U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 7,319 records

Showing results for "initiative".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37596/psn-pdf
    May 01, 2016 - Patient Safety Organization (PSO) Program. May 1, 2016 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program In order to encourage "voluntary, provider-driven initiatives to improve the safety and quality of patient care," the Agency for Healthcare Research…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41957/psn-pdf
    May 04, 2016 - Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. May 4, 2016 Rockville, MD: Center for Drug Evaluation and Research, US Food and Drug Administration; April 2016. https://psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance- indu…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33944/psn-pdf
    January 29, 2018 - National Patient Safety Foundation. January 29, 2018 National Patient Safety Foundation. https://psnet.ahrq.gov/issue/national-patient-safety-foundation Founded in 1997, the National Patient Safety Foundation supported a variety of initiatives, engaging multidisciplinary action toward improvement in patient safety…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37261/psn-pdf
    December 19, 2011 - Creating complex health improvement programs as mindful organizations: from theory to action. December 19, 2011 Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83. https://psnet.ahrq.gov/issue/creating-complex…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43646/psn-pdf
    January 01, 2021 - Patient Safety Systems Chapter. January 1, 2021 In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint Commission; January 2021:PS1-PS46. https://psnet.ahrq.gov/issue/patient-safety-systems-chapter This chapter provides information about how organizations can re-design existin…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41966/psn-pdf
    January 30, 2013 - Reasons for not reporting patient safety incidents in general practice: a qualitative study. January 30, 2013 Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-205. doi:10.3109/02813432.2012.732…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34897/psn-pdf
    November 23, 2016 - Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation. November 23, 2016 Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation. Psychiatr Q. 2005;76(1):85-9…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44487/psn-pdf
    September 23, 2015 - Patient safety and quality improvement: terminology. September 23, 2015 Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology To Err Is…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837001/psn-pdf
    April 27, 2022 - Final Report of the Ockenden Review. April 27, 2022 London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294. https://psnet.ahrq.gov/issue/final-report-ockenden-review Maternal and baby harm in healthcare is a sentinel event manifested by systemic failure. This report serves as the final conclusions of an i…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45809/psn-pdf
    October 29, 2017 - Three perspectives on changes in resident work environment and duty hours. October 29, 2017 Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908. https://psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours In July 2017, the ACGME modified resident physici…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60924/psn-pdf
    September 16, 2020 - Avoid punitive approach to your safety event reporting, September 16, 2020 Cheney C. HealthLeaders. September 4, 2020. https://psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting A blameless approach to error and near miss reporting is foundational to the success of the effort. This article di…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45788/psn-pdf
    March 01, 2017 - Latest Results From the "FIRST" Trial. March 1, 2017 J Am Coll Surg. 2017;224:103-159. https://psnet.ahrq.gov/issue/latest-results-first-trial The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial examined residency program response to duty hour rules. This special issue features studies ex…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44343/psn-pdf
    July 22, 2015 - Speaking up to reduce noise in the OR. July 22, 2015 Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. https://psnet.ahrq.gov/issue/speaking-reduce-noise-or Noise in health care settings can hinder communication and contribute to distractions. This commentary…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39829/psn-pdf
    January 09, 2025 - Hospital Reporting Program: Annual Summary. January 9, 2025 Portland, OR: Oregon Patient Safety Commission. https://psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary This site provides data and analysis from two Oregon Patient Safety Commission patient safety initiatives: the Patient Safety Reporting …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60166/psn-pdf
    March 25, 2020 - For 4 days, the hospital thought he had just pneumonia. It was coronavirus. March 25, 2020 Goldstein J, Salcedo A. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. New York Times. 2020;March 10. https://psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45229/psn-pdf
    July 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43380/psn-pdf
    December 03, 2014 - Diagnostic error in children presenting with acute medical illness to a community hospital. December 3, 2014 Warrick C, Patel P, Hyer W, et al. Diagnostic error in children presenting with acute medical illness to a community hospital. Int J Qual Health Care. 2014;26(5):538-46. doi:10.1093/intqhc/mzu066. https://p…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46385/psn-pdf
    October 23, 2018 - The key to reducing doctors' misdiagnoses. October 23, 2018 Landro L. Wall Street Journal. September 12, 2017. https://psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and i…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40098/psn-pdf
    December 18, 2014 - Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. December 18, 2014 Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Pediatrics. 2010;126(6):e1461-8. doi:10.1542/peds.2009-2872…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866359/psn-pdf
    June 01, 2022 - Diagnostic Safety Toolkit. June 1, 2022 Diagnostic Safety Toolkit. https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0 Effective communication is critical as patients shift from one level of care to another as their diagnosis evolves. This toolkit is designed to help academic medical centers initiate conversa…
SHARE:
Facebook Twitter Print Facebook Share

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site:

View results from all sites