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  1. Opening the Door to Change. NHS Safety Culture and the Need for Transformation. | PSNet

    psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
    February 08, 2017 - Book/Report Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Citation Text: Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018. Copy Citation Save…

  2. Understanding models of error and how they apply in clinical practice. | PSNet

    psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
    October 11, 2016 - Commentary Understanding models of error and how they apply in clinical practice. Citation Text: Understanding models of error and how they apply in clinical practice. Garfield S, Franklin BD. Pharm J. June 14, 2016. Copy Citation Save Save to your library P…

  3. The National Medical Error Disclosure and Compensation (MEDiC) Act. | PSNet

    psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
    December 06, 2011 - Legislation/Case Law The National Medical Error Disclosure and Compensation (MEDiC) Act. Citation Text: The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005. Copy Citation …

  4. The untold story of a cyberattack, a hospital and a dying woman. | PSNet

    psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
    August 25, 2021 - Newspaper/Magazine Article The untold story of a cyberattack, a hospital and a dying woman. Citation Text: The untold story of a cyberattack, a hospital and a dying woman. Ralston W. Wired Magazine. November 11, 2020. Copy Citation Save Save to your library …

  5. Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. | PSNet

    psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
    February 06, 2018 - Book/Report Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Citation Text: Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. Copy Citation Save Save to your library …

  6. Our stubborn quest for diagnostic certainty. | PSNet

    psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
    June 21, 2016 - Commentary Our stubborn quest for diagnostic certainty. Citation Text: Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  7. Department of Defense Health Care Quality. | PSNet

    psnet.ahrq.gov/issue/department-defense-health-care-quality
    February 11, 2025 - Book/Report Department of Defense Health Care Quality. Citation Text: Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011. Copy Citation Save Save to your library Print…

  8. Quality Measurement | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/quality-measurement
    January 01, 2023 - Quality Measurement Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgent care by…

  9. Improving Diagnosis. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis
    November 28, 2018 - Special or Theme Issue Improving Diagnosis. Citation Text: Improving Diagnosis. Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  10. When mistakes happen. | PSNet

    psnet.ahrq.gov/issue/when-mistakes-happen
    May 13, 2020 - Newspaper/Magazine Article When mistakes happen. Citation Text: When mistakes happen. Beck DL. ASH Clinical News. December 1, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…

  11. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. | PSNet

    psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
    June 24, 2020 - Commentary Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. Citation Text: Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics. 2007;35(3):463-70. Copy Citation Format:…

  12. Just culture: who gets to draw the line? | PSNet

    psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
    June 24, 2020 - Commentary Just culture: who gets to draw the line? Citation Text: Dekker SWA. Just culture: who gets to draw the line? Cognition, Technology & Work. 2008;11(3). doi:10.1007/s10111-008-0110-7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  13. Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. | PSNet

    psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
    June 12, 2019 - Book/Report Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. Citation Text: Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…

  14. Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. | PSNet

    psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying-gaps-and-future
    September 30, 2020 - Book/Report Emerging Classic Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. Citation Text: Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Di…

  15. Descriptive Statistics by Insurance Status for Most Frequent Hospital Diagnoses and Procedures

    hcup-us.ahrq.gov/reports/natstats/rn5.htm
    November 01, 1998 - Descriptive Statistics by Insurance Status for Most Frequent Hospital Diagnoses and Procedures Descriptive Statistics by Insurance Status for Most Frequent Hospital Diagnoses and Procedures Below is a summary of HCUP-3 Research Note 5 (AHCPR Pub. No. 97-0009), which is available from the AHCPR Pub…

  16. Access to Clinical Information at the Bedside. | PSNet

    psnet.ahrq.gov/issue/access-clinical-information-bedside
    March 16, 2022 - Book/Report Access to Clinical Information at the Bedside. Citation Text: Access to Clinical Information at the Bedside. Farnborough, UK: Healthcare Safety Investigation Branch; February 2023. Copy Citation Save Save to your library Print Download PDF …

  17. Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. | PSNet

    psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
    January 23, 2019 - Toolkit Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Citation Text: Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Institute for Healthcare Improvement, National Patient Safety Foundation. C…

  18. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet

    psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication …

  19. Validity of Patient Safety Indicators in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
    October 16, 2008 - Special or Theme Issue Validity of Patient Safety Indicators in the Veterans Health Administration. Citation Text: Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.   Copy Citation Save Save t…

  20. Promote a culture of safety with good catch reports. | PSNet

    psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
    November 06, 2015 - Newspaper/Magazine Article Promote a culture of safety with good catch reports. Citation Text: Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. Copy Citation Save Save to your librar…
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