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Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. | PSNet

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November 15, 2016 - Book/Report Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Citation Text: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation …

Placing patient safety at the heart of value-based healthcare. | PSNet

psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare

February 15, 2023 - Commentary Placing patient safety at the heart of value-based healthcare. Citation Text: La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087. Copy Citation Fo…

Why diagnostic errors don't get any respect--and what can be done about them. | PSNet

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February 10, 2015 - Commentary Why diagnostic errors don't get any respect--and what can be done about them. Citation Text: Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513. Copy Citation …

Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

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December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

The development and implementation of checklists in obstetrics. | PSNet

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July 13, 2010 - Commentary The development and implementation of checklists in obstetrics. Citation Text: Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032. Copy Citat…

The objective impact of clinical peer review on hospital quality and safety. | PSNet

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April 13, 2017 - Study The objective impact of clinical peer review on hospital quality and safety. Citation Text: Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-9. doi:10.1177/1062860610380732. Copy Citation Format: …

Strategies for developing and recognizing faculty working in quality improvement and patient safety. | PSNet

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June 28, 2023 - Commentary Strategies for developing and recognizing faculty working in quality improvement and patient safety. Citation Text: Coleman DL, Wardrop RM, Levinson WS, et al. Strategies for Developing and Recognizing Faculty Working in Quality Improvement and Patient Safety. Acad Med. 2017;9…

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway. | PSNet

psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient

May 27, 2011 - Study Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway. Citation Text: Dean JE, Hutchinson A, Escoto KH, et al. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient …

Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. | PSNet

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September 07, 2016 - Book/Report Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Citation Text: Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-1…

Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. | PSNet

psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical

October 27, 2021 - Study Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Citation Text: Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Zimolzak AJ, Singh H,…

Critical conversations: a call for a nonprocedural "time out." | PSNet

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February 18, 2011 - Commentary Critical conversations: a call for a nonprocedural "time out." Citation Text: Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853. Copy Citation Format: DOI Google Sch…

Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. | PSNet

psnet.ahrq.gov/issue/reimagining-healthcare-teams-leveraging-patient-clinician-ai-triad-improve-diagnostic-safety

September 13, 2023 - Book/Report Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. Citation Text: Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. James C, Singh K, Valley TS, et al. Rockville, MD; Agency…

Crisis resource management: evaluating outcomes of a multidisciplinary team. | PSNet

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December 23, 2011 - Study Crisis resource management: evaluating outcomes of a multidisciplinary team. Citation Text: Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d. Co…

Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. | PSNet

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October 07, 2020 - Book/Report Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. Citation Text: Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation and …

Measure Dx: implementing pathways to discover and learn from diagnostic errors. | PSNet

psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors

August 25, 2021 - Commentary Measure Dx: implementing pathways to discover and learn from diagnostic errors. Citation Text: Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.…

Issues and complexities in safety culture assessment in healthcare. | PSNet

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October 09, 2024 - Commentary Issues and complexities in safety culture assessment in healthcare. Citation Text: Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. Copy Citation …

What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. | PSNet

psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving

April 12, 2023 - Review What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Citation Text: Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…

Health Information Technology Leadership Panel: Final Report. | PSNet

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March 30, 2022 - Government Resource Health Information Technology Leadership Panel: Final Report. Citation Text: Health Information Technology Leadership Panel: Final Report. Lewin Group: Falls Church, VA; March 2005. Copy Citation Save Save to your library Print Do…

Examining nurses' decision process for medication management in home care. | PSNet

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December 21, 2018 - Commentary Examining nurses' decision process for medication management in home care. Citation Text: Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85. Copy Citation Format: …

Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. | PSNet

psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm

November 27, 2012 - Commentary Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Citation Text: Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient s…

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