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  1. Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. | PSNet

    psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
    June 21, 2023 - Book/Report Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Citation Text: Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Washington, DC: Leapfrog Group; July 2024. Copy Citation Save Save to your library …

  2. 2022 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
    August 02, 2023 - Special or Theme Issue 2022 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450. Copy Citation Save Save to your library Print Down…

  3. Heart Failure: The Decline of a Historic Transplant Program. | PSNet

    psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
    July 22, 2020 - Special or Theme Issue Heart Failure: The Decline of a Historic Transplant Program. Citation Text: Heart Failure: The Decline of a Historic Transplant Program. Hixenbaugh M, Ornstein C. Houston Chronicle and Propublica. May 2018-May 2019. Copy Citation Save Save t…

  4. Preventing retained surgical items. | PSNet

    psnet.ahrq.gov/issue/preventing-retained-surgical-items
    December 07, 2022 - Commentary Preventing retained surgical items. Citation Text: Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575. doi:10.1002/aorn.13697. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  5. Guidelines in Practice: prevention of unintentionally retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
    August 03, 2022 - Commentary Guidelines in Practice: prevention of unintentionally retained surgical items. Citation Text: Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804. Copy Citation Format: DOI …

  6. Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
    June 09, 2021 - Book/Report Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Citation Text: Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. Copy Citation …

  7. Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? | PSNet

    psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-same-hospital
    April 07, 2021 - Book/Report Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? Citation Text: Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? Gangopadhyaya A. Washington DC; Urban Institute: July 2021. …

  8. The role of physician specialty board certification status in the quality movement. | PSNet

    psnet.ahrq.gov/issue/role-physician-specialty-board-certification-status-quality-movement
    October 01, 2007 - Review The role of physician specialty board certification status in the quality movement. Citation Text: Brennan TA, Horwitz RI, Duffy FD, et al. The Role of Physician Specialty Board Certification Status in the Quality Movement. JAMA. 2004;292(9). doi:10.1001/jama.292.9.1038. Copy …

  9. A piece of my mind. Snakes on a dock. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
    March 15, 2016 - Commentary A piece of my mind. Snakes on a dock. Citation Text: Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  10. Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. | PSNet

    psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
    November 03, 2015 - Book/Report Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. Citation Text: Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. Syed M. New York, NY: Portfolio; 2015. ISBN: 9781591848226. Copy Citation Save …

  11. Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. | PSNet

    psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family-advisors
    July 01, 2015 - Book/Report Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. Citation Text: Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. Chicago, IL: Health Research & Educational Trust; 2015. Cop…

  12. National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. | PSNet

    psnet.ahrq.gov/issue/national-priorities-and-goals-aligning-our-efforts-transform-americas-healthcare
    March 23, 2012 - Book/Report National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. Citation Text: National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 19…

  13. Finding and Preventing Patient Safety Incidents. | PSNet

    psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
    October 25, 2013 - Book/Report Finding and Preventing Patient Safety Incidents. Citation Text: Finding and Preventing Patient Safety Incidents. Golden, CO: HealthGrades, Inc.; June 9, 2014. Copy Citation Save Save to your library Print Download PDF Share Facebo…

  14. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-453
    August 28, 2024 - higher digital maturity was associated with improved odds of achieving a higher Leapfrog hospital safety grade … higher digital maturity was associated with improved odds of achieving a higher Leapfrog hospital safety grade

  15. HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
    September 12, 2012 - Book/Report HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006. Copy Citation Save Save to your l…

  16. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. | PSNet

    psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-cancer-argument-oral-cancer-checklist
    March 13, 2024 - Commentary Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Citation Text: Dave B. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Br Dent J. 2013;214(5):223-5. doi:10.1038/sj.bdj.2013.214. Copy Citation …

  17. The role of the patient in patient safety: what can we learn from healthcare's history? | PSNet

    psnet.ahrq.gov/issue/role-patient-patient-safety-what-can-we-learn-healthcares-history
    June 12, 2024 - Commentary The role of the patient in patient safety: what can we learn from healthcare's history? Citation Text: Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516…

  18. Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

    psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-never-events
    July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …

  19. Patient falls in the operating room: why is this still a problem in 2024? | PSNet

    psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
    May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024? Citation Text: Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. Copy Citation Fo…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49796/psn-pdf
    June 01, 2017 - The British Thoracic Society (7) recommends against clamping chest tubes before removal (Grade B evidence … few hours of clamping followed by chest radiography when there is doubt about the safety of removal (Grade
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