
Safer Together: A National Effort
As leaders, we represent more than the roles we play. We belong to a profession centered on an important calling: to care for those who put their trust in us and to model the values […]

Diagnostic Errors in the Emergency Department: A Systematic Review
The National Academy of Medicine (NAM) has called diagnostic error a “blind spot” for modern medicine and improving diagnosis a “moral, professional, and public health imperative.”1 The emergency department (ED) is a known high-risk site for […]

National Action Plan to Advance Patient Safety: 4 Focus Areas
Improving safety has been a top priority at healthcare organizations across the country for the last two decades, but preventable harm is still an issue. To help tackle this problem, the Institute for Healthcare Improvement-convened […]

Interview: William Gunnar, MD, JD, FACHE, Veterans Affairs National Center for Patient Safety
The recent release of Safer Together: A National Action Plan to Advance Patient Safety marks the latest contribution of William Gunnar, MD, JD, FACHE, to a better healthcare system. Dr. Gunnar, director of the U.S. […]

ACHE, Along With IHI, AHRQ Announce National Action Plan to Advance Patient Safety
The American College of Healthcare Executives today joins with members of the National Steering Committee for Patient Safety to announce the release of a National Action Plan to provide health systems with renewed momentum and […]

Safety 101 Syllabus: Establish Organizational Behavior Expectations
The COVID-19 pandemic has led hospitals across the globe to rethink safety and implement new processes and protocols to protect the health of patients, visitors, staff and anyone else who might enter a healthcare organization. […]

Safety 101 Syllabus: Select, Develop and Engage Your Board
When it comes to achieving zero harm in healthcare, there is no silver bullet solution. Leading a Culture of Safety: A Blueprint for Success does, however, outline six leadership domains that can help ensure safety […]

Safety 101 Syllabus: Prioritize Safety in Selection and Development of Leaders
Welcome back, class. Since posting our last lesson, the COVID-19 pandemic has spread across the globe and presented the healthcare field with new, never before seen obstacles. Between the high contagiousness and rapid spread of […]

Redefining Criticism
(Members Only) Healthcare organizations are quick to laud, with good reason, employees who fix problems on the fly and make things work, all too often in the face of seemingly impossible situations and systemic barriers. […]

Five to Zero: How High Reliability Happens
(Members Only) In the mid-1980s, following a scathing attack on anesthesia safety by ABC television’s 20/20 program, Ellison “Jeep” Pierce Jr., MD, then president of the American Society of Anesthesiologists, conceived the idea of the […]