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Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. | PSNet

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December 30, 2014 - Study Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Citation Text: Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual …

A resident-led institutional patient safety and quality improvement process. | PSNet

psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process

November 16, 2022 - Study A resident-led institutional patient safety and quality improvement process. Citation Text: Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387. Cop…

Eight recommendations for policies for communicating abnormal test results. | PSNet

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March 10, 2011 - Commentary Eight recommendations for policies for communicating abnormal test results. Citation Text: Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J Qual Patient Saf. 2010;36(5):226-232. Copy Citation Format: Google Sc…

Infusion medication error reduction by two-person verification: a quality improvement initiative. | PSNet

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June 19, 2019 - Commentary Infusion medication error reduction by two-person verification: a quality improvement initiative. Citation Text: Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6). …

Actions Needed to Address Employee Misconduct Process and Ensure Accountability. | PSNet

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July 11, 2018 - Book/Report Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Citation Text: Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …

Implementing a team-based daily goals sheet in a non-ICU setting. | PSNet

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January 03, 2017 - Commentary Implementing a team-based daily goals sheet in a non-ICU setting. Citation Text: Holzmueller CG, Timmel J, Kent P, et al. Implementing a team-based daily goals sheet in a non-ICU setting. Jt Comm J Qual Patient Saf. 2009;35(7):384-8, 341. Copy Citation Format: Go…

Quality improvement and patient safety activities in academic departments of medicine. | PSNet

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July 02, 2014 - Study Quality improvement and patient safety activities in academic departments of medicine. Citation Text: Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…

The application of system dynamics modelling to system safety improvement: present use and future potential. | PSNet

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October 27, 2021 - Review Emerging Classic The application of system dynamics modelling to system safety improvement: present use and future potential. Citation Text: The application of system dynamics modelling to system safety improvement: present use and future potential. Ibrah…

Opportunities for performance improvement in relation to medication administration during pediatric stabilization. | PSNet

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June 28, 2023 - Study Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Citation Text: Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Hea…

VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. | PSNet

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September 28, 2010 - Government Resource VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. Citation Text: VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. W…

Improving the communication between teams managing boarded patients on a surgical specialty ward. | PSNet

psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward

September 29, 2017 - Commentary Improving the communication between teams managing boarded patients on a surgical specialty ward. Citation Text: Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:1…

Quality and Safety Between Ward and Board: a Biography of Artefacts Study. | PSNet

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April 19, 2017 - Government Resource Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Citation Text: Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…

Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). | PSNet

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July 22, 2024 - Grant Announcement Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Citation Text: Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261. Copy Citation …

Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. | PSNet

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September 13, 2023 - Book/Report Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Citation Text: Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…

Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. | PSNet

psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety

November 22, 2017 - Book/Report Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Citation Text: Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …

Aiming higher to enhance professionalism: beyond accreditation and certification. | PSNet

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February 03, 2011 - Commentary Aiming higher to enhance professionalism: beyond accreditation and certification. Citation Text: Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818. Copy Citation F…

Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet

psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia

February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Citation Text: Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. | PSNet

psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety

December 09, 2020 - Study Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. Citation Text: Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Patient Saf. …

Preventing health care–associated harm in children. | PSNet

psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children

March 14, 2022 - Commentary Preventing health care–associated harm in children. Citation Text: Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. | PSNet

psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action

September 17, 2010 - Study Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Citation Text: Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-orie…

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