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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety?
April 1, 2006
Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
Case Objectives
Describe the myth of the "surgical personality"
Identify featu…
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psnet.ahrq.gov/node/45169/psn-pdf
June 08, 2016 - High Reliability in Health Care.
June 8, 2016
Joint Commission Center for Transforming Healthcare.
https://psnet.ahrq.gov/issue/high-reliability-health-care
Development of high reliability remains an elusive goal for health care organizations. The Joint Commission
has also advocated for achieving high reliability …
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psnet.ahrq.gov/node/43912/psn-pdf
February 25, 2015 - Patient Safety in Dialysis Access.
February 25, 2015
Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051.
https://psnet.ahrq.gov/issue/patient-safety-dialysis-access
Patients with chronic kidney failure are at high risk for adverse events from treatment errors. This
publication raises awa…
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psnet.ahrq.gov/node/42525/psn-pdf
November 20, 2013 - A Promise to Learn—a Commitment to Act: Improving the
Safety of Patients in England.
November 20, 2013
National Advisory Group on the Safety of Patients in England. London, England: Crown Publishing; August
2013.
https://psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
An intern…
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psnet.ahrq.gov/node/42988/psn-pdf
March 05, 2014 - Between surveillance and subjectification: professionals
and the governance of quality and patient safety in
English hospitals.
March 5, 2014
Martin G, Leslie M, Minion J, et al. Between surveillance and subjectification: professionals and the
governance of quality and patient safety in English hospitals. Soc Sci …
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psnet.ahrq.gov/node/45590/psn-pdf
August 02, 2017 - Improving Diagnostic Accuracy Project 2016–2017.
August 2, 2017
Washington, DC: National Quality Forum; October 2016.
https://psnet.ahrq.gov/issue/improving-diagnostic-accuracy-project-2016-2017
The Improving Diagnosis in Health Care report provided recommendations to help achieve safe, reliable
diagnosis. This we…
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psnet.ahrq.gov/node/41134/psn-pdf
July 06, 2012 - Differential impact of a crew resource management
program according to professional specialty.
July 6, 2012
Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according
to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:10.1177/1062860611423805.
https://psne…
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psnet.ahrq.gov/node/37261/psn-pdf
December 19, 2011 - Creating complex health improvement programs as
mindful organizations: from theory to action.
December 19, 2011
Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from
theory to action. J Health Organ Manag. 2007;21(2):166-83.
https://psnet.ahrq.gov/issue/creating-complex…
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psnet.ahrq.gov/node/34071/psn-pdf
February 18, 2011 - A middle ground on public accountability.
February 18, 2011
Lee TH, Meyer GS, Brennan TA. A middle ground on public accountability. N Engl J Med.
2004;350(23):2409-2412.
https://psnet.ahrq.gov/issue/middle-ground-public-accountability
This commentary discusses the complex interplay between payers, purchasers, pati…
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psnet.ahrq.gov/node/39085/psn-pdf
November 11, 2009 - Integrating ethics and patient safety: the role of clinical
ethics consultants in quality improvement.
November 11, 2009
Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics
consultants in quality improvement. J Clin Ethics. 2009;20(3):220-6.
https://psnet.ah…
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System
Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hauck LD, Jacob J. Implementing a Patient Safety …
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…Jennifer Daley, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Co…
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psnet.ahrq.gov/node/43409/psn-pdf
February 25, 2015 - Evaluating iatrogenic prescribing: development of an
oncology-focused trigger tool.
February 25, 2015
Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused
trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.002.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/46333/psn-pdf
June 25, 2018 - High reliability leadership: a conceptual framework.
June 25, 2018
Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage.
2017;26(2):237-246. doi:10.1111/1468-5973.12187.
https://psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
Leadership engag…
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psnet.ahrq.gov/node/45289/psn-pdf
May 03, 2017 - Measuring harm in health care: optimizing adverse event
review.
May 3, 2017
Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review.
Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679.
https://psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-…
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psnet.ahrq.gov/node/41498/psn-pdf
December 31, 2014 - Standard practices for computerized clinical decision
support in community hospitals: a national survey.
December 31, 2014
Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in
community hospitals: a national survey. J Am Med Inform Assoc. 2012;19(6):980-7. doi:10.…
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psnet.ahrq.gov/node/37994/psn-pdf
February 08, 2017 - Changes in practice and organisation surrounding blood
transfusion in NHS trusts in England 1995-2005.
February 8, 2017
Taylor CJC, Murphy MF, Lowe D, et al. Changes in practice and organisation surrounding blood
transfusion in NHS trusts in England 1995-2005. Qual Saf Health Care. 2008;17(4):239-43.
doi:10.1136/q…
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psnet.ahrq.gov/node/36226/psn-pdf
August 30, 2006 - Framework for a High Performance Health System for the
United States.
August 30, 2006
Mongan JJ. New York, NY; The Commonwealth Fund: 2006.
https://psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
This report calls for providing "safe, well-coordinated, accessible, and efficient" care th…
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psnet.ahrq.gov/node/47145/psn-pdf
July 23, 2018 - The elusive and illusive quest for diagnostic safety
metrics.
July 23, 2018
Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med.
2018;33(7):983-985. doi:10.1007/s11606-018-4454-2.
https://psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
Measur…
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psnet.ahrq.gov/node/35415/psn-pdf
December 21, 2008 - Acting Locally: Working in Clinical Microsystems CD-
ROM.
December 21, 2008
Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865.
https://psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
This resource represents a collection of special articles published in the Joint …