-
psnet.ahrq.gov/node/46824/psn-pdf
June 26, 2018 - Management reasoning: beyond the diagnosis.
June 26, 2018
Cook DA, Sherbino J, Durning SJ. Management Reasoning: Beyond the Diagnosis. JAMA.
2018;319(22):2267-2268. doi:10.1001/jama.2018.4385.
https://psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
This commentary reviews five differences between diagno…
-
psnet.ahrq.gov/node/39539/psn-pdf
January 13, 2013 - We need leaders: the 48th Annual Rovenstine Lecture.
January 13, 2013
Pronovost P. We need leaders: The 48th Annual Rovenstine Lecture. Anesthesiology. 2010;112(4):779-
785. doi:10.1097/ALN.0b013e3181d32047.
https://psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
Dr. Pronovost provides a histor…
-
psnet.ahrq.gov/node/42691/psn-pdf
October 23, 2013 - Patient Safety Investigation report into services at
University Hospital Galway (UHG) and as reflected in the
care provided to Savita Halappanavar.
October 23, 2013
Dublin, Ireland: Health Information and Quality Authority; October 2013.
https://psnet.ahrq.gov/issue/patient-safety-investigation-report-services-uni…
-
psnet.ahrq.gov/node/42180/psn-pdf
April 22, 2013 - Building collaborative teams in neonatal intensive care.
April 22, 2013
Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf.
2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909.
https://psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care
An i…
-
psnet.ahrq.gov/node/39435/psn-pdf
April 07, 2010 - Patient safety in surgery: non-technical aspects of safe
surgical performance.
April 7, 2010
Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance.
Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4.
https://psnet.ahrq.gov/issue/patient-safety-surgery-non-technica…
-
psnet.ahrq.gov/node/35386/psn-pdf
January 02, 2017 - Lehigh Valley Hospital: engaging patients and families.
January 2, 2017
Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual
Patient Saf. 2005;31(10):566-72.
https://psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
Authors from the 20…
-
psnet.ahrq.gov/node/39131/psn-pdf
May 04, 2014 - Sleep deprivation, physician performance, and patient
safety.
May 4, 2014
Olson EJ, Drage LA, Auger R. Sleep deprivation, physician performance, and patient safety. Chest.
2009;136(5):1389-1396. doi:10.1378/chest.08-1952.
https://psnet.ahrq.gov/issue/sleep-deprivation-physician-performance-and-patient-safety
This…
-
psnet.ahrq.gov/node/73408/psn-pdf
July 27, 2023 - Patient Safety/Quality Improvement Primer.
July 27, 2023
Otolaryngol Head Neck Surg. 2018-2023.
https://psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer
Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present in
surgical care. This series of articles highli…
-
psnet.ahrq.gov/node/44071/psn-pdf
November 16, 2015 - Quality Improvement in Neurosurgery.
November 16, 2015
Rolston JD, Han SJ, Parsa AT, eds. Neurosurg Clin N Am. 2015;26(2):143-322.
https://psnet.ahrq.gov/issue/quality-improvement-neurosurgery
This special issue covers elements of safe care delivery in neurosurgery and features articles exploring the
use of simula…
-
psnet.ahrq.gov/node/43964/psn-pdf
November 25, 2015 - Simulation-based Surgical Education.
November 25, 2015
Surgery. 2015;158:1395-1440.
https://psnet.ahrq.gov/issue/simulation-based-surgical-education
Simulation training is widely accepted as a method to enhance operative techniques and nontechnical
behaviors. Articles in this special issue cover topics in surgical…
-
psnet.ahrq.gov/node/43476/psn-pdf
June 27, 2018 - Looking to the future of patient safety.
June 27, 2018
Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35.
https://psnet.ahrq.gov/issue/looking-future-patient-safety
This magazine article summarizes experts' projections for the patient safety movement in the next 5 years.
Areas discussed include expanding…
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/understanding
January 01, 2023 - Toward a better understanding of task demands, workload, and performance during physician-computer interactions.
Citation
Mazur LM, Mosaly PR, Moore C, et al. Toward a better understanding of task demands, workload, and performance during physician-computer interactions. J Am Med Inform Assoc 2016 Mov…
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/effect
January 01, 2023 - Evaluating the effect of data standardization and validation on patient matching accuracy.
Citation
Grannis SJ, Xu H, Vest JR, Kasthurirathne S, Bo N, Moscovitch B, Torkzadeh R, Rising J. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. …
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/evaluation
January 01, 2023 - Evaluation of real-world referential and probabilistic patient matching to advance patient identification strategy.
Citation
Grannis SJ, Williams JL, Kasthuri S, Murray M, Xu H. Evaluation of real-world referential and probabilistic patient matching to advance patient identification strategy. J Am Med…
-
psnet.ahrq.gov/node/39052/psn-pdf
July 13, 2010 - Improving handoffs in the emergency department.
July 13, 2010
Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med.
2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016.
https://psnet.ahrq.gov/issue/improving-handoffs-emergency-department
Reviewing the conceptual f…
-
psnet.ahrq.gov/node/42550/psn-pdf
June 27, 2018 - Using Six Sigma to improve patient safety in the
perioperative process.
June 27, 2018
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
https://psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process
This magazine article describes how…
-
psnet.ahrq.gov/node/44137/psn-pdf
May 13, 2015 - AHRQ Patient Safety YouTube Channel.
May 13, 2015
Rockville, MD: Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
This Web site hosts a collection of training videos to highlight two improvement strategies: the
Comprehensive Unit-based Safety Program and …
-
psnet.ahrq.gov/node/841198/psn-pdf
December 07, 2022 - Technology, Education and Safety.
December 7, 2022
Arna D, ed. Curr Opin Anaesthesiol. 2022;35(6):710-737.
https://psnet.ahrq.gov/issue/technology-education-and-safety-1
Safety challenges in anesthesiology and perioperative care are high-risk situations. This segment of a
reoccurring special section covers strateg…
-
psnet.ahrq.gov/node/39380/psn-pdf
August 29, 2021 - ASHP guidelines on the safe use of automated dispensing
devices.
August 29, 2021
Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing
Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325.
https://psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automat…
-
psnet.ahrq.gov/node/45063/psn-pdf
May 04, 2016 - Value of the pharmacist in the medication reconciliation
process.
May 4, 2016
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T.
2016;41(3):176-8.
https://psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
Medication reconciliation has been shown to r…