-
psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - SPOTLIGHT CASE
Despite Clues, Failed to Rescue
Citation Text:
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndN…
-
psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - Workplace Safety in Health Care
Ross W. Simon and Elena G. Canacari, RN | January 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. Rockville (MD):…
-
psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles
Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024
Also Read the Essay
View more arti…
-
psnet.ahrq.gov/node/40673/psn-pdf
September 03, 2011 - Evaluating efforts to optimize TeamSTEPPS
implementation in surgical and pediatric intensive care
units.
September 3, 2011
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical
and pediatric intensive care units. Jt Comm J Qual Patient Saf. 2011;37(8):365-374.
htt…
-
psnet.ahrq.gov/node/61110/psn-pdf
November 11, 2020 - Association between parent comfort with English and
adverse events among hospitalized children.
November 11, 2020
Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events
among hospitalized children. JAMA Pediatr. 2020;174(12):e203215.
doi:10.1001/jamapediatrics.2020.3215.…
-
psnet.ahrq.gov/node/40326/psn-pdf
May 25, 2011 - The impact of computerized provider order entry systems
on medical-imaging services: a systematic review.
May 25, 2011
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on
medical-imaging services: a systematic review. J Am Med Inform Assoc. 2011;18(3):335-40.
doi:1…
-
psnet.ahrq.gov/node/40309/psn-pdf
April 22, 2011 - The role of theory in research to develop and evaluate the
implementation of patient safety practices.
April 22, 2011
Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the
implementation of patient safety practices. BMJ Qual Saf. 2011;20(5):453-9.
doi:10.1136/bmjqs.2010…
-
psnet.ahrq.gov/node/39338/psn-pdf
April 30, 2014 - The effect of multidisciplinary care teams on intensive
care unit mortality.
April 30, 2014
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:10.1001/archinternmed.2009.521.
https://psnet.ahrq.gov/issue/effect-…
-
psnet.ahrq.gov/node/47733/psn-pdf
April 27, 2019 - Impact of the Agency for Healthcare Research and
Quality's Safety Program for Perinatal Care.
April 27, 2019
Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and
Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 2019;45(4):231-240.
doi:10.1016/j.jc…
-
psnet.ahrq.gov/node/45562/psn-pdf
October 12, 2016 - Characterising the nature of primary care patient safety
incident reports in the England and Wales National
Reporting and Learning System: a mixed-methods
agenda-setting study for general practice.
October 12, 2016
Carson-Stevens A, Hibbert P, Williams H, et al. Characterising The Nature Of Primary Care Patient Sa…
-
psnet.ahrq.gov/node/41983/psn-pdf
January 16, 2013 - A systematic review of evidence on the links between
patient experience and clinical safety and effectiveness.
January 16, 2013
Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and
clinical safety and effectiveness. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-0015…
-
psnet.ahrq.gov/node/41369/psn-pdf
May 29, 2015 - Cognitive interventions to reduce diagnostic error: a
narrative review.
May 29, 2015
Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative
review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjqs-2011-000149.
https://psnet.ahrq.gov/issue/cognitive-interventions-re…
-
psnet.ahrq.gov/node/43041/psn-pdf
January 06, 2015 - Through the Eyes of the Workforce: Creating Joy,
Meaning, and Safer Health Care.
January 6, 2015
Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA:
National Patient Safety Foundation; 2013.
https://psnet.ahrq.gov/issue/through-eyes-workforce-creating-joy-meaning-and…
-
psnet.ahrq.gov/node/41813/psn-pdf
July 02, 2014 - The effects of patient handoff characteristics on
subsequent care: a systematic review and areas for future
research.
July 2, 2014
Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review
and areas for future research. Acad Med. 2012;87(8):1105-24. doi:10.1097/ACM.…
-
psnet.ahrq.gov/node/39210/psn-pdf
January 12, 2010 - Can aviation-based team training elicit sustainable
behavioral change?
January 12, 2010
Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral
change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207.
https://psnet.ahrq.gov/issue/can-aviation-based-team…
-
psnet.ahrq.gov/node/46236/psn-pdf
April 03, 2018 - The impact of a diagnostic decision support system on
the consultation: perceptions of GPs and patients.
April 3, 2018
Porat T, Delaney B, Kostopoulou O. The impact of a diagnostic decision support system on the
consultation: perceptions of GPs and patients. BMC Med Inform Decis Mak. 2017;17(1):79.
doi:10.1186/s12…
-
psnet.ahrq.gov/node/45955/psn-pdf
January 01, 2021 - The essential role of leadership in developing a safety
culture.
April 3, 2017
The essential role of leadership in developing a safety culture. Sentinel Event Alert. 2021;57(57):1-8.
https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture
The Joint Commission issues sentinel event alerts t…
-
psnet.ahrq.gov/node/74049/psn-pdf
January 01, 2022 - The critical role of health information technology in the
safe integration of behavioral health and primary care to
improve patient care.
November 10, 2021
Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe
integration of behavioral health and primary care to im…
-
psnet.ahrq.gov/node/41986/psn-pdf
January 23, 2013 - Slow progress on meeting hospital safety standards:
learning from the Leapfrog Group's efforts.
January 23, 2013
Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog
Group's efforts. Health Aff (Millwood). 2013;32(1):27-35. doi:10.1377/hlthaff.2011.0056.
https://psnet.…
-
psnet.ahrq.gov/node/844766/psn-pdf
January 01, 2020 - Validation of new ICD-10-based patient safety indicators
for identification of in-hospital complications in surgical
patients: a study of diagnostic accuracy.
September 11, 2019
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for
identification of in-hospital com…