-
psnet.ahrq.gov/node/43454/psn-pdf
November 20, 2015 - Training in quality and safety: the current landscape.
November 20, 2015
Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual.
2015;30(6):526-38. doi:10.1177/1062860614544194.
https://psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
This commentary offers inf…
-
psnet.ahrq.gov/node/42005/psn-pdf
January 30, 2013 - Infusing fun into quality and safety initiatives.
January 30, 2013
Foulk KC, Tocydlowski P, Snow TM, et al. Infusing fun into quality and safety initiatives. Nursing (Brux).
2012;42(11):14-16. doi:10.1097/01.NURSE.0000421386.36112.a9.
https://psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives
Nursing…
-
psnet.ahrq.gov/node/35097/psn-pdf
June 22, 2009 - Impact of duty hour limits on resident training in
otolaryngology.
June 22, 2009
Reiter ER, Wong DR. Impact of duty hour limits on resident training in otolaryngology. Laryngoscope.
2005;115(5):773-9.
https://psnet.ahrq.gov/issue/impact-duty-hour-limits-resident-training-otolaryngology
The authors surveyed reside…
-
psnet.ahrq.gov/node/34699/psn-pdf
January 04, 2017 - Organizational costs of preventable medical errors.
January 4, 2017
Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J
Qual Improv. 2001;27(10):533-9.
https://psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
Using two composite case studies a…
-
psnet.ahrq.gov/node/41165/psn-pdf
December 08, 2016 - IHI Open School Patient Safety Curriculum
December 8, 2016
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
There is a documented interest in postgraduate professional education that enables practicing clinicians to
improve the safety of their actions and beh…
-
psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - PCA Overdose
Citation Text:
Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
-
psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
October 30, 2024 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
August 25, 2021
Innova…
-
psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Refused Medication Error
February 1, 2017
Foley M. Refused Medication Error. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/refused-medication-error
The Case
A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was
alert to self and place only. The patient h…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case September 2007
Medication Reconciliation: Whose Job Is It?
Source and Credits
This presentation is based on the September 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Eric G. Poon, MD, MPH, Ha…
-
psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Medication Errors and Adverse Drug Events
December 15, 2024
Medication Errors and Adverse Drug Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect cu…
-
psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - March 12, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
-
psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Systems Approach
Citation Text:
Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downl…
-
psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - Eptifibatide Epilogue
April 1, 2009
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue
The Case
A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute
coronary syndrome. Serial testing for mark…
-
psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - Lost in the Black Hole
Citation Text:
Wachter R. Lost in the Black Hole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
-
psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - Privacy Gone Awry
Citation Text:
Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
-
psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices
Citation Text:
Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
…
-
psnet.ahrq.gov/node/50948/psn-pdf
February 26, 2020 - Patient Safety
February 26, 2020
Nicklin W, Hughes L, eds. Healthc Q. 2020;22(Sp2):1-128.
https://psnet.ahrq.gov/issue/patient-safety-12
Articles in this special issue report on initiatives undertaken by the Canadian National Patient Safety
Consortium with a focus on the effect patient partnerships on initiative p…
-
psnet.ahrq.gov/node/42869/psn-pdf
January 28, 2017 - Exploring Alternatives To Malpractice Litigation.
January 28, 2017
Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66.
https://psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
Articles in this special issue cover findings from a federally-funded initiativ…
-
psnet.ahrq.gov/node/837813/psn-pdf
January 21, 2021 - Recognizing Excellence in Diagnosis.
January 21, 2021
The Leapfrog Group.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise
to be successful. This collaborative initiative will initially dev…
-
psnet.ahrq.gov/node/45306/psn-pdf
August 17, 2016 - Indiana Patient Safety Center.
August 17, 2016
Indiana Hospital Association; IHA.
https://psnet.ahrq.gov/issue/indiana-patient-safety-center
Launched in 2006, the Indiana Patient Safety Center (IPSC) is dedicated to promoting safety culture and
reliable systems of care in the state. This website provides resources…