-
psnet.ahrq.gov/node/39603/psn-pdf
February 16, 2011 - The Schwartz Center Rounds: evaluation of an
interdisciplinary approach to enhancing patient-centered
communication, teamwork, and provider support.
February 16, 2011
Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to
enhancing patient-centered communication, teamwork, …
-
digital.ahrq.gov/ahrq-funded-projects/scaling-and-spreading-electronic-capture-patient-reported-outcomes-leveraging/citation/scaling
January 01, 2023 - Scaling and spreading the electronic capture of patient-reported outcomes using a national surgical quality improvement programme: A feasibility study protocol.
Citation
Melucci AD, Liu JB, Brajcich BC, Collins CE, Kazaure HS, Ko CY, Pusic AL, Temple LK. Scaling and spreading the electronic capture of…
-
digital.ahrq.gov/ahrq-funded-projects/improving-diabetes-and-depression-self-management-adaptive-mobile-messaging/citation/engaging
January 01, 2023 - Engaging users in the design of an mHealth, text message-based intervention to increase physical activity at a safety-net health care system.
Citation
Avila-Garcia P, Hernandez-Ramos R, Nouri SS, Cemballi A, Sarkar U, Lyles CR, Aguilera A. Engaging users in the design of an mHealth, text message-based…
-
digital.ahrq.gov/ahrq-funded-projects/scaling-and-spreading-electronic-capture-patient-reported-outcomes-leveraging/final-report
January 01, 2023 - Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Using a National Surgical Quality Improvement Program - Final Report
Citation
Ko C. Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Leveraging a National Surgical Quality Improvement Program – Final Report. (Pr…
-
digital.ahrq.gov/ahrq-funded-projects/interactive-patient-centered-discharge-toolkit-promote-self-management-during/final-report
January 01, 2023 - Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions - Final Report
Citation
Dalal A. Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions - Final Report. (Prepared by Brigham and Women's Hospital under Grant No. R21 HS024…
-
psnet.ahrq.gov/node/47416/psn-pdf
January 09, 2019 - Supervision, autonomy, and medical error in the teaching
clinic.
January 9, 2019
Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am
Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033.
https://psnet.ahrq.gov/issue/supervision-autonomy-and-medical-err…
-
psnet.ahrq.gov/node/44784/psn-pdf
May 03, 2017 - WISH Patient Safety Forum
May 3, 2017
World Innovation Summit for Health 2015. Doha, Qatar: Qatar Foundation; February 2015.
https://psnet.ahrq.gov/issue/wish-patient-safety-forum
The 2015 conference focused on persisting barriers to patient safety worldwide and recommended
strategies to achieve lasting improvemen…
-
psnet.ahrq.gov/node/44660/psn-pdf
December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5
years post release.
December 2, 2015
Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post
release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116.
https://psnet.ahrq.gov/issue/squire-guidel…
-
psnet.ahrq.gov/node/44175/psn-pdf
October 13, 2015 - Impact of crisis resource management simulation-based
training for interprofessional and interdisciplinary teams:
a systematic review.
October 13, 2015
Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for
interprofessional and interdisciplinary teams: A systematic revi…
-
psnet.ahrq.gov/node/45581/psn-pdf
October 19, 2016 - Reducing diagnostic errors.
October 19, 2016
Gittlen S. HealthLeaders Media. October 1, 2016.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-0
The recent recognition of diagnostic error as a blind spot in health care has driven the need to enhance
diagnosis. This news article reports how health systems, a…
-
psnet.ahrq.gov/node/866072/psn-pdf
June 05, 2024 - WHO Global Report on Patient Safety.
June 5, 2024
Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
https://psnet.ahrq.gov/issue/who-global-report-patient-safety
Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the
seven objectives of the…
-
psnet.ahrq.gov/node/47906/psn-pdf
August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience.
August 21, 2019
Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc
Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303.
https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-ex…
-
psnet.ahrq.gov/node/46483/psn-pdf
October 04, 2017 - Fall Prevention in Hospitals Training Program.
October 4, 2017
Rockville, MD: Agency for Healthcare Research and Quality; 2017.
https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training
program pro…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-evans.pdf
June 02, 2025 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - NYP Leadership Perspectives
NYP Leadership Perspectives
Rick Evans
Chief Experience Officer
New York-Presbyterian Hospital
Perspectives from Leadership –
Use of Narratives
• Adds richer color to “score
data”
• Compelling…
-
psnet.ahrq.gov/node/44782/psn-pdf
January 13, 2016 - The Swiss cheese model of adverse event
occurrence—closing the holes.
January 13, 2016
Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr
Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003.
https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event…
-
psnet.ahrq.gov/node/44685/psn-pdf
November 18, 2015 - Root cause analyses of suicides of mental health clients.
November 18, 2015
Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying
Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324.
doi:10.1027/0227-5910/a000328.
https://psnet…
-
psnet.ahrq.gov/node/44509/psn-pdf
October 07, 2015 - Medication errors affecting pediatric patients: unique
challenges for this special population.
October 7, 2015
Grissinger M. PA-PSRS Patient Saf Advis. September 2015;12:96-102.
https://psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-
population
This article analyzed …
-
psnet.ahrq.gov/node/45647/psn-pdf
February 22, 2017 - Bias in the ER. Doctors suffer from the same cognitive
distortions as the rest of us.
February 22, 2017
Lewis M. Nautilus. February 9, 2017.
https://psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
Physicians' decision-making can be diminished when they are tired, distracted, or too n…
-
psnet.ahrq.gov/node/44729/psn-pdf
January 07, 2016 - The morbidity and mortality meeting: time for a different
approach?
January 7, 2016
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-
8. doi:10.1136/archdischild-2015-309536.
https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro…
-
digital.ahrq.gov/ahrq-funded-projects/empowering-cancer-patients-through-innovations-information-technology-based/final-report
January 01, 2023 - Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report
Citation
Gray S. Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report. (Prepared by Beckman Research In…