-
psnet.ahrq.gov/node/42978/psn-pdf
February 26, 2014 - The Francis Report: One Year On.
February 26, 2014
Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.
https://psnet.ahrq.gov/issue/francis-report-one-year
This publication offers insights from acute care hospital staff in England regarding recommendations from
the Francis rep…
-
psnet.ahrq.gov/node/44912/psn-pdf
November 18, 2016 - Patient safety in genomic medicine: an exploratory study.
November 18, 2016
Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet
Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16.
https://psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
This …
-
psnet.ahrq.gov/node/73572/psn-pdf
August 04, 2021 - Center for Innovations in Quality, Effectiveness and
Safety. IQuESt!
August 4, 2021
Houston, TX: Baylor College of Medicine.
https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
-
psnet.ahrq.gov/node/42595/psn-pdf
November 25, 2013 - Agency information collection activities: Assessing the
Impact of the National Implementation of TeamSTEPPS
Master Training Program; comment request.
November 25, 2013
Agency for Healthcare Research and Quality. Federal Register. August 27, 2013;78:52927-52929.
https://psnet.ahrq.gov/issue/agency-information-colle…
-
psnet.ahrq.gov/node/42370/psn-pdf
June 19, 2013 - Resident Projects for Improvement.
June 19, 2013
Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of
New Mexico; May 2013.
https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
This publication outlines quality and safety improvement proj…
-
psnet.ahrq.gov/node/44553/psn-pdf
October 07, 2015 - A medical detective story: why doctors make diagnostic
errors.
October 7, 2015
Landro L. Wall Street Journal. September 26, 2015.
https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors
In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
-
psnet.ahrq.gov/node/44237/psn-pdf
November 03, 2015 - Consistent with prior studies, the authors
recommend enhancing communication among team members to augment
-
psnet.ahrq.gov/node/38193/psn-pdf
November 05, 2008 - hospital-finances-and-patient-safety-outcomes
https://psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
-
psnet.ahrq.gov/node/39745/psn-pdf
September 09, 2010 - duty-hours-emergency-medicine-balancing-patient-safety-resident-wellness-and-resident
https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
-
psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - should take to
improve diagnosis in primary care, such as leading efforts to reduce diagnostic error, enhancing
-
psnet.ahrq.gov/node/36804/psn-pdf
August 26, 2011 - analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
-
psnet.ahrq.gov/node/42619/psn-pdf
January 23, 2019 - organizational safety and reliability from other
industries, the authors identify three key domains critical to enhancing
-
psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
-
psnet.ahrq.gov/node/40859/psn-pdf
October 19, 2011 - issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-
support-necessary
By enhancing
-
psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - This
commentary describes a rounding process that focuses on enhancing safety culture, engaging patients
-
psnet.ahrq.gov/node/39197/psn-pdf
January 06, 2010 - root-cause-analysis
https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
-
psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
-
psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - recommendations to improve diagnosis, including promoting teamwork among interdisciplinary health care
teams, enhancing
-
psnet.ahrq.gov/node/47516/psn-pdf
December 19, 2018 - Diverse stakeholders in Australia established an agenda for enhancing test result management,
which
-
psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - notes the lack of systems to ensure clinicians' awareness of patients' opioid
overdoses and recommends enhancing