-
psnet.ahrq.gov/node/38102/psn-pdf
April 15, 2019 - Epidemiology of adverse events in air medical transport.
April 15, 2019
MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad
Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x.
https://psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transpo…
-
psnet.ahrq.gov/node/39982/psn-pdf
January 17, 2012 - Hand-off Communications.
January 17, 2012
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA
National Center for Patient Safety's prospective risk analysis system.
https://psnet.ahrq.gov/issue/hand-communications
The Joint Commission Center for Transforming Hea…
-
psnet.ahrq.gov/node/41914/psn-pdf
January 18, 2013 - High-fidelity simulation and safety: an integrative review.
January 18, 2013
Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45.
doi:10.3928/01484834-20121121-01.
https://psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review
This thematic revi…
-
psnet.ahrq.gov/node/35441/psn-pdf
September 18, 2009 - Bridging the communication gap in the operating room
with medical team training.
September 18, 2009
Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical
team training. Am J Surg. 2005;190(5):770-4.
https://psnet.ahrq.gov/issue/bridging-communication-gap-operating-r…
-
psnet.ahrq.gov/node/46003/psn-pdf
May 10, 2017 - National Healthcare Safety Network.
May 10, 2017
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/national-healthcare-safety-network-0
Health care–associated infection are a persistent patient safety problem. This website provides resources
related to a national health care–associated infec…
-
psnet.ahrq.gov/node/35318/psn-pdf
September 20, 2024 - AHRQ Quality Indicators.
September 20, 2024
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/ahrq-quality-indicators
The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) represent quality
measures that make use of a hospital's available administrative data to inform…
-
psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - In Conversation With… Erik Hollnagel, PhD
June 1, 2019
In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
Editor's note: Dr. Hollnagel is Senior Professor of Patient Safety at the University of Jönköping (Sweden)
as well as Visiting…
-
psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - In Conversation With… Richard Platt, MD, MSc
October 1, 2016
In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
Editor's note: Dr. Platt is Professor and Chair of the Harvard Medical School Department of Population
Medicine. He…
-
psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - Measuring Patient Safety
December 14, 2022
Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/measuring-patient-safety
Following the landmark report To Err is Human: Building a Safer Health System, developed by the Institute
of Medicine in 1999, pa…
-
psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable
Citation Text:
Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Ci…
-
psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - Workaround Error
Citation Text:
Pape T. Workaround Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - How to Identify and Manage Problem Behaviors
Alan H. Rosenstein, MD, MBA; Michelle O'Daniel, MSG, MHA | December 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Rosenstein AH, O'Daniel M. How to Identify and Manage Prob…
-
psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - Risk Management and Patient Safety
Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…
-
psnet.ahrq.gov/node/47966/psn-pdf
May 29, 2019 - Patient Safety Essentials Toolkit.
May 29, 2019
Boston, MA: Institute for Healthcare Improvement; 2019.
https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
This toolkit provides access to nine key tools to help organizations improve teamwork, incident analysis,
and communication as well as templates to …
-
psnet.ahrq.gov/node/47280/psn-pdf
October 15, 2018 - Master of Healthcare Quality and Safety.
October 15, 2018
Harvard Medical School.
https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
This one-year degree program will train clinicians and health care executives to lead safety and quality
improvement initiatives. Participants will learn how to develo…
-
psnet.ahrq.gov/node/866322/psn-pdf
July 17, 2024 - UCSF Coordinating Center for Diagnostic Excellence
(CoDEx).
July 17, 2024
University of California, San Francisco.
https://psnet.ahrq.gov/issue/ucsf-coordinating-center-diagnostic-excellence-codex
Diagnostic excellence is an emergent field of study that aligns with diagnostic error reduction efforts. This
center …
-
psnet.ahrq.gov/node/34743/psn-pdf
March 28, 2005 - Juran's Quality Handbook. 5th ed.
March 28, 2005
Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
https://psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
This reference on quality engineering and management practices provides a wealth of background and
scholarship on the elemen…
-
psnet.ahrq.gov/node/41114/psn-pdf
February 01, 2012 - Rapid response systems: identification and management
of the "prearrest state."
February 1, 2012
McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state".
Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012.
https://psnet.ahrq.gov/issue/rapid-respons…
-
psnet.ahrq.gov/node/863762/psn-pdf
March 14, 2024 - Diagnostic Excellence: a Patient Safety Awareness Week
Webinar.
March 6, 2024
Institute for Healthcare Improvement. March 14, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar
Diagnostic safety is core to care without harm. This webinar aligned with the 2024 Patient Saf…
-
psnet.ahrq.gov/node/50667/psn-pdf
November 13, 2019 - Proactive prevention of maternal death from maternal
hemorrhage.
November 13, 2019
Quick Safety. October 29, 2019;(51):1-3.
https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
The reduction of postpartum hemorrhage and the overall improvement of maternal safety is a patient safety
…