-
psnet.ahrq.gov/node/41374/psn-pdf
September 24, 2016 - Interruptions and miscommunications in surgery: an
observational study.
September 24, 2016
Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an
observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012.
https://psnet.ahrq.gov/issue/interruptions-and-misco…
-
www.ahrq.gov/nursing-home/resources/project-firstline-goal.html
April 01, 2022 - Project Firstline: What's the Goal of Infection Control?
Resource: Project Firstline: What's the Goal of Infection Control?
The short video features Dr. Abby Carlson, an infectious diseases doctor with experience on the frontlines of COVID-19 and a Project Firstline staffer. Dr. Abby brings her background …
-
psnet.ahrq.gov/node/37599/psn-pdf
January 01, 2009 - Improving process while changing practice: FMEA and
medication administration.
March 12, 2008
Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2).
doi:10.1097/01.numa.0000310533.54708.38.
https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and…
-
psnet.ahrq.gov/node/43107/psn-pdf
March 14, 2016 - Researchers' roles in patient safety improvement.
March 14, 2016
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf.
2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
https://psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
Through a self-…
-
psnet.ahrq.gov/node/42340/psn-pdf
June 05, 2013 - Medical errors are hard for doctors to admit, but it's wise
to apologize to patients.
June 5, 2013
Jain M.
https://psnet.ahrq.gov/issue/medical-errors-are-hard-doctors-admit-its-wise-apologize-patients
This newspaper article reports on disclosure and apology for medical errors, recounts a physician's
personal exp…
-
www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
June 01, 2023 - The multiple people at the center of the
framework represent diverse experiences and perspectives that … This interpersonal trust is deeply
influenced by people’s experiences with the healthcare system
and … invested in generating and disseminating evidence and tools to enhance patient, family,
and provider experiences
-
www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - You can share your experiences and help make health care safer for people in your community. … We need to hear about many health care experiences and concerns.
-
digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience/citation/implementation
January 01, 2023 - Implementation of acute care patient portals: recommendations on utility and use from six early adopters.
Citation
Grossman LV, Choi SW, Collins S, et al. Implementation of acute care patient portals: recommendations on utility and use from six early adopters. J Am Med Inform Assoc 2017 Sep 4. doi: 10…
-
psnet.ahrq.gov/node/36172/psn-pdf
August 09, 2006 - The Patient Safety Group.
August 9, 2006
https://psnet.ahrq.gov/issue/patient-safety-group
Development of The Patient Safety Group was motivated by the death of a young girl named Josie King.
The King family responded to their personal experience from medical errors by making a commitment to
improve and advance sa…
-
psnet.ahrq.gov/node/50668/psn-pdf
November 13, 2019 - Case Study Webinar Series on Clinician Burnout: The
Ohio State University
November 13, 2019
NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician
Burnout: The Ohio State University. National Academies of Medicine.
https://psnet.ahrq.gov/issue/case-study-webinar-ser…
-
psnet.ahrq.gov/node/35034/psn-pdf
November 05, 2015 - Seven Leadership Leverage Points for Organization-Level
Improvement in Health Care. Second edition.
November 5, 2015
Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute for Healthcare Improvement; 2008.
https://psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-car…
-
psnet.ahrq.gov/node/35408/psn-pdf
August 05, 2009 - Factors influencing preceptors' responses to medical
errors: a factorial survey.
August 5, 2009
Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a
factorial survey. Acad Med. 2005;80(10 Suppl):S88-92.
https://psnet.ahrq.gov/issue/factors-influencing-preceptors-res…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-12.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.12. Outcomes by Category
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-12.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.12. Outcomes by Category
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-16.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.16. Outcomes by Category
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital…
-
psnet.ahrq.gov/node/38195/psn-pdf
January 02, 2017 - University of Michigan: quality and safety in an academic
medical center.
January 2, 2017
Strong DL, Kin JM, Kratochwill EW, et al. University of Michigan: quality and safety in an academic medical
center. Jt Comm J Qual Patient Saf. 2008;34(11):671-7.
https://psnet.ahrq.gov/issue/university-michigan-quality-and-s…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-16.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.16. Outcomes by Category
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-17.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.17. Outcomes by Category
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital…
-
digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience/citation/framework
January 01, 2023 - Framework for evaluating and implementing inpatient portals: a multi-stakeholder perspective.
Citation
Walker DM, Hefner JL, Sieck CJ, et al. Framework for evaluating and implementing inpatient portals: a multi-stakeholder perspective. J Med Syst 2018 Jul 16;42(9):158. PMID: 30014267.
Link
htt…
-
www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
April 01, 2019 - University of Utah Health: Creating a Formula for Value-Based Care
University of Utah Health: Creating a Formula for Value-
Based Care
The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies
to help health system chief executive officers and other C-suite leaders better unde…