Quality Patient Safety Toolkit

The Failure Mode and Effects Analysis (FMEA) is a proactive risk tool to help predict which steps in a process have the highest likelihood of
leading to an adverse event. This tool allows a team to intervene and make changes to a process before something negative happens to a patient, visitor or staff member. This example is simply a starting point — designed to be customized to your individual organization.

Failure Mode and Effect Analysis is a structured way for healthcare organizations to identify and address potential issues and/or failures. This resource provides guidance on how to perform FMEAs.

This resource provides healthcare organizations with a variety of potential clinical performance measures that can be monitored on a monthly, quarterly or annual basis.

Root Cause Analysis is a structured team approach process to identify the root cause(s) of an incident, issue or adverse event. This resource provides guidance on how to conduct a Root Cause Analysis and elements to be addressed to improve patient safety.

Example worksheet that guides organizations through use of the PDSA improvement cycle.

Sample worksheet to guide an organization through use of PDCA improvement cycle.

A guide to help build and maintain quality measures.

This resource discusses the components of an effective quality improvement plan with advice on how to develop and implement your own. It highlights the difference between a quality improvement plan vs. a quality improvement program, the optimal organizational structure of a quality improvement plan and the role leadership should take during planning development.

This resource guides healthcare organizations in the step-by-step process of assessing and improving the quality and safety of care provided to patients. Resource information is flexible and modifiable based on the organization’s size and services offered.

This resource helps healthcare organizations make patient care safer by improving care transitions. It is composed of a variety of strategies, change concepts and actionable items that any organization can implement based on the need or services provided to improve patient safety.

Patient and family engagement is an area of increasing importance to healthcare organizations. Healthcare organizations that include patients and their family members in a quality improvement program benefits all involved. This resource provides guidance on how to improve patient and family engagement in an organization’s quality and safety program.

Readmissions are very common, expensive and somewhat preventable. A common cause of readmissions is the result of ineffective discharge processes. This resource provides guidance on how organizations can improve the discharge process, and therefore, the chance of readmissions.