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Total Results: 715 records

Showing results for "core set".

141. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet
     psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
     November 17, 2021 - Assessing risk and learning from adverse events are core components of patient safety improvement.

142. Safety Management Systems - an Introduction for Healthcare. | PSNet
     psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare
     February 14, 2024 - This investigation report discusses the core safety elements of an SMS (policy, risk management, assurance

143. Strategies and Approaches for Investigating Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
     March 15, 2025 - Incident reports set the stage for the use of other patient safety tools that are then employed to investigate … Root causes are core issues that directly lead to the safety issue. … Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.

144. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-469
     December 31, 2024 - Study Moving towards a core measures set for patient safety in perioperative care … This article describes the development of a “Core Measures Set” that should be measured and reported

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863641/psn-pdf
     February 28, 2024 - Impact of TeamSTEPPS on Patient Safety TeamSTEPPS is an evidence-based set of teamwork tools aimed at … The core curriculum has shifted to a less hospital-centric approach than previous iterations of TeamSTEPPS … The core TeamSTEPPS materials on the website begin with an Introduction, which includes an overview

146. Fragmented: A Doctor's Quest to Piece Together American Health Care. | PSNet
     psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care
     October 05, 2022 - This book shares a personal account of how broken care processes serve as a core deterrent in one clinician

147. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. | PSNet
     psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
     July 31, 2019 - This publication discusses core elements of high reliability organizations and how to apply them

148. Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. | PSNet
     psnet.ahrq.gov/issue/patient-safety-case-based-innovative-playbook-safer-care-second-edition
     September 11, 2019 - to the COVID-19 pandemic (health disparities, inequities and nursing home care failures), as well as core

149. The science of safety improvement: learning while doing. | PSNet
     psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
     August 04, 2021 - December 6, 2023 From HRO to HERO: making health equity a core system capability.

150. Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. | PSNet
     psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
     January 22, 2016 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core

151. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. | PSNet
     psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
     July 29, 2020 - Hand hygiene is a core practice for decreasing health care–associated infections , but achieving compliance

152. Toolkits | PSNet
     psnet.ahrq.gov/toolkits
     March 01, 2025 - This set of quality indicators supports the epidemiological or research program use of billing or claims … This third edition includes a broader set of terms related to patient safety. … Multi-use Website Core Elements of Hospital Diagnostic Excellence (DxEx). … Multi-use Website Diagnostic Safety Supplemental Item Set for Medical Office SOPS … This Supplemental Item Set for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Medical Office Survey

153. 2008 Annual National Patient Safety Foundation Congress: conference proceedings. | PSNet
     psnet.ahrq.gov/issue/2008-annual-national-patient-safety-foundation-congress-conference-proceedings
     July 31, 2012 - April 25, 2016 Strengthening the core.

154. 2010 Annual National Patient Safety Foundation Congress: conference proceedings. | PSNet
     psnet.ahrq.gov/issue/2010-annual-national-patient-safety-foundation-congress-conference-proceedings
     July 31, 2012 - April 25, 2016 Strengthening the core.

155. Pediatric safety. | PSNet
     psnet.ahrq.gov/issue/pediatric-safety
     March 08, 2015 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core

156. 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings. | PSNet
     psnet.ahrq.gov/issue/not-another-safety-culture-survey-using-canadian-patient-safety-climate-survey-can-pscs
     February 14, 2015 - September 23, 2020 Core competencies for patient safety research: a cornerstone for global

157. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet
     psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
     February 16, 2022 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core

158. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. | PSNet
     psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
     November 16, 2022 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core

159. Medical errors kill thousands of people each year. But are hospitals getting any safer? | PSNet
     psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
     June 17, 2020 - This article shares one organization’s work to improve core safety activities related to medication safety

160. Incident learning in radiation oncology: a review. | PSNet
     psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
     October 14, 2020 - Learning from adverse events is a core component of patient safety improvement.