-
psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly
February 22, 2010 - Study
New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated.
Citation Text:
Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordi…
-
psnet.ahrq.gov/issue/effectiveness-patient-care-teams-and-role-clinical-expertise-and-coordination-literature
December 17, 2009 - Review
Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.
Citation Text:
Bosch M, Faber MJ, Cruijsberg J, et al. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literat…
-
psnet.ahrq.gov/node/47279/psn-pdf
July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the
Home.
July 23, 2018
Boston, MA: Institute for Healthcare Improvement; 2018.
https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
The home care setting harbors unique challenges to patient safety. This report builds on a previous
evidence ass…
-
psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
September 30, 2020 - Book/Report
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center.
Citation Text:
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Office of the Inspector General. Washington, DC: Departme…
-
psnet.ahrq.gov/node/40940/psn-pdf
December 31, 2011 - New 2011 survey of patients with complex care needs in
eleven countries finds that care is often poorly
coordinated.
December 31, 2011
Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven
countries finds that care is often poorly coordinated. Health Aff (Millwood). 20…
-
psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st
July 26, 2023 - Book/Report
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri.
Citation Text:
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division…
-
psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
July 20, 2012 - Tools/Toolkit
Contemporary View of Medication-Related Harm. A New Paradigm.
Citation Text:
Contemporary View of Medication-Related Harm. A New Paradigm. National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP.
Copy Citation
Save
Save t…
-
psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - Annual Perspective
Patient Safety in Primary Care
February 21, 2020
View more articles from the same authors.
Citation Text:
Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
-
psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
May 20, 2016 - Commentary
Healthcare-associated infections: a national patient safety problem and the coordinated response.
Citation Text:
Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…
-
psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
July 13, 2022 - Book/Report
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020.
Citation Text:
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…
-
psnet.ahrq.gov/node/863002/psn-pdf
February 21, 2024 - Three quarters of preventable patient harm stems from
situation awareness breakdowns: recognizing and
addressing the core issue.
February 21, 2024
Tscholl DW, Hunn CA, Gasciauskaite G. APSF Newsletter. 2024;39:29–30.
https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-
b…
-
psnet.ahrq.gov/node/863004/psn-pdf
February 21, 2024 - The Joint Commission and National Quality Forum
Announce 2023 Eisenberg Award Recipients.
February 21, 2024
Oakbrook Terrace, IL: Joint Commission and National Quality Forum; February 13, 2024.
https://psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2023-eisenberg-award-
recipients
The a…
-
psnet.ahrq.gov/node/42612/psn-pdf
July 05, 2016 - Delivering High-Quality Cancer Care: Charting a New
Course for a System in Crisis.
July 5, 2016
Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Addressing
the Challenges of an Aging Population, Institute of Medicine. Washington, DC: National Academies Press;
2013. ISBN: …
-
psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires
November 23, 2016 - Book/Report
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response.
Citation Text:
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Heal…
-
psnet.ahrq.gov/issue/choice-transparency-coordination-and-quality-among-direct-consumer-telemedicine-websites-and
May 29, 2019 - Study
Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease.
Citation Text:
Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to-Consumer Telemedicine Websites and Ap…
-
psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care
May 18, 2022 - Study
Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study.
Citation Text:
Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers…
-
psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - Discharge Planning and Transitions of Care
March 25, 2020
Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. 2020.
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
Background
Transitions of care refer to the movement of patients between different healthcare se…
-
psnet.ahrq.gov/node/838142/psn-pdf
September 21, 2022 - A health system that won't learn from its mistakes.
September 21, 2022
Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356.
doi:10.1377/hlthaff.2022.00581.
https://psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes
Communication failures due to hierarch…
-
psnet.ahrq.gov/node/74133/psn-pdf
January 01, 2022 - Predicting avoidable hospital events in Maryland.
December 1, 2021
Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res.
2022;57(1):192-199. doi:10.1111/1475-6773.13891.
https://psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
With the goal of imp…
-
psnet.ahrq.gov/node/44014/psn-pdf
March 20, 2019 - Patient Centered Medical Home Resource Center: Quality
and Safety.
March 20, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…