publication of Global Academy for Health Sciences, this is a peer-reviewed, open-access journal published quarterly since 2018. The scope of the Journal includes topics related to health care delivery across multiple disciplines including all domains of quality improvement, such as safety, effectiveness, efficiency, timeliness, equity, and patient-centered care. Manuscripts related to cost effectiveness, health economics, health policy, and public health issues also are considered.
A federal advisory panel with an odd name helps doctors evaluate which patients should get screening tests and when they should get them. This is the task of the U.S. Preventive Services Task Force (USPSTF). Yes, the name is U.S. Preventive Services Task Force. Preventive, not preventative. You likely will get that question from your editors unless they are savvy about health policy.
USPSTF’s recommendations hold a lot of clout. The Affordable Care Act of 2010 mandated that private insurers cover services that get top marks -- "A" or "B" grades -- from the USPSFT, and that they do so without charging a copay.
A “C” grade from the task force means that a service should be selectively offered, given that there is at least moderate certainty that the net benefit is small.
A “D” grade means the USPSTF recommends against use of a service, due to concerns that there is no net benefit or that the harms outweigh the benefits. Sometimes the USPSTF issues an “I” grade meaning that the current evidence is insufficient to assess the balance of benefits and harms of the service.
COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care: The outbreak of coronavirus disease 2019 (COVID-19) effectively shut down approximately 198,000 active dental practitioners in the USA. As individual states begin to resume dental care, discussion has centered on how to provide safe oral health care, given the nature of the virus and how easily it may be dispersed during common dental procedures. The widespread transmission of the coronavirus (SARS-CoV-2) places dental teams at high risk for becoming infected and falling ill with COVID-19, as well as transmitting the virus to other patients, due to the unique nature of dental care interventions. This primer, from the Agency for Healthcare Research and Quality, summarizes best practices for infection control and prevention in the dental office setting, reviews Department of Health and Human Services (HHS) guidance on treating dental patients with suspected or confirmed COVID-19, discusses access issues for patients needing oral healthcare, and offers various Federal and professional resources to support the reconfiguration of dental practice, the implementation of teledentistry, and the prioritization of dental care needs after practices reopen. This primer concludes with key policy and research priorities to support safe and effective dental care during and after the COVID-19 pandemic.