-
psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - A call for the application of patient safety culture in
medical humanitarian action: a literature review.
May 6, 2020
Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical
humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737.
doi:10.10…
-
psnet.ahrq.gov/node/46230/psn-pdf
September 24, 2017 - Challenges and opportunities from the Agency for
Healthcare Research and Quality (AHRQ) research
summit on improving diagnosis: a proceedings review.
September 24, 2017
Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for Healthcare
Research and Quality (AHRQ) research summit …
-
psnet.ahrq.gov/node/41464/psn-pdf
November 26, 2014 - Risk of unintentional overdose with non-prescription
acetaminophen products.
November 26, 2014
Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen
products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3.
https://psnet.ahrq.gov/issue/risk-uni…
-
psnet.ahrq.gov/node/847719/psn-pdf
April 19, 2023 - Person-first treatment strategies: weight bias and impact
on mental health of people living with obesity.
April 19, 2023
Crowley N. Person-first treatment strategies: weight bias and impact on mental health of people living with
obesity. Prim Care. 2023;50(1):89-101. doi:10.1016/j.pop.2022.10.002.
https://psnet.ah…
-
psnet.ahrq.gov/node/35565/psn-pdf
June 16, 2011 - Error, stress, and teamwork in medicine and aviation:
cross sectional surveys.
June 16, 2011
Sexton JB. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ.
2002;320(7237):745-749. doi:10.1136/bmj.320.7237.745.
https://psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviat…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/01-pt-narratives-support-px-strategy-intro.pdf
December 10, 2024 - How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) - Introduction
How Patient Narratives Can Support Your
Patient Experience Strategy
A Webinar Presented by the AHRQ CAHPS User Network
Tuesday, December 10, 2024
1:00 – 2:00 pm ET
Webcast Technical Info
• Audio issues
• Poor connecti…
-
psnet.ahrq.gov/node/74760/psn-pdf
February 09, 2022 - We're all in this together: how COVID-19 revealed the co-
construction of mindful organising and organisational
reliability.
February 9, 2022
Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co-
construction of mindful organising and organisational reliability. BMJ Qual…
-
www.ahrq.gov/hai/cusp/cauti-interim/index.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Next Page
Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
A National Patient Safety Imperative
This in…
-
psnet.ahrq.gov/node/47251/psn-pdf
July 25, 2018 - Fail-safe patient ID matching remains just out of reach.
July 25, 2018
Arndt RZ. Mod Healthc. July 14, 2018.
https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach
Similarities in patient names and clinical situations can result in medical errors. Discussing how digital
technologies can …
-
psnet.ahrq.gov/node/47034/psn-pdf
May 16, 2018 - Disruptive physician behavior: the importance of
recognition and intervention and its impact on patient
safety.
May 16, 2018
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its
Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945.
htt…
-
psnet.ahrq.gov/node/45085/psn-pdf
May 04, 2016 - A piece of my mind. The patient you least want to see.
May 4, 2016
Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2.
doi:10.1001/jama.2016.0221.
https://psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
Providing insights from a physician regarding the complexit…
-
psnet.ahrq.gov/node/38697/psn-pdf
June 10, 2009 - A report card system using error profile analysis and
concurrent morbidity and mortality review: surgical
outcome analysis, part II.
June 10, 2009
Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent
morbidity and mortality review: surgical outcome analysis, part…
-
psnet.ahrq.gov/node/44616/psn-pdf
November 04, 2015 - Development of "SWARM" as a model for high reliability,
rapid problem solving, and institutional learning.
November 4, 2015
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid
Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
-
psnet.ahrq.gov/node/39745/psn-pdf
September 09, 2010 - Duty hours in emergency medicine: balancing patient
safety, resident wellness, and the resident training
experience: a consensus response to the 2008 Institute of
Medicine resident duty hours recommendations.
September 9, 2010
Wagner MJ, Wolf S, Promes S, et al. Duty hours in emergency medicine: balancing patient …
-
psnet.ahrq.gov/node/837428/psn-pdf
June 15, 2022 - A retrospective review of serious surgical incidents in 5
large UK teaching hospitals: a system-based approach.
June 15, 2022
Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK
teaching hospitals: a system-based approach. J Patient Saf. 2022;18(4):358-364.
doi…
-
psnet.ahrq.gov/node/45445/psn-pdf
September 27, 2016 - Using Kotter's change model for implementing bedside
handoff: a quality improvement project.
September 27, 2016
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality
Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212.
https:/…
-
psnet.ahrq.gov/node/861286/psn-pdf
January 24, 2024 - Surgical safety does not happen by accident: learning
from perioperative near miss case studies.
January 24, 2024
Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning
from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15.
doi:10.1016/j.jopa…
-
psnet.ahrq.gov/node/34843/psn-pdf
March 02, 2011 - Hand hygiene among physicians: performance, beliefs,
and perceptions.
March 2, 2011
Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and
perceptions. Ann Intern Med. 2004;141(1):1-8.
https://psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-percept…
-
psnet.ahrq.gov/node/39856/psn-pdf
December 21, 2014 - Patient perceptions of mistakes in ambulatory care.
December 21, 2014
Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern
Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288.
https://psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
Pat…
-
psnet.ahrq.gov/node/46999/psn-pdf
June 27, 2018 - Empowering patients and agents to help prevent errors
with living wills, DNRs, and POLSTs.
June 27, 2018
Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15.
https://psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and-
polsts
Patient harm associated with adva…