-
psnet.ahrq.gov/node/43456/psn-pdf
October 03, 2017 - Veterans' Access to Care through Choice, Accountability,
and Transparency Act of 2014.
October 3, 2017
HR 3230, 113th Congress: 2014.
https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-
2014
The Veterans Affairs (VA) health system has both achieved success and str…
-
psnet.ahrq.gov/node/44171/psn-pdf
May 27, 2015 - Aiming higher to enhance professionalism: beyond
accreditation and certification.
May 27, 2015
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification.
JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
https://psnet.ahrq.gov/issue/aiming-higher-enhance-profession…
-
psnet.ahrq.gov/node/73332/psn-pdf
May 26, 2021 - An evolving hospital quality star rating system from CMS:
aligning the stars.
May 26, 2021
Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars.
JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946.
https://psnet.ahrq.gov/issue/evolving-hospital-quality-star-rat…
-
psnet.ahrq.gov/taxonomy/term/3440
September 01, 2025 - Situational Awareness
Situational awareness refers to the degree to which one's perception of a situation matches reality. In the context of crisis management, where the phrase is most often used, situational awareness includes awareness of fatigue and stress among team members (including oneself), environmental thre…
-
psnet.ahrq.gov/node/47615/psn-pdf
January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician
Burnout.
January 30, 2019
Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health
and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute;
2019.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/46988/psn-pdf
April 25, 2018 - Opioid Stewardship.
April 25, 2018
Ochsner J. 2018;18(1):20-45.
https://psnet.ahrq.gov/issue/opioid-stewardship
Both organizational and national strategies are required to reduce opioid-related harm. This special issue
section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
-
psnet.ahrq.gov/node/852460/psn-pdf
August 16, 2023 - Toolkits To Reduce Hypertension in Pregnancy and
Obstetric Hemorrhage.
August 16, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
https://psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
Obstetric hemorrhage and severe high blood pressure during pregna…
-
psnet.ahrq.gov/node/837733/psn-pdf
July 27, 2022 - From COVID-19 pandemic to patient safety: a new
"spring" for telemedicine or a boomerang effect?
July 27, 2022
De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for
telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9:901788.
doi:10.3389/fmed.2022.901788.
…
-
psnet.ahrq.gov/node/45728/psn-pdf
January 23, 2017 - Executive leadership and physician well-being: nine
organizational strategies to promote engagement and
reduce burnout.
January 23, 2017
Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational
Strategies to Promote Engagement and Reduce Burnout. Mayo Clin Proc. 2017;92(1):12…
-
psnet.ahrq.gov/node/47290/psn-pdf
December 12, 2018 - Burnout in mental health professionals: a systematic
review and meta-analysis of prevalence and determinants.
December 12, 2018
O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta-
analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74-99.
doi:10.1016/j.…
-
psnet.ahrq.gov/node/866440/psn-pdf
August 07, 2024 - Fixing patient safety: are we nearly there yet?
August 7, 2024
McCulloch P. Fixing patient safety: are we nearly there yet? BMJ Qual Saf. 2024;33(8):539-542.
doi:10.1136/bmjqs-2023-016589.
https://psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet
Human factors and ergonomics are widely used in hig…
-
psnet.ahrq.gov/node/47167/psn-pdf
May 30, 2018 - AHRQ Health Information Technology Division's 2017
Annual Report.
May 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-
EF.
https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
Health care has worked to enhance use…
-
psnet.ahrq.gov/node/45016/psn-pdf
April 27, 2016 - Medication safety systems and the important role of
pharmacists.
April 27, 2016
Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging.
2016;33(3):213-21. doi:10.1007/s40266-016-0358-1.
https://psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
Preventin…
-
psnet.ahrq.gov/node/847536/psn-pdf
April 12, 2023 - Racism and electronic health records (EHRs):
perspectives for research and practice.
April 12, 2023
Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for
research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jamia/ocad023.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/60840/psn-pdf
August 26, 2020 - Role of artificial intelligence in patient safety outcomes:
systematic literature review.
August 26, 2020
Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review.
JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599.
https://psnet.ahrq.gov/issue/role-artificial…
-
psnet.ahrq.gov/node/47724/psn-pdf
March 20, 2019 - Understanding patient safety and quality outcome data.
March 20, 2019
Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse.
2018;38(6):58-66. doi:10.4037/ccn2018979.
https://psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
Public reporting of safet…
-
psnet.ahrq.gov/node/43623/psn-pdf
September 29, 2017 - Intolerance of error and culture of blame drive medical
excess.
September 29, 2017
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ.
2014;349(oct14 3). doi:10.1136/bmj.g5702.
https://psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
Lack of a…
-
psnet.ahrq.gov/node/45736/psn-pdf
February 01, 2017 - Disruptive behaviour in the perioperative setting: a
contemporary review.
February 1, 2017
Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary
review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x.
https://psnet.ahrq.gov/issue/disruptive…
-
psnet.ahrq.gov/node/73150/psn-pdf
April 14, 2021 - Documenting a Day of Discussion: Ahead of the Crest of
the Wave Creating the National Agenda for Systemic
Change for Enhanced Clinician Well-Being.
April 14, 2021
Chicago, IL: Accreditation Council for Graduate Medical Education; March 2021.
https://psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-…
-
psnet.ahrq.gov/node/46114/psn-pdf
June 07, 2017 - Standardizing concentrations of adult drug infusions in
Indiana.
June 7, 2017
Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana.
Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018.
https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…