-
psnet.ahrq.gov/node/39077/psn-pdf
February 08, 2011 - Enhancing Patient Care: A Practical Guide to Improving
Quality and Safety in Hospitals.
February 8, 2011
Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665.
https://psnet.ahrq.gov/issue/enhancing-patient-care-practical-guide-improving-quality-and-safety-hospitals
Authors from an Australian …
-
psnet.ahrq.gov/node/42417/psn-pdf
July 17, 2013 - Checklists to Improve Patient Safety.
July 17, 2013
Chicago, IL: Health Research & Educational Trust; June 2013.
https://psnet.ahrq.gov/issue/checklists-improve-patient-safety
This guide includes 10 checklists that integrate best practices into care processes to prevent variations in
patient safet…
-
psnet.ahrq.gov/node/39325/psn-pdf
February 24, 2010 - Connectivity to improve patient safety.
February 24, 2010
Whitehead SF, Goldman JM. Patient Saf Qual Healthc. January/February 2010;7:26-30.
https://psnet.ahrq.gov/issue/connectivity-improve-patient-safety
This article discusses how adopting open standards for medical device interoperability can help advance
patie…
-
psnet.ahrq.gov/node/42647/psn-pdf
October 09, 2013 - Improving Patient Safety in Laboratory Medicine.
October 9, 2013
Randell E, Schneider W, eds. Clin Biochem. 2013;46:1159-1194.
https://psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine
Articles in this special issue explore patient safety in laboratory medicine, including quality measurement
…
-
psnet.ahrq.gov/node/34626/psn-pdf
August 13, 2018 - National Patient Safety Agency (NPSA).
August 13, 2018
National Patient Safety Agency.
https://psnet.ahrq.gov/issue/national-patient-safety-agency-npsa
The National Patient Safety Agency was created in 2001 to coordinate efforts across the United Kingdom in
reporting and learning from mistakes and problems. In Apr…
-
psnet.ahrq.gov/node/50897/psn-pdf
February 12, 2020 - Improving Safety and Security for Veterans Act of 2020.
February 12, 2020
HB 5616, 116th Congress: 2020.
https://psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020
This legislation aims to strengthen the US Veterans Health System by requiring reports on the quality of
care and patient safety…
-
psnet.ahrq.gov/node/37523/psn-pdf
May 02, 2018 - ADC survey shows some improvements, but unnecessary
risks still exist.
May 2, 2018
ISMP Medication Safety Alert! Acute care edition. January 17, 2008.
https://psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
This article reports the results of a survey on use of automated dispe…
-
psnet.ahrq.gov/node/36741/psn-pdf
August 15, 2007 - Prescription for Improving Patient Safety: Addressing
Medication Errors.
August 15, 2007
The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.
https://psnet.ahrq.gov/issue/prescription-improving-patient-safety-addressing-medication-errors
This report shares findings from an exper…
-
psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
-
psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
February 26, 2025
Innovation
Contact
…
-
psnet.ahrq.gov/node/43919/psn-pdf
May 01, 2015 - Association of hospital participation in a quality reporting
program with surgical outcomes and expenditures for
Medicare beneficiaries.
May 1, 2015
Osborne NH, Nicholas LH, Ryan AM, et al. Association of hospital participation in a quality reporting
program with surgical outcomes and expenditures for Medicare ben…
-
psnet.ahrq.gov/node/37707/psn-pdf
March 02, 2011 - Bar-coding surgical sponges to improve safety: a
randomized controlled trial.
March 2, 2011
Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann
Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.
https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…
-
psnet.ahrq.gov/node/40450/psn-pdf
December 21, 2014 - Unit-based care teams and the frequency and quality of
physician–nurse communications.
December 21, 2014
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-
nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54.
htt…
-
psnet.ahrq.gov/node/38563/psn-pdf
March 23, 2011 - Market-based control mechanisms for patient safety.
March 23, 2011
Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care.
2009;18(2):99-103. doi:10.1136/qshc.2007.025833.
https://psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
Efforts to improve patie…
-
psnet.ahrq.gov/node/44972/psn-pdf
February 15, 2017 - The effectiveness of electronic differential diagnoses
(DDX) generators: a systematic review and meta-analysis.
February 15, 2017
Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX)
Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991.
doi:…
-
psnet.ahrq.gov/node/37514/psn-pdf
February 04, 2015 - Who pays for medical errors? An analysis of adverse
event costs, the medical liability system, and incentives
for patient safety improvement.
February 4, 2015
Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Adverse Event
Costs, the Medical Liability System, and Incentives for P…
-
psnet.ahrq.gov/node/44750/psn-pdf
January 06, 2016 - Simulation in the executive suite: lessons learned for
building patient safety leadership.
January 6, 2016
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building
Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
https://psnet.ahrq.gov/issue/simulation-exe…
-
psnet.ahrq.gov/node/39294/psn-pdf
January 03, 2017 - Patient handoffs: standardized and reliable measurement
tools remain elusive.
January 3, 2017
Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt
Comm J Qual Patient Saf. 2010;36(2):52-61.
https://psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-m…
-
psnet.ahrq.gov/node/39392/psn-pdf
September 20, 2011 - Effect of point-of-care computer reminders on physician
behaviour: a systematic review.
September 20, 2011
Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician
behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/42917/psn-pdf
February 05, 2014 - The PROMISES Project.
February 5, 2014
Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the
Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School;
Health Care for All; Massachusetts Medical Society; Massachusetts Departme…