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7321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35653/psn-pdf
      June 25, 2010 - Effective strategies to increase reporting of medication errors in hospitals. June 25, 2010 Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm. 2006;36(1):34-41. https://psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medicati…

7322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40629/psn-pdf
      July 20, 2011 - Partnering to Heal: Teaming-Up Against Healthcare- Associated Infections. July 20, 2011 Washington, DC: US Department of Health and Human Services; May 2011.  https://psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections This training program explores how to create a culture of…

7323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35179/psn-pdf
      June 06, 2016 - Patient safety in cataract surgery. June 6, 2016 Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82. https://psnet.ahrq.gov/issue/patient-safety-cataract-surgery The authors evaluate patient safety issues involved with cataract surgery and provide several recommendations for sa…

7324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38158/psn-pdf
      October 22, 2008 - Predicting patient complaints in hospital settings. October 22, 2008 Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281. https://psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings Patient compl…

7325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35206/psn-pdf
      April 25, 2018 - High-reliability organizations (HROs): what they know that we don't (Part I). April 25, 2018 ISMP Medication Safety Alert! Acute care edition. July 14, 2005. https://psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i This article introduces the concept of high-reliability organi…

7326. PSO General Information | PSO
      pso.ahrq.gov/taxonomy/term/2
      SHARE: What are "patient safety activities"? Read more about What are "patient safety activities"? There are eight patient safety activities that are carried out by, or on behalf of a PSO, or a healthcare provider: What i…

7327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36566/psn-pdf
      January 10, 2007 - Department of Defense Health Care Quality. January 10, 2007 Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011. https://psnet.ahrq.gov/issue/department-defense-health-care-quality This report series discusses activities and achievements of the U.S. Department of Defense's…

7328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37474/psn-pdf
      March 30, 2016 - Implementing a Program of Patient Safety in Small Rural Hospitals. March 30, 2016 Rockville, MD: Agency for Healthcare Research and Quality; October 2004. https://psnet.ahrq.gov/issue/implementing-program-patient-safety-small-rural-hospitals This AHRQ-funded Partnerships in Implementing Patient Safety (PIPS) proje…

7329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35092/psn-pdf
      November 30, 2007 - Standards, audits, and saying I'm sorry: an engineer's family proposes solutions. November 30, 2007 Wojcieszak D. https://psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions The author, who lost his brother to medical error, reflects on his family's frustrating experience …

7330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37718/psn-pdf
      April 23, 2008 - Mistakes and disclosure. April 23, 2008 Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7. https://psnet.ahrq.gov/issue/mistakes-and-disclosure This article describes a method for teaching residents about safety culture, medical errors, and disclosure by using a movie, magazine article, an…

7331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44652/psn-pdf
      November 11, 2015 - Developing a principle-based approach to safe medication practices. November 11, 2015 Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47. https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices This commentary describes the development, implementation, and evaluation of n…

7332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38321/psn-pdf
      June 17, 2014 - No bad apples. June 17, 2014 Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1. https://psnet.ahrq.gov/issue/no-bad-apples This article provides context on a recent study and Joint Commission alert regarding how disruptive behavior may affect patient safety and describes steps hospitals ca…

7333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37905/psn-pdf
      December 19, 2018 - Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care. December 19, 2018 Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058. https://psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care This book describes si…

7334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35041/psn-pdf
      January 02, 2017 - AHRQ quality and safety initiatives. January 2, 2017 Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6. https://psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy briefly presents the agency's…

7335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35080/psn-pdf
      February 07, 2019 - To Do No Harm: Ensuring Patient Safety in Health Care Organizations. February 7, 2019 Morath JM, Turnbull JE. San Francisco, CA: Jossey-Bass; 2005. ISBN: 9780787967703. https://psnet.ahrq.gov/issue/do-no-harm-ensuring-patient-safety-health-care-organizations The authors draw from their backgrounds as health care e…

7336. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Closing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/5-unc-webcast-closing.pdf
      June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Closing Questions & Answers 49 Submitting Questions • Question and Answer ► Select Q&A ► Type question in the box that opens Type question here 50 Sign up for SOPS Email Updates 51…

7337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38223/psn-pdf
      October 14, 2015 - Patient-Centered Care Improvement Guide. October 14, 2015 Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008. https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide This guide contains comprehensive information about best practices and implementation tool…

7338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35503/psn-pdf
      February 22, 2010 - Neuroscience critical care: the role of the advanced practice nurse in patient safety. February 22, 2010 Phillips J. Neuroscience critical care: the role of the advanced practice nurse in patient safety. AACN Clin Issues. 2005;16(4):581-592. https://psnet.ahrq.gov/issue/neuroscience-critical-care-role-advanced-pra…

7339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37712/psn-pdf
      March 02, 2010 - Patient Safety Papers 3. March 2, 2010 Baker GR, ed. Healthc Q. 2008;11:1-144.   https://psnet.ahrq.gov/issue/patient-safety-papers-3 This collection of articles shares best practices implemented in Canada to improve patient safety through disclosure processes, teamwork development, medication safety measures…

7340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34983/psn-pdf
      July 14, 2010 - Implementing and validating a comprehensive unit-based safety program. July 14, 2010 Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40. https://psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program The authors implemented a comprehensive unit-based safety …