-
psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience
February 01, 2023 - Commentary
Patient safety: where to aim when zero harm is not the target-a case for learning and resilience.
Citation Text:
Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…
-
psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - team are a leading root
cause in sentinel events, the most serious harmful errors.3 This intervention aimed … errors differently.4
Innovation Patient Safety Focus
The Patient and Family Centered I-PASS innovation aimed
-
psnet.ahrq.gov/node/35102/psn-pdf
November 04, 2015 - Plan aims to cut hospital deaths.
November 4, 2015
Appleby J.
https://psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths
This article reports on the 100,000 Lives Campaign and its mission, highlighting improvements in two
hospitals that have joined the campaign.
https://psnet.ahrq.gov/issue/plan-aims-cut-hospital…
-
psnet.ahrq.gov/node/35987/psn-pdf
June 07, 2006 - RHIOs aim to transform quality of care and patient safety.
June 7, 2006
van der Grinten P.
https://psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
This article reports on how regional health information organizations (RHIOs) increase access to patient
information and benefit patient safety…
-
psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - Such data should inform safety initiatives aimed at eliminating potentially lethal means in the unit … Future quality improvement efforts aimed at reducing psychiatric misdiagnosis should focus on standardizing … For example, many units have improvement projects aimed at reducing the need for restraint and seclusion
-
psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
September 14, 2022 - Study
Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.
Citation Text:
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of complimen…
-
psnet.ahrq.gov/issue/achieving-institute-medicines-6-aims-quality-midst-opioid-crisis-considerations-emergency
June 24, 2015 - Commentary
Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.
Citation Text:
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: consider…
-
psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Maternal Safety
Citation Text:
Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
-
psnet.ahrq.gov/node/47041/psn-pdf
June 27, 2018 - Medicare takes aim at boomerang hospitalizations of
nursing home patients.
June 27, 2018
Rau J. Kaiser Health News. June 13, 2018.
https://psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
Safety problems are common in nursing homes due to challenges such as poor safety cultu…
-
psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Much of medical training is aimed at improving pattern recognition, and it is clear that expert clinicians … Studies of strategies aimed solely at eliminating or decreasing the use of nonanalytic reasoning have
-
psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - This survey of medical inpatients at five academic medical centers in Finland aimed to elicit patients … This survey of medical inpatients at five academic medical centers in Finland aimed to elicit patients
-
psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - Moms at the University of Massachusetts promote safer care and have developed multiple resources
aimed
-
psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Maternal Safety
January 31, 2024
Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/maternal-safety
Originally published in 2018 by researchers at the University of California, San Francisco. Updated in
February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…
-
psnet.ahrq.gov/node/867592/psn-pdf
January 22, 2025 - Restorative just culture: an exploration of the enabling
conditions for successful implementation.
January 22, 2025
Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling
conditions for successful implementation. Healthcare (Basel). 2024;12(20):2046.
doi:10.3390/health…
-
psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - This survey of medical inpatients at five academic medical centers in Finland aimed to elicit patients … This survey of medical inpatients at five academic medical centers in Finland aimed to elicit patients
-
psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - probably does not reduce post-discharge hospital utilization, it may do so when bundled with interventions aimed … Model-based cost-effectiveness analysis of interventions aimed at preventing medication error at hospital
-
psnet.ahrq.gov/node/846149/psn-pdf
March 15, 2023 - Medication errors in community pharmacies: evaluation
of a standardized safety program.
March 15, 2023
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a
standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218.
doi:10.1016/j.rcsop.2022.100218.
https://ps…
-
psnet.ahrq.gov/node/865876/psn-pdf
May 15, 2024 - Systematic review on the frequency and quality of
reporting patient and public involvement in patient safety
research.
May 15, 2024
Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting
patient and public involvement in patient safety research. BMC Health Serv Res. 2024…
-
psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - The NPSG program
aimed to provide a common improvement framework to enable organizations, especially
-
psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - Primary Care and Patient Safety: Opportunities at the
Interface
September 28, 2022
O’Malley P, McNellis B, Chew E, et al. Primary Care and Patient Safety: Opportunities at the Interface.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
Editor’s Not…