-
psnet.ahrq.gov/node/851196/psn-pdf
July 05, 2023 - Patient falls while under supervision: trends from incident
reporting.
July 5, 2023
Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs.
2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508.
https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-…
-
psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Leadership Role in Improving Safety
Citation Text:
Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
-
psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety …
-
psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - Creating highly reliable health care: how reliability-enhancing work practices affect patient safety … We have examined what we refer to as reliability-enhancing work practices that shape the selection and … Creating highly reliable health care: how reliability-enhancing work practices affect patient safety
-
psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - We have examined what we refer to as reliability-enhancing work practices that shape the selection and … Creating highly reliable health care: how reliability-enhancing work practices affect patient safety … Creating highly reliable health care: how reliability-enhancing work practices affect patient safety
-
psnet.ahrq.gov/node/45564/psn-pdf
October 03, 2017 - Fostering transparency in outcomes, quality, safety, and
costs.
October 3, 2017
Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs.
JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039.
https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-a…
-
psnet.ahrq.gov/node/837154/psn-pdf
May 18, 2022 - Survey shows room for improvement with three new best
practices for hospitals.
May 18, 2022
ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
Practice changes take time to be fully incorporate…
-
psnet.ahrq.gov/node/44702/psn-pdf
December 16, 2015 - Alarm fatigue: impacts on patient safety.
December 16, 2015
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol.
2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
https://psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
Alarm fatigue is a recognized safety conce…
-
psnet.ahrq.gov/node/46259/psn-pdf
September 24, 2017 - A qualitative formative evaluation of a patient-centred
patient safety intervention delivered in collaboration with
hospital volunteers.
September 24, 2017
Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety
intervention delivered in collaboration with hospital v…
-
psnet.ahrq.gov/node/45010/psn-pdf
March 30, 2016 - Most dangerous time at the hospital? It may be when you
leave.
March 30, 2016
Khullar D. New York Times. March 17, 2016.
https://psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
Preventing readmissions after hospital discharge is a national policy priority. This newspaper article
discuss…
-
psnet.ahrq.gov/node/43976/psn-pdf
November 16, 2015 - Multicenter development, implementation, and patient
safety impacts of a simulation-based module to teach
handovers to pediatric residents.
November 16, 2015
Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety
impacts of a simulation-based module to teach handover…
-
psnet.ahrq.gov/node/46268/psn-pdf
September 27, 2017 - Learning from incidents in health care: critique from a
Safety-II perspective.
September 27, 2017
Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121.
https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
Studying what works well to design safer systems is gaining tra…
-
psnet.ahrq.gov/node/43618/psn-pdf
October 22, 2014 - FOCUS: The Society of Cardiovascular Anesthesiologists'
initiative to improve quality and safety in the
cardiovascular operating room.
October 22, 2014
Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to
improve quality and safety in the cardiovascular operat…
-
psnet.ahrq.gov/node/44862/psn-pdf
March 16, 2016 - Patient safety science in cardiothoracic surgery: an
overview.
March 16, 2016
Sanchez JA, Ferdinand FD, Fann J. Patient Safety Science in Cardiothoracic Surgery: An Overview. Ann
Thorac Surg. 2016;101(2):426-33. doi:10.1016/j.athoracsur.2015.12.034.
https://psnet.ahrq.gov/issue/patient-safety-science-cardiothoraci…
-
psnet.ahrq.gov/node/44417/psn-pdf
January 25, 2016 - Health information exchange in emergency medicine.
January 25, 2016
Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg
Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018.
https://psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine
Insuffi…
-
psnet.ahrq.gov/node/45398/psn-pdf
August 15, 2016 - Incorporating indications into medication ordering—time
to enter the age of reason.
August 15, 2016
Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter
the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp1603964.
https://psnet.ahrq.gov/issue/inco…
-
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