-
psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
November 16, 2016 - The AHRQ Patient Safety Indicators are publicly reported measures of hospital performance. … an association between Patient Safety Indicators and longer length of stay, unplanned readmissions … January 3, 2017
Association of inpatient hospital experience with patient safety indicators … September 21, 2016
Differences in the rates of patient safety events by payer: implications … Errors and Adverse Events
Patient Safety Indicators
-
psnet.ahrq.gov/issue/balancing-patient-safety-clinical-efficacy-and-cybersecurity-clinician-partners
May 04, 2022 - This article outlines the value of a Clinical Director of Cybersecurity, representing a partnership between … qualitative integrative analysis of the experiences of English health and social care for people with … March 2, 2022
Effectiveness and safety of pulse oximetry in remote patient monitoring … of patients with COVID-19: a systematic review. … January 30, 2019
The texting debate: beneficial means of communication or safety and
-
psnet.ahrq.gov/node/854627/psn-pdf
October 18, 2023 - implementing-strategies-prevent-home-medication-administration-errors-
children-medical
The American Academy of … Policy Statement, "Preventing Home Medication Administration
Errors", called for improving medication safety … Of particular importance is the use of health literacy-
informed, culturally sensitive resources.
-
psnet.ahrq.gov/node/72749/psn-pdf
February 17, 2021 - multi-professional-simulation-based-team-training-obstetric-emergencies-
improving-patient
Teamwork training simulation programs can improve communication and safety … culture in obstetric
teams.
-
psnet.ahrq.gov/node/47380/psn-pdf
September 05, 2018 - learning-and
High reliability principles guide health care organizations in their improvement work to augment safety … This commentary describes one system's organizational approach to fully cement
improvement into their culture
-
psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
January 19, 2016 - Study
The WHO surgical safety checklist: survey of patients' views. … The WHO surgical safety checklist: survey of patients’ views. … The WHO surgical safety checklist: survey of patients’ views. … May 30, 2012
Development of a theoretical framework of factors affecting patient safety … of safety.
-
psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
March 11, 2020 - The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. … 4830 reported cases of preventable harm in Sweden. … first line managers in patient safety work. … training
January 13, 2021
The rise of human factors: optimising performance of individuals … January 2, 2011
A review of educational philosophies as applied to radiation safety training
-
psnet.ahrq.gov/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational
November 16, 2022 - Download Citation
Related Resources From the Same Author(s)
Implementation of … May 8, 2024
What can safety cases offer for patient safety? … October 11, 2023
The role of the informal and formal organisation in voice about concerns … June 16, 2021
Seven features of safety in maternity units: a framework based on multisite … October 21, 2020
A concept analysis of systems thinking.
-
psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
May 02, 2012 - This study successfully improved communication and safety through creation of a structured preoperative … November 2, 2010
Patient safety in intensive care medicine: the Declaration of Vienna … January 13, 2021
Obstetrician-gynecologist views of pregnancy-related medication safety … April 30, 2014
Use of the WHO surgical safety checklist in trauma and orthopaedic patients … January 28, 2010
Executive summary of the American College of Obstetricians and Gynecologists
-
psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - An institutional culture that encourages communication among all members of the health care team can … Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety … March 9, 2016
WebM&M Cases
Chemotherapy Administration Safety … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic … October 31, 2017
View More
Related Resources
Patient Safety
-
psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
February 26, 2025 - Innovation Patient Safety Focus
The innovation focused on assessing, addressing, and linking social … determinants of health (SDOH) factors to improve patient outcomes, including patient safety. … To focus their efforts, safety and quality leaders reviewed claims data over time. … Sustaining This Innovation
To sustain the innovation requires transparency, teamwork, commitment, and a culture … Patient Safety Teamwork Training
February 28, 2024
Patient Safety
-
psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
August 19, 2020 - Study
An analysis of electronic health record–related patient safety incidents. … An analysis of electronic health record-related patient safety incidents. … This observational study found a significant number of patient safety incidents associated with use of … An analysis of electronic health record-related patient safety incidents. … March 22, 2023
Sensitivity of routine system for reporting patient safety incidents in
-
psnet.ahrq.gov/issue/safety-climate-survey-reliability-results-multicenter-icu-survey
June 13, 2012 - Study
Safety Climate Survey: reliability of results from a multicenter ICU survey … Safety Climate Survey: reliability of results from a multicenter ICU survey. … measure the success of safety interventions in different clinical settings. … Safety Climate Survey: reliability of results from a multicenter ICU survey. … February 14, 2024
What is the value and impact of quality and safety teams?
-
psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - (23 articles)
Value as an element of patient safety is emerging as … Provider-Patient Communication
(6)
Health Literacy Improvement
(2)
Culture … of Safety
(9)
Learning Organization
(3)
Red Rules
(1)
Education … (23 articles)
Value as an element of patient safety is emerging as … Patient Safety Projects (23 articles)
The implementation of effective
-
psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
November 02, 2022 - Commentary
Hiding in plain sight: inconvenient facts for patient safety in non-24 … Individual-, team-, and systems-based factors can affect safety during childbirth. … This article discusses several patient safety threats that can hinder the safety of vaginal birth after … June 28, 2010
Measuring perceptions of safety climate in primary care: a cross-sectional … August 10, 2022
Final Report of the Ockenden Review.
-
psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
August 25, 2021 - Study
Medication injection safety knowledge and practices among anesthesiologists … a comprehensive initiative to promote patient safety event reporting by trainees. … April 24, 2018
Patient safety after implementation of a coproduced family centered communication … pump work arounds: a study of 3 U.S. health systems. … January 25, 2022
The nature of reported safety events related to care coordination in
-
psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
August 21, 2019 - August 31, 2016
Importance of safety climate, teamwork climate and demographics: understanding … nurses, allied health professionals and clerical staff perceptions of patient safety. … April 17, 2019
Adjusting to duty hour reforms: residents' perception of the safety climate … interest and patient safety. … to assess socio-cultural dimensions of patient safety competency.
-
psnet.ahrq.gov/issue/implementing-handoff-communication
August 25, 2010 - December 13, 2023
Learning from latent safety threats identified during simulation to … improve patient safety. … children following implementation of a resident handoff bundle. … October 19, 2011
Implementing standardized reporting and safety checklists. … January 13, 2010
2009 National Patient Safety Goals.
-
psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
July 05, 2006 - October 26, 2022
Progress Made Towards Improving Opioid Safety, But Further Efforts to … June 4, 2024
Your Safety in our Hands in Hospital. … Device Safety Fails Patients. … February 3, 2016
Technical Evaluation, Testing, and Validation of the Usability of Electronic … November 9, 2011
Making patient safety the centerpiece of medical liability reform.
-
psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
October 04, 2006 - the broad impact of the program. … results of many surveys of patients, providers, and administrators. … May 6, 2016
The Handbook of Patient Safety Compliance: A Practical Guide for Health Care … August 16, 2016
To Do No Harm: Ensuring Patient Safety in Health Care Organizations. … February 7, 2019
Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities