AHRQ Search | Home Page

Simulation in the executive suite: lessons learned for building patient safety leadership. | PSNet

psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership

July 21, 2017 - Study Simulation in the executive suite: lessons learned for building patient safety leadership. Citation Text: 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. Copy Cita…

The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety

November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. | PSNet

psnet.ahrq.gov/issue/laboratory-session-improve-first-year-pharmacy-students-knowledge-and-confidence-concerning

September 08, 2021 - Study Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. Citation Text: Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence conce…

Improving clinician well-being and patient safety through human-centered design. | PSNet

psnet.ahrq.gov/issue/improving-clinician-well-being-and-patient-safety-through-human-centered-design

April 29, 2018 - Commentary Improving clinician well-being and patient safety through human-centered design. Citation Text: Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through human-centered design. JAMA. 2023;329(14):1149-1150. doi:10.1001/jama.2023.2…

Struggling to invent high-reliability organizations in health care settings: insights from the field. | PSNet

psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field

October 02, 2019 - Study Struggling to invent high-reliability organizations in health care settings: insights from the field. Citation Text: Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.…

Who applies an intervention to influence cultural attributes in a quality improvement collaborative? | PSNet

psnet.ahrq.gov/issue/who-applies-intervention-influence-cultural-attributes-quality-improvement-collaborative

January 22, 2016 - Study Who applies an intervention to influence cultural attributes in a quality improvement collaborative? Citation Text: Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative? J Patient Saf. 2020;16(1):1-6. Copy Cit…

Improving the governance of patient safety in emergency care: a systematic review of interventions. | PSNet

psnet.ahrq.gov/issue/improving-governance-patient-safety-emergency-care-systematic-review-interventions

March 06, 2013 - Review Improving the governance of patient safety in emergency care: a systematic review of interventions. Citation Text: Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837…

Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015). | PSNet

psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process

September 23, 2020 - Commentary Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015). Citation Text: Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric Oncology: Quality and Safety Process Impr…

Getting it right for patient safety: specimen collection process improvement from operating room to pathology. | PSNet

psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room

July 16, 2013 - Commentary Getting it right for patient safety: specimen collection process improvement from operating room to pathology. Citation Text: D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol.…

ACOG Committee Opinion #730: fatigue and patient safety. | PSNet

psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety

July 26, 2017 - Commentary ACOG Committee Opinion #730: fatigue and patient safety. Citation Text: ACOG Committee Opinion #730: fatigue and patient safety. ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-e81. Copy Citation Save Sav…

The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. | PSNet

psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul

September 28, 2022 - Book/Report The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. Citation Text: The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Econo…

10 Patient Safety Tips for Hospitals. | PSNet

psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals

December 09, 2009 - Fact Sheet/FAQs Classic 10 Patient Safety Tips for Hospitals. Citation Text: 10 Patient Safety Tips for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-M008. Copy Citation Save …

Inpatient notes: diagnostic excellence starts with an incessant watch. | PSNet

psnet.ahrq.gov/issue/inpatient-notes-diagnostic-excellence-starts-incessant-watch

August 31, 2022 - Commentary Inpatient notes: diagnostic excellence starts with an incessant watch. Citation Text: Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. Copy Citation Form…

ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet

psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology

May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…

The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. | PSNet

psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare

January 22, 2025 - Commentary The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Citation Text: Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042…

Educational opportunities with postevent debriefing. | PSNet

psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing

May 28, 2015 - Commentary Educational opportunities with postevent debriefing. Citation Text: Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Improving patient safety in radiotherapy by learning from near misses, incidents and errors. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors

July 10, 2017 - Commentary Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Citation Text: Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. Copy Citation Format:…

Diagnostic excellence through the lens of patient-centeredness. | PSNet

psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness

June 24, 2020 - Commentary Diagnostic excellence through the lens of patient-centeredness. Citation Text: Berwick DM. Diagnostic Excellence Through the Lens of Patient-Centeredness. JAMA. 2021;326(21):2127-2128. doi:10.1001/jama.2021.19513. Copy Citation Format: DOI Google Scholar BibTeX E…

Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. | PSNet

psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah-changes-promote

August 28, 2024 - Regulation Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. Citation Text: Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote…

Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. | PSNet

psnet.ahrq.gov/issue/health-it-enabled-quality-measurement-perspectives-pathways-and-practical-guidance

September 16, 2015 - Book/Report Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Citation Text: Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…

Search AHRQ

Results