-
psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - Leaders at institutions considering implementing remote telemetry monitoring must incorporate
perspectives
-
psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - They also serve as a valuable rallying point to create a culture of safety on
maternity units by implementing
-
psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Major software enhancements
Implementing computerized physician order entry for lab testing.
-
psnet.ahrq.gov/node/35814/psn-pdf
April 05, 2006 - Patient-safety and quality initiatives in the intensive-care
unit.
April 5, 2006
Winters B; Dorman T.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-initiatives-intensive-care-unit
The authors summarize several initiatives being implemented in intensive care units to help ensure patient
safety.
https://…
-
psnet.ahrq.gov/node/35260/psn-pdf
January 25, 2010 - The enterprise take on patient safety.
January 25, 2010
Rogoski RR. The enterprise take on patient safety. Health management technology. 2005;26(8):12, 14, 16-
7.
https://psnet.ahrq.gov/issue/enterprise-take-patient-safety
This article reports on two efforts to reduce medical errors through information technology …
-
psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - The Context Is the Intervention
October 1, 2011
Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/context-intervention
Perspective
Introduction
What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this
context.…
-
psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR
Citation Text:
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
…
-
psnet.ahrq.gov/node/37152/psn-pdf
September 05, 2007 - Why pay for mistakes?
September 5, 2007
https://psnet.ahrq.gov/issue/why-pay-mistakes
Recently, CMS ruled that Medicare will no longer cover certain preventable errors. In this op-ed piece, the
author discusses why this new rule will drive hospitals to implement safety measures.
https://psnet.ahrq.gov/issue/why-pa…
-
psnet.ahrq.gov/node/33938/psn-pdf
December 18, 2008 - Dana-Farber Cancer Institute Principles of a Fair and Just
Culture.
December 18, 2008
Dana-Farber Cancer Institute.
https://psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
Dana-Farber Cancer Institute defines a "just culture" and illustrates how to implement and sustain it.
http…
-
psnet.ahrq.gov/node/35155/psn-pdf
April 03, 2008 - Safer Healthcare Now!
April 3, 2008
Canadian Patient Safety Institute.
https://psnet.ahrq.gov/issue/safer-healthcare-now
Originally launched in 2005, this campaign seeks to implement evidence-based strategies to improve
patient safety in Canadian hospitals. In April 2008, the initiative added four new intervention…
-
psnet.ahrq.gov/node/39608/psn-pdf
November 21, 2016 - Institute for Patient- and Family- Centered Care.
November 21, 2016
IPFFC. PO Box 6397, McLean, VA 22106.
https://psnet.ahrq.gov/issue/institute-patient-and-family-centered-care
This organization provides a variety of resources, including webinars and implementation tools, to engage
patients and their family membe…
-
psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Updates in the Role of Health IT in Patient Safety
February 21, 2020
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
Background
Health information technology (HIT) has the potential…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - January 8, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
-
psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - SPOTLIGHT CASE
Right? Left? Neither!
Citation Text:
Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
-
psnet.ahrq.gov/node/35249/psn-pdf
March 04, 2011 - The patient safety story.
March 4, 2011
Elwyn G, Corrigan JM. The patient safety story. BMJ. 2005;331(7512):302-304.
doi:10.1136/bmj.38562.690104.43.
https://psnet.ahrq.gov/issue/patient-safety-story
The authors provide a brief history of the patient safety movement and insights into why the time is right to
impl…
-
psnet.ahrq.gov/node/37073/psn-pdf
August 01, 2007 - An Amendment of the Medical Care Availability and
Reduction of Error (Mcare) Act.
August 1, 2007
Pennsylvania General Assembly.
https://psnet.ahrq.gov/issue/amendment-medical-care-availability-and-reduction-error-mcare-act
This bill requires that Pennsylvania hospitals and nursing homes implement an internal infec…
-
psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
Citation Text:
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Form…
-
psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Maternal Safety
January 31, 2024
Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/maternal-safety
Originally published in 2018 by researchers at the University of California, San Francisco. Updated in
February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…
-
psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
Pascale Carayon, PhD; Nicole Werner, PhD; Anita Makkenchery, MPH; Sarah E. Mossburg, RN, PhD
| November 16, 2022
Also Read the Conversation
View more articles from the same aut…
-
psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD
November 16, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022.In Conversation With... Pascale Carayon, PhD and Ni…