National Patient
Safety Foundation
132 MASS MoCA Way
North Adams, MA 01247
Phone: (413) 663-8900
Fax: (413) 663-8905
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FOCUS on Patient Safety NewsletterNPSF's on-line quarterly publication covering critical issues in patient safety. Current Issue: Volume 11, Number 2, 2008
View Online (Requires Adobe Acrobat Reader)
- Building Resilience: Evaluating Cultural Issues That Drive Reliability
- Involving Patients, Families, and Caregivers: Strategies to Improve Ambulatory Care
- NPSF Proposes Universal Patient Compact
- Engaging CEOs and CNOs to Improve Patient Safety
- Virginia Mason Stroke Center Team Wins Stand Up for Patient Safety Management Award
- Join NPSF’s New Ambulatory Stand Up for Patient Safety Program
Volume 11, Number 1, 2008
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- Full Disclosure Is More Than Saying “I’m Sorry”
- Building a Culture of Trust: Improving Relationships with Employees for Patient Safety
- The Silence of the Night: A Lost Opportunity for Learning and Partnership
- NPSF Launches Ambulatory Stand Up for Patient Safety Program
- Register Now for the 2008 Annual NPSF Patient Safety Congress
Volume 10, Number 4, 2007
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- Implementing a Pediatric Rapid Response Team In a Community Hospital
- Nurse Knowledge Exchange: A Safer, More Reliable Hand-off Between Nurses
- Applications Being Accepted for 2008-2009 Patient Safety Leadership Fellowship
- Patients Need to Become Educators for Patient Safety
- Focus Will Be Published Online Only Beginning in 2008
Volume 10, Number 3, 2007 View Online (Requires Adobe Acrobat Reader) - How Do You Get Better When You Know You Are the Best?
- Risks and Resilience in Pediatric Patient Safety
- NPSF to Issue New Stand Up for Patient Safety Member Resource Guide
- Enhancing Patient Safety Through Improved Health Literacy
- 2008 Annual NPSF Patient Safety Congress: Connect, Communicate, Commit
Volume 10, Number 2, 2007 View Online (Requires Adobe Acrobat Reader) - 2007 Annual Patient Safety Congress Draws 1,500 to Washington, DC
- SAFE Tool Improves Flow-and Patient Safety
- Building Confidence in Patient Safety-A Friend's Story
- NPSF Launches 2 New Initiatives
- NPSF Honors Patient Safety Leaders at Annual Congress
Volume 10, Number 1, 2007 View Online (Requires Adobe Acrobat Reader) - Red Rules: An Error Reduction Strategy in Culture of Safety
- Lean Systems Thinking Guides Process Improvements
- Teaching Health Literacy: Building a Foundation for Safer Health Care
- Stand Up Hospitals Participate in Audio Web Conferences by Healthcare Experts
- NPSF Celebrates 10 Uears of Patient Safety Leadership
Volume 6, Number 2, 2006 View Online (Requires Adobe Acrobat Reader) - EPITOME Program Educates Patients to Help Reduce Medication Errors
- Creating a Culture of Safety in an Inpatient Unit
- Practice-Based Learning and Improvement Morning Report Makes Outpatients Safer
- NPSF Welcomes 2006-2007 Leadership Fellows
- Plan to Attend “Learning from the Past…Creating the Future,” May 3-4, 2007 in Washington, DC
Volume 9, Number 1, 2006 View Online (Requires Adobe Acrobat Reader) - 8th Annual NPSF Patient Safety Congress Draws 1,400
- Lessons Learned at the Edge of Culture Change
- Using a Patient-Partnership Model To Improve Medication Safety
- NPSF Presents 4 New Awards at San Francisco Patient Safety Congress
Volume 8, Number 4, 2005 View Online (Requires Adobe Acrobat Reader) - Understanding the Power of Apology: How Saying Im Sorry Helps Heal Patients and Caregivers
- Gaining Synergy: How Duke University Hospital Built an Infrastructure for Safety
- NPSF Stand Up For Patient Safety Hospitals Receive Medication Reconciliation Model Program
- A View from the Emergency Department: Patient Safety Should Never Take a Holiday
- National Patient Safety Awareness Week Set for March 5-11, 2006
Volume 8, Number 3, 2005View Online (Requires Adobe Acrobat Reader) - Leadership Walk-Arounds Develop a Culture of Safety In Ambulatory Care Settings
- How Literacy and Communication Initiatives Improve Patient Safety
- Stopping the Line: Implementing a Patient Safety Alert System
- Patient Safety Leadership Fellowship Learnings Help Put Theory into Practice
- Plan to Attend Leadership from the Beside to the Boardroom
Volume 8, Number 2, 2005View Online (Requires Adobe Acrobat Reader) - Building the Foundation for a Culture of Safety
- Facing the Challenge of Eliminating Dangerous Drug Abbreviations
- A Look at 9 Years of the National Patient Safety Foundation Congress
- Dangerous Drug Abbreviations
- Hospitals Nationwide Observe Patient Safety Awareness Week
- NPSF Launches Journal of Patient Safety
Volume 8, Number 1, 2005View Online (Requires Adobe Acrobat Reader) - Fulfilling the Promise of Health Information Technology
- Patient Safety Leadership Fellows: Innovative Leaders Advancing Cultures of Safety
- An Essential Patient Safety Requirement: Teamwork in the C Suite
- Stand Up Hospital Wins National Quality Award
- 7th Annual NPSF Patient Safety Congress Focuses on Improvements That Save Lives
- Plan to Attend Lets Get On With It --- Round 2! May 4-6, 2005 in Orlando
Volume 7, Number 4, 2004View Online (Requires Adobe Acrobat Reader) - Alchemy: Medical Mediation at Its Best
- New Illinois Learning Collaborative Focuses on Medication Reconciliation
- As I See It: Patients and Families Can Offer Key Insights in Root Cause Analyses
- Patient Safety Awareness Week Set for March 6-12, 2005
Volume 7, Number 3, 2004View Online (Requires Adobe Acrobat Reader) - Five Years After To Err Is Human: A Look at the Patient Safety Landscape
- Educational Fairs Offer Experiential Learning
- As I See It: How a Sentinel Event Launched Our Hospitals Patient Safety Quest
- Register Early for NPSFs 7th Annual Patient Safety Congress, "Lets Get On With ItRound 2"
- Focus Invites You to Submit Articles
Volume 7, Number 2, 2004View Online (Requires Adobe Acrobat Reader) - Transitions in Care: Studying Safety in Emergency Department Signover"
- NPSF Patient Safety Congress Draws 1,300 to Boston
- Why Every Hospital Should Have a Code of Conduct
- As I See It: My Time in the Tube: Seeing Health Care from the Patient's Perspective
- ALARIS Medical Systems, Inc to Fund Nursing Fellowships in Memorty of Irene Hatcher, RN, MSN
Volume 7, Number 1, 2004View Online (Requires Adobe Acrobat Reader) - The No-Outcome, No-Income Tsunami: Surviving "Pay 4 Performance"
- Stand Up for Patient Safety!
- Can a National Primary Care Error-Reporting System Make a Difference in Medical Practice?
- As I See It: Nursing Homes: An Important, But Often Overlooked Setting in Patient Safety
- Plan Now to "Let's Get On With It!" May 3-7 at Hynes Convention Center in Boston
Volume 6, Number 4, 2004View Online (Requires Adobe Acrobat Reader) - Using Technology to Help Improve Patient Safety
- Plan Now to Attend the NPSF Patient Safety Congress, 'Lets Get On With It!' May 3-7, 2004
- Communicating a Commitment to Patient Safety: The Importance of Branding
- As I See It: Breaking the Wall of Silence: Putting a Face on Medical Error
- NPSF Moves Offices to Washington, DC
Volume 6, Number 3, 2003View Online (Requires Adobe Acrobat Reader) - Root Cause Analysis Studies Incidents to Reveal System Failures
- Daughter Copes with Loss
- NPSF Board Member Jeffery B. Cooper, PhD, Wins John M. Eisenberg Patient Safety Award
- Promoting Heedful Interrelating and Collective Competence in the Emergency Department
- Developing a Patient Safety Committee: One Hospital's Experience
- ISMP to Reissue Medication Safety Self-Assessment
- Save the dates: Integrity and Accountability in Clincal Research Conference Nov 2-4, 2003, Washington DC and Sixth Annual NPSF Patient Safety Congress: Let's Get on with It!, May 3-7, 2004, Boston
Volume 6, Number 2, 2003View Online (Requires Adobe Acrobat Reader) - Lessons from the Sharp End: Components of Successful Patient Safety Work
- Distinguishing Patient Safety Quality Improvement Activities from Clinical Research
- Fruits of an Early Harvest: NPSF-Funded Research Yields Results
- The DeHavilland Moment: Accepting the Need to Embrace Uncertainty
- Apply now for AHA Quest for Quality Prize Integrity and Accountability in Clincal Research
- Conference Postponed
- Sharyn Wilson Woods Joins Staff
Volume 6, Number 1, 2003View Online (Requires Adobe Acrobat Reader) - Comparing Hospital Performance by Measuring Medication Error Rates: Is it Possible?
- Creating Value-Focused Patient Safety
- A Solution for Safety Intravenous Drug Delivery at the Point of Care: A Team Approach
- Plan to Attend Integrity and Accountability in Clincal Research May 6-8, 2003 in Washington, DC
- NPSF Launces Patient Safety Store
Volume 5, Number 4, 2002View Online (Requires Adobe Acrobat Reader) - Spotlight on Ambulatory Care Patient Safety
- Using Non-Clinical Evidence Practices to FAce Complex Challenges
- Patient Safety: Not a Project--It's Our Job
- Plan to Attend Integrity and Accountability in Clincal Research May 6-8, 2003 in Washington, DC
Volume 5, Number 3, 2002View Online (Requires Adobe Acrobat Reader) - Reconfiguring Clinical Teamwork for Safety and Effectiveness
- The Impact of Facility Design on Patient Safety
- Business Coalitions Get Employers Involved in Improving Patient Safety
- Lorri Zipperer Returns as Focus Managing Editor
- Plan Now to Attend Let's Get Results: Improving the Safety of Patients March 12-15, 2003 in Washington, DC
Volume 5, Number 2, Spring 2002View Online (Requires Adobe Acrobat Reader) - Exploring 7 Levels of Safety
- Communication Can Mean the Difference Between Life and Death
- Mediation Breaks the Wall of Silence
- NPSF Names Robert E. Krawisz Executive Director
Volume 5, Number 1, Winter 2002 View Online (Requires Adobe Acrobat Reader) - Denmark Launches Patient Safety Initiative
- Evaluating the Role of Auditory Warning Signals in Critical Care Settings
- How Can America's Patient Safety Community Help Britain's National Health Service?
- NPSF Seeks Letters of Intent for Patient Safety Research and Development
Volume 4, Number 4, Fall 2001 View Online (Requires Adobe Acrobat Reader) - Are Industry-based Safety Initiatives Relevant to Medicine?
- To Improve Patient Safety, You Have to Change the Culture
- Reducing Medication Errors and Increasing Patient Safety Through Better Communication
- NPSF Research Grant Leads to Expanded Opportunities
Volume 4, Number 3, Summer 2001View Online (Requires Adobe Acrobat Reader) - Let's Talk: Communicating Risk and Safety in Health Care Draws 600 to StMNul, Minn.
- Patient Safety: Lessons from a Novice
- Harnessing the Healing Power of Stories
- A Grieving Mother's Search for Answers Leads to Patient Advocacy
- Plan Now to Attend Partnership Symposium 2001 Oct. 10-12 in Dallas
Volume 4, Number 2, Spring 2001View Online (Requires Adobe Acrobat Reader) - Patient Safety Remains Critical to Care Quality in IOM's New Report
- Facing the Challenges of Implementing a Disclosure Policy
- How to Communicate More Effectively with Journalists
- Patient Safety A Personal and Professional Perspective
- Register Now for the 'Annenberg III' Conference, May 16-18, 2001 in St. Paul
Volume 4, Number 1, Winter 2001View Online (Requires Adobe Acrobat Reader) - Applying Aviation Safety Initiatives to Medicine
- NPSF Statement of Principle: Talk to Patients About Health Care Error
- Patient Safety Awards Recognize 3 Successful Error-reduction Practices
- Introducing The Leapfrog Group: Business Roundtable Launches Initiative to Boost Patient Safety
- Patient Safety Initiative 2001 Needs Your Safety Solutions
- High-Risk Communication in Health Care Conference Set for May 2001
Volume 3, Number 4, Fall 2000View Online (Requires Adobe Acrobat Reader) - Commitment to Patient Safety: a Personal Journey
- What We Need from Health Care Leaders
- 'For My Brother: A heartfelt story of one family's devistating loss, and the struggle to understand what happened
- NPSF National Consensus Process Guides Joint Initiatives
- Leaders Discuss Their Role in Patient Safety
Volume 3, Number 3, Summer 2000View Online (Requires Adobe Acrobat Reader) - Patient Safety: a CEO Calls for Leadership
- A Word from Outgoing Managing Editor Lorri Zipperer
- Using the Power of Computers to Prevent Medical Errors
- Safe Practices Make Safe Patients
- Call for Abstracts: Patient Safety Iniative 2000: Spotlighting Strategies, Sharing Solutions
Volume 3, Number 2, Spring 2000View Online (Requires Adobe Acrobat Reader) - Institute of Medicine Releases Report on Patient Safety
- Keep the Nurse in the Workplace
- Medical Mishaps: Pieces of the Puzzle (Book Review)
- Interested in Patient Safety Literature Alerts
- Focus Inivites You to Submit Articles
- Plan Now to Attend the Patient Safety Solutions Conference in Chicago
Volume 3, Number 1, Winter 2000View Online (Requires Adobe Acrobat Reader) - The VA Lessons Learned Project: Part of an Institutional Strategy for Enhancing Patient Safety and Reducing Health Care Errors
- The ABCs of Patient Safety
- Can the Media be Your Partner in Promoting Safety?
- Communicating with Patients about Risk and Safety
- Prescription Instructions: Opportunities for Healing, Potential for Harm
Volume 2, Number 4, Fall 1999View Online (Requires Adobe Acrobat Reader) - NPSF Announces Patient Safety Research and Development Agenda
- How Does Cultural Competence Affect Patient Safety?
- First Do No Harm: A Practical Guide to Medication Safety and JCAHO Compliance (Book Review)
- Confronting the Risks of Medical Products: an FDA Perspective
Volume 2, Number 3, Summer 1999 View Online (Requires Adobe Acrobat Reader) - AHCPR's Research: Working to Reduce Errors in Health Care
- Annenberg Center President Mark Eppinger, 52
- Researching Errors in Surgery: Five Analytical Tools Borrowed from Industry
- Improving the Quality of the Medication Use Process: Error Prevention and Reducing Adverse Drug Events (Book Review)
- How Do Patient Safety, Quality Improvement and Consumer Participation Interact?
Volume 2, Number 2, Spring 1999View Online (Requires Adobe Acrobat Reader) - Alternative Therapies: Helping Patients Find Their Way
- Physician Assistants and Medication Compliance
- Medication Use: A Systems Approach to Reducing Errors (Book Review)
- Request for proposals
- Patient Safety: A Growning Community
Volume 2, Number 1, Winter 1999View Online (Requires Adobe Acrobat Reader) - Y2K: Impending Disaster or Hyperbole?
- Physician Training and Patient Safety
- As I See It...
- Web Focus
- Sources of Power: How People Make Decisions (Book Review)
Volume 1, Number 4, Fall 1998View Online (Requires Adobe Acrobat Reader) - Assuring patient Safety in Clinical Research Trials
- Forums Help NPSF Define Direction
- Health Information Confidentiality: A Patient Safety Issue
- Cognitive Reliability and Error Analysis (Book Review)
Volume 1, Number 3, Summer 1998View Online (Requires Adobe Acrobat Reader) - Medication Compliance and Patient Safety
- As I See It...
- Health Information and the Internet
- Medical Harm: Historical, Conceptual and Ethical Dimensions of Iatrogenic Illness (Book Review)
Volume 1, Number 2, Spring 1998View Online (Requires Adobe Acrobat Reader) - Latex: A Lurking Danger
- NPSF Launches Research Effort with Call for Proposals
- Web Focus
- As I See It... (Mary Woolley)
- Investigating Sentinel Events: How to Find and Resolve Root Causes (Book Review)
Volume 1, Number 1, Winter 1997View Online (Requires Adobe Acrobat Reader) - How the Public Perceives Patient Safety
- Vision for NPSF Takes Shape
- National Patient Safety Foundation Established
- Managing the Risks of Organizational Accidents(Book Review)
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