-
psnet.ahrq.gov/node/42370/psn-pdf
June 19, 2013 - Resident Projects for Improvement.
June 19, 2013
Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of
New Mexico; May 2013.
https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
This publication outlines quality and safety improvement proj…
-
psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
-
psnet.ahrq.gov/training-catalog/building-safety-culture-and-strengthening-hospital-safety-systems
July 07, 2025 - Building Safety Culture and Strengthening Hospital Safety Systems
Save
Save to your library
Print
Share
Facebook
Twitter
Linkedin
Copy URL
Organization:
Organization
Hospital Quality Institute
E…
-
psnet.ahrq.gov/node/60537/psn-pdf
May 27, 2020 - I can't turn my brain off.
May 27, 2020
Hoffman J. New York Times. May 16, 2020.
https://psnet.ahrq.gov/issue/i-cant-turn-my-brain
Health care worker stress is a known contributor to disruptive behavior, error and clinician suicide. This
story discusses the impact of the COVID-19 pandemic on psychological strain …
-
psnet.ahrq.gov/node/41602/psn-pdf
August 15, 2012 - How Can Health Care Organizations Become More Health
Literate?: Workshop Summary.
August 15, 2012
Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice;
Institute of Medicine. Washington, DC: The National Academies Press; 2012. ISBN: 9780309256810.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/44610/psn-pdf
May 03, 2017 - International Prize in Resilient Health Care.
May 3, 2017
The Australian Institute of Health Innovation.
https://psnet.ahrq.gov/issue/international-prize-resilient-health-care
Innovations in patient safety can drive improvement efforts. This award program seeks to recognize
feasible and widely implementable strate…
-
psnet.ahrq.gov/node/47318/psn-pdf
October 12, 2018 - ISMP Survey on IV Push Medication Practices.
October 12, 2018
Institute for Safe Medication Practices; ISMP.
https://psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
Errors in IV push medication use can cause patient harm. This survey seeks to gather data on how
clinicians administer IV push medicatio…
-
psnet.ahrq.gov/node/45990/psn-pdf
August 24, 2022 - Medication Safety Certificate Program.
August 24, 2022
American Society of Health-System Pharmacists, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/medication-safety-certificate-program
Leadership commitment to reduce medication errors can help address this safety problem. This certificate
…
-
psnet.ahrq.gov/node/844762/psn-pdf
September 25, 2019 - 10 Medication Safety Tips for Hospitalized Patients.
September 25, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
Hospitalized patients are at risk for medication errors. This set of tips seeks to help hospitalized patien…
-
psnet.ahrq.gov/node/61104/psn-pdf
March 03, 2025 - NAM Scholars in Diagnostic Excellence program.
January 10, 2025
National Academy of Medicine and the Council of Medical Specialty Societies.
https://psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
Diagnostic error reduction is gaining momentum as a primary focus of patient safety achievement. This
…
-
psnet.ahrq.gov/node/34618/psn-pdf
July 28, 2013 - National Survey on Consumers' Experiences With Patient
Safety and Quality Information.
July 28, 2013
Washington DC: Kaiser Family Foundation, Agency for Healthcare Research and Quality, Harvard School
of Public Health; 2004.
https://psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-qual…
-
psnet.ahrq.gov/node/73480/psn-pdf
December 17, 2024 - Improving Patient Safety with Human Factors Methods.
December 17, 2024
Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025.
https://psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
Human factors engineering (HFE) is a primary strategy for advancing safety in healt…
-
psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - In Conversation with…Carolyn Clancy, MD
September 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Carolyn Clancy, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
…
-
psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - theme in many of them—that they had initially
been developed, often with AHRQ's support, at a single institution
-
psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…Jennifer Daley, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Co…
-
psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System
Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hauck LD, Jacob J. Implementing a Patient Safety …
-
psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice
Hardeep Singh, MD, MPH | January 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Singh H. Diagnostic Errors: A New Chapter in Patient Safe…
-
psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
July 20, 2022 - Study
Classic
Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.
Citation Text:
Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospect…
-
psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured
June 08, 2022 - Study
In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study.
Citation Text:
Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitud…
-
psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
December 08, 2021 - Study
Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system.
Citation Text:
Horberg MA, Nassery …