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Showing results for "improvements".

  1. Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

    psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
    July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

  2. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
    February 17, 2021 - Study Classic Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. Citation Text: Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…

  3. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. | PSNet

    psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
    May 11, 2022 - Study Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Citation Text: Bender JA, Kulju S, Soncrant C. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Jt Comm J Qua…

  4. Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. | PSNet

    psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices
    June 22, 2011 - Study Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. Citation Text: Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Pr…

  5. Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet

    psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
    January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…

  6. Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. | PSNet

    psnet.ahrq.gov/issue/strength-safety-measures-introduced-medical-practices-prevent-recurrence-patient-safety
    May 01, 2024 - Study Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. Citation Text: Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to prevent a recurrence of pati…

  7. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. | PSNet

    psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency
    June 15, 2022 - Study Team-based approach to improving medication reconciliation rates in family medicine residency clinics. Citation Text: Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. J Am Pharm Assoc (…

  8. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. | PSNet

    psnet.ahrq.gov/issue/examining-patient-safety-events-using-behaviour-change-wheel-cross-sectional-analysis
    September 20, 2012 - Study Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Citation Text: Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(…

  9. Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. | PSNet

    psnet.ahrq.gov/issue/simulation-debriefing-enhanced-needs-assessment-address-quality-markers-health-care
    June 22, 2022 - Study Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. Citation Text: Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in hea…

  10. The effect of multidisciplinary care teams on intensive care unit mortality. | PSNet

    psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality
    January 17, 2018 - Study Classic The effect of multidisciplinary care teams on intensive care unit mortality. Citation Text: Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369-76. doi:1…

  11. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. | PSNet

    psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed-method-evaluation
    April 13, 2022 - Study Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. Citation Text: Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12…

  12. Application of electronic trigger tools to identify targets for improving diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
    January 26, 2022 - Review Emerging Classic Application of electronic trigger tools to identify targets for improving diagnostic safety. Citation Text: Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving diagnostic safety…

  13. Enhancing patient safety and risk management through clinical pathways in oncology. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology
    September 13, 2023 - Study Enhancing patient safety and risk management through clinical pathways in oncology. Citation Text: Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024…

  14. Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. | PSNet

    psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
    April 05, 2023 - Commentary Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. Citation Text: Black GB, Nicholson BD, Moreland J-A, et al. Doing …

  15. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. | PSNet

    psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems-scoping-review
    April 06, 2022 - Review Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Citation Text: Villa Zapata L, Subbian V, Boyce RD, et al. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Stud Health Technol Inform. 20…

  16. A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. | PSNet

    psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
    March 29, 2023 - Study A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. Citation Text: Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J Healthc Manag. 2013;58(5):369-85. Copy Citation Format: …

  17. Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet

    psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
    August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…

  18. Dedicated teams to optimize quality and safety of surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
    October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…

  19. Safe but sound: patient safety meets evidence-based medicine. | PSNet

    psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
    March 13, 2013 - Commentary Classic Safe but sound: patient safety meets evidence-based medicine. Citation Text: Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508. Copy Citation Format: DOI Google Sc…

  20. Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

    psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
    May 11, 2022 - Study Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. Citation Text: Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…
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