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Reports and White Papers
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NPSF periodically publishes papers about patient safety issues or the status of the patient safety field, reports on NPSF programs, and guidelines for health professionals.

Click on the links below to read or download the reports in PDF format.



Released December 2015


Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human


With a grant from AIG, the National Patient Safety Foundation convened an expert panel in February 2015 to assess the state of the patient safety field and set the stage for the next 15 years of work. Read more and download their report.


Released June 2015

RCA2: Improving Root Cause Analyses and Actions to Prevent Harm


RCA2 is a trademark of the National Patient Safety Foundation. NPSF does not endorse any software or training for the RCA2 process that is not directly provided by NPSF.


With a grant from The Doctors Company Foundation, NPSF convened a panel of subject matter experts and stakeholders to examine best practices around root cause analysis (RCA) and develop guidelines to help health professionals standardize the process and improve the way they investigate medical errors, adverse events, and near misses. Read more and download the report.

Reports & White Papers

Item Name Posted By Date Posted
NPSF Congress Leadership Day Ex Sum. Transp. 2015 PDF (155.91 KB)  more ] Administration 10/20/2015
NPSF Congress Leadership Day Ex Sum. Quality. 2014 PDF (587.03 KB)  more ] Administration 7/29/2015
Research Summary of Progress. 2012 PDF (1.58 MB)  more ] Administration 6/10/2015
Infusion Pumps with “Drug Libraries.” 2003 PDF (161.08 KB)  more ] Administration 7/15/2015
Assessment for Improving Patient Safety. 2003 PDF (183.18 KB)  more ] Administration 6/10/2015
Nothing About Me Without Me. 2003 PDF (301.45 KB)  more ] Administration 6/10/2015
Leadership for ESRD Patient Safety. 2001 PDF (543.98 KB)  more ] Administration 6/10/2015
Agenda for R & D in Patient Safety. 2000 PDF (46.5 KB)  more ] Administration 6/10/2015
Public Opinion of Patient Safety Issues. 2000 PDF (198.91 KB)  more ] Administration 6/10/2015
Reporting to Improve Patient Safety. 2000 PDF (42.05 KB)  more ] Administration 6/10/2015
Safe Use of Pharmaceuticals. 1999 PDF (85.55 KB)  more ] Administration 6/10/2015
A Tale of Two Stories: Contrasting Views. 1998 PDF (848.89 KB)  more ] Administration 6/10/2015
more Calendar

NPSF Webcast: Improving Patient Safety in Primary Care: Strategies to Engage Patients and Families

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