Library: Articles, Books, White Papers

Article - Harvard Business Review: The trap of Putting “Problem Solving” Before “PRoblem understanding” (ARTICLE)

DEVELOPING A REPORTING CULTURE (ARTICLE)

The essential role of leadership in developing a safety culture (aRTICLE)

Leadership behaviors, attitudes, and characteristics to support a culture of safety (Article)

Mental Health Facilities Design Guide (bOOK)

Patient Safety Structural Measure Specifications (Article)

SENTINEL EVENT ALERT - Behaviors that undermine a culture of safety (ARTICLE)

Sentinel Event Chapter froM The Joint Commission (Standards)

Safety Systems for Individuals ServED CHAPTER FROM The Joint Commission (Article)

Serious Safety Events: Getting to Zero (White Paper)

VA Patient Safety Handbook (BOOK)

Tools: Checklists, Templates, etc.

5 Whys Worksheet: Finding the Root cause of a problem

Action Hierarchy Worksheet: Strongest to Weakest intervention rankings

Cause and effect Diagram (AKA Fishbone diagram) worksheet

Critical Incident Review Template

Checklist - Restraint Decision/Incident Review

Developing Reliable Processes

Failure Mode and Effect Analysis Worksheets (Proactive FMEA)

Flowchart worksheet: Mapping processes

Huddles Agenda

Mental Health Environment of Care Checklist

Organizational Safety Culture Self-Assessment Tool UD.2020

Patient Safety Essentials Toolkit from IHI

Root Cause Analysis Framework

Root Cause Analysis Template

Root Cause Analysis Step-by-Step Guide

Plan Template - Workplace Violence Prevention Plan UD.03.2025

Policy Template - System or Process Failures Response Policy

Trainings: Webinars, Slides, One-Pagers, etc.

Critical Incident Reviews and PDSA

EOC Risks and MHEOCC Management Training

Patient Safety Event Management Training

Patient Safety Systems for Patient Safety Committees

Tip Sheet: After Your Root Cause Analysis

Tip Sheet: Cognitive Biases in Health Care

Tip Sheet: Medication Safety

Tip Sheet: Second and Third Victims

Tip Sheet: Staff Resilience and Well-Being

Also visit our Action Planning Workshop and Internal Investigations Workshop materials for more educational resources that support patient safety.