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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - these initial
screens/assessments.5, 6
Beyond suicide screening, a number of quality improvement initiative
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - The HGR is a continuing education initiative comprised of a four-module seminar series focused on best
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - agency's
Health Information Technology program launched an Ambulatory Safety and Quality (ASQ) grant initiative
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Organization launched its Medication
Without Harm program as part of its Global Patient Safety Challenges initiative
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - This initiative has significantly improved workflow and helped to address inefficiencies associated with
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - September 28, 2011
A system-wide initiative to prevent retained vaginal sponges.
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psnet.ahrq.gov/node/838925/psn-pdf
March 03, 2025 - Improving Quality and Safety in Healthcare.
March 3, 2025
Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
Improvement activities are complex initiatives that require synergistic actions by organizations to be
s…
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psnet.ahrq.gov/node/60972/psn-pdf
January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic
Disparities in Health Care.
January 30, 2003
Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National
Academies Press: 2003. ISBN 9780309082655.
https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…
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psnet.ahrq.gov/node/845650/psn-pdf
March 08, 2023 - Towards conceptualizing patients as partners in health
systems: a systematic review and descriptive synthesis.
March 8, 2023
Vanstone M, Canfield C, Evans C, et al. Towards conceptualizing patients as partners in health systems: a
systematic review and descriptive synthesis. Health Res Policy Syst. 2023;21(1):12. d…
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psnet.ahrq.gov/node/45321/psn-pdf
August 01, 2017 - Peer support for clinicians: a programmatic approach.
August 1, 2017
Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med.
2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297.
https://psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
Peer support programs can help …
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psnet.ahrq.gov/node/47324/psn-pdf
November 07, 2018 - Engaging patients to improve quality of care: a
systematic review.
November 7, 2018
Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review.
Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.
https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…
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psnet.ahrq.gov/node/35501/psn-pdf
June 15, 2011 - Ethical issues in patient safety.
June 15, 2011
Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501.
https://psnet.ahrq.gov/issue/ethical-issues-patient-safety
This commentary, written by patient safety expert Lucian Leape, begins with a retrospective view on the
birth of patient safety…
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psnet.ahrq.gov/node/39086/psn-pdf
May 24, 2015 - Psychiatry morbidity and mortality rounds:
implementation and impact.
May 24, 2015
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact.
Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-r…
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psnet.ahrq.gov/node/40342/psn-pdf
April 21, 2015 - Counterheroism, common knowledge, and ergonomics:
concepts from aviation that could improve patient safety.
April 21, 2015
Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics:
concepts from aviation that could improve patient safety. Milbank Q. 2011;89(1):4-38. doi:10.1111/…
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psnet.ahrq.gov/node/42893/psn-pdf
March 13, 2014 - Effect of patient safety strategies on the incidence of
adverse events.
March 13, 2014
Sierra AF, del Aguila del MR, Espigares JLN, et al. Effect of patient safety strategies on the incidence of
adverse events. J Eval Clin Pract. 2014;20(2):184-90. doi:10.1111/jep.12105.
https://psnet.ahrq.gov/issue/effect-patient…
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psnet.ahrq.gov/node/34927/psn-pdf
June 23, 2009 - Health Care Quality and Disparities: Lessons from the
First National Reports.
June 23, 2009
Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88.
https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
Highlights from AHRQ's two inaugural reports, the 2003 National …
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psnet.ahrq.gov/node/44107/psn-pdf
August 15, 2016 - Patient safety and end-of-life care: common issues,
perspectives, and strategies for improving care.
August 15, 2016
Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving
Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/1049909115581847.
https://psnet.ahrq…
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psnet.ahrq.gov/node/47767/psn-pdf
June 12, 2019 - Gaps in ambulatory patient safety for immunosuppressive
specialty medications.
June 12, 2019
Patterson S, Schmajuk G, Evans M, et al. Gaps in Ambulatory Patient Safety for Immunosuppressive
Specialty Medications. Jt Comm J Qual Patient Saf. 2019;45(5):348-357. doi:10.1016/j.jcjq.2018.12.003.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/46714/psn-pdf
January 10, 2018 - A system-based approach to managing patient safety in
ambulatory care (and beyond).
January 10, 2018
Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.
https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
Systems-based improvements are ke…
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psnet.ahrq.gov/node/45614/psn-pdf
November 29, 2016 - More than half a million heart surgery patients at risk of a
dangerous infection.
November 29, 2016
Sun LH.
https://psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
Medical devices can contribute to the spread of health care–associated infections. This news article
discusses …