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  1. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-4.html
    September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis Previous Page Next Page Table of Contents Strategies for Improving Clinician Psychological Safety in …

  2. Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
    January 01, 2016 - Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid Medical Directors Slide 1 Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid …

  3. In Conversation With… Mark L. Graber, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - In addition to improved measurement of diagnostic errors, these areas include clarifying responsibilities

  4. Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
    January 01, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement The Practice Engagement Model Service Cabinets Created for Clinical Areas • Collaborative Data Analysis  Identification areas for improvement & indicators • Target Setting  Specific targets for CY 2013 • Collaborative Action Plannin…

  5. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/tools/confid-report/intro.html
    February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Introduction Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Fundamental…

  6. PQMP Learning Collaborative | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/about/learning-collaborative.html
    September 01, 2021 - PQMP Learning Collaborative In late 2017, AHRQ—in partnership with the Centers for Medicare & Medicaid Services (CMS)—launched the Pediatric Quality Measures Program (PQMP) Learning Collaborative as a central component of the PQMP strategy to support the dissemination, implementation, performance monitoring, an…

  7. Trends in adverse events over time: why are we not improving? | PSNet

    psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving
    October 02, 2019 - Commentary Trends in adverse events over time: why are we not improving? Citation Text: Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935. Copy Citation Format: DOI Google Sc…

  8. Clinicians in quality improvement: a new career pathway in academic medicine. | PSNet

    psnet.ahrq.gov/issue/clinicians-quality-improvement-new-career-pathway-academic-medicine
    June 09, 2015 - Commentary Clinicians in quality improvement: a new career pathway in academic medicine. Citation Text: Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine. JAMA. 2009;301(7):766-8. doi:10.1001/jama.2009.140. Copy Citation Format:…

  9. The Essential Guide for Patient Safety Officers, Second Edition. | PSNet

    psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-second-edition
    February 15, 2017 - Book/Report The Essential Guide for Patient Safety Officers, Second Edition. Citation Text: The Essential Guide for Patient Safety Officers, Second Edition. Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improv…

  10. Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). | PSNet

    psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-based-interventions-healthcare
    April 20, 2022 - Grant Announcement Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Citation Text: Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Rockville, MD: Age…

  11. Reducing Adverse Drug Events. | PSNet

    psnet.ahrq.gov/issue/reducing-adverse-drug-events
    August 09, 2017 - Book/Report Classic Reducing Adverse Drug Events. Citation Text: Reducing Adverse Drug Events. Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998. Copy Citation Save Save to your library …

  12. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. | PSNet

    psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
    July 12, 2017 - Book/Report Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Citation Text: Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…

  13. Patient Safety and Quality Improvement Act of 2005: what you need to know. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
    December 17, 2014 - Commentary Patient Safety and Quality Improvement Act of 2005: what you need to know. Citation Text: Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr Surg. 2006;117(2):671-2. Copy Citation Format: Google Scholar PubMed …

  14. Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
    July 22, 2024 - Meeting/Conference Proceedings Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Citation Text: Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…

  15. Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/coordinating-transitions-health-information-technology-role-improving-multiple-chronic-disease-outcomes
    January 01, 2023 - Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes Project Final Report ( PDF , 570.62 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its conten…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35108/psn-pdf
    April 06, 2011 - Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. April 6, 2011 Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 2005;14(3):207-11. https://psnet.ahrq.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36630/psn-pdf
    January 05, 2017 - The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. January 5, 2017 Lesar TS, Anderson ER, Fields J, et al. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. Jt Comm J Qual Patient Saf. 2007;33…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43529/psn-pdf
    October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836968/psn-pdf
    April 20, 2022 - Diagnostic time-outs to improve diagnosis. April 20, 2022 Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185- 194. doi:10.1016/j.ccc.2021.11.008. https://psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis A broad differential diagnosis can limit missed d…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42426/psn-pdf
    January 14, 2014 - Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce. January 14, 2014 Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the academic hospitali…
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