-
psnet.ahrq.gov/node/73709/psn-pdf
September 15, 2021 - Crisis management for surgical teams and their leaders,
lessons from the COVID-19 pandemic; a structured
approach to developing resilience or natural
organisational responses.
September 15, 2021
Pring ET, Malietzis G, Kendall SWH, et al. Crisis management for surgical teams and their leaders, lessons
from the COV…
-
psnet.ahrq.gov/node/60232/psn-pdf
April 15, 2020 - Sustaining innovations in complex health care
environments: a multiple-case study of rapid response
teams.
April 15, 2020
Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a
multiple-case study of rapid response teams. J Patient Saf. 2020;16(1).
doi:10.1097/pts.0000000…
-
psnet.ahrq.gov/node/866962/psn-pdf
October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems
(DxEx–AFHS) Seed Grant Program Improving Diagnosis
for Older Adults.
October 16, 2024
Boston, MA: Institute for Healthcare Improvement; September 23, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-
progra…
-
psnet.ahrq.gov/node/72597/psn-pdf
January 01, 2021 - Second victim experiences of nurses in obstetrics and
gynaecology: a Second Victim Experience and Support
Tool Survey
December 23, 2020
Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and
gynaecology: a Second Victim Experience and Support Tool Survey. J Nurs Manag. 202…
-
psnet.ahrq.gov/node/867390/psn-pdf
December 18, 2024 - Quality of care and quality of life: balancing patient safety
and physician burnout.
December 18, 2024
Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician
burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/850910/psn-pdf
June 21, 2023 - Developing electronic clinical quality measures to assess
the cancer diagnostic process.
June 21, 2023
Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess
the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531.
doi:10.1093/jamia/ocad089.
https:…
-
psnet.ahrq.gov/node/47690/psn-pdf
March 13, 2019 - I-PASS mentored implementation handoff curriculum:
champion training materials.
March 13, 2019
O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum:
Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794.
https://psnet.ahrq.gov/issue/i-pass-…
-
psnet.ahrq.gov/node/844047/psn-pdf
February 08, 2023 - Using trainee failures to enhance learning: a qualitative
study of pediatric hospitalists on allowing failure.
February 8, 2023
Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of
pediatric hospitalists on allowing failure. Acad Pediatr. 2023;23(2):489-496.
doi:…
-
psnet.ahrq.gov/node/37022/psn-pdf
September 24, 2010 - Implementation and impact of a rapid response team in a
children's hospital.
September 24, 2010
Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a
children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
https://psnet.ahrq.gov/issue/implementation-and-impac…
-
psnet.ahrq.gov/node/47409/psn-pdf
April 16, 2019 - Health care risk managers' consensus on the
management of inappropriate behaviors among hospital
staff.
April 16, 2019
Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of
inappropriate behaviors among hospital staff. J Healthc Risk Manag. 2019;38(4):32-42.
doi:10.1002/jhrm.…
-
psnet.ahrq.gov/node/73616/psn-pdf
August 18, 2021 - Do Black and White Patients Experience Similar Rates of
Adverse Safety Events at the Same Hospital?
August 18, 2021
Gangopadhyaya A. Washington DC; Urban Institute: July 2021.
https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-
same-hospital
Racial inequities h…
-
psnet.ahrq.gov/node/46255/psn-pdf
September 06, 2017 - Patient Safety in the Home: Assessment of Issues,
Challenges, and Opportunities.
September 6, 2017
Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities
The ambulatory env…
-
psnet.ahrq.gov/node/73062/psn-pdf
January 01, 2022 - Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient
parenteral anti-cancer therapy.
March 25, 2021
Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient …
-
psnet.ahrq.gov/node/41186/psn-pdf
January 03, 2017 - The costs of adverse drug events in community hospitals.
January 3, 2017
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J
Qual Patient Saf. 2012;38(3):120-6.
https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
Adverse drug events (ADEs) a…
-
psnet.ahrq.gov/node/45962/psn-pdf
April 24, 2018 - Bridging leadership roles in quality and patient safety:
experience of 6 US academic medical centers.
April 24, 2018
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience
of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1):9-13. doi:10.4300/JGME-D-16-00065…
-
psnet.ahrq.gov/node/38309/psn-pdf
December 23, 2016 - Safely implementing health information and converging
technologies.
December 23, 2016
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
As health information techno…
-
psnet.ahrq.gov/node/36424/psn-pdf
January 07, 2008 - Teamwork in the operating room: frontline perspectives
among hospitals and operating room personnel.
January 7, 2008
Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thomas EJ; Holzmueller CG; Knight AP; Wu Y;
Pronovost PJ.
https://psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-ho…
-
psnet.ahrq.gov/node/60271/psn-pdf
April 29, 2020 - Pain management best practices from multispecialty
organizations during the COVID-19 pandemic and public
health crises.
April 29, 2020
Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty
Organizations During the COVID-19 Pandemic and Public Health Crises. Pain Med. 2020;21(…
-
psnet.ahrq.gov/node/34845/psn-pdf
June 30, 2011 - The JCAHO patient safety event taxonomy: a
standardized terminology and classification schema for
near misses and adverse events.
June 30, 2011
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized
terminology and classification schema for near misses and adverse events. In…
-
psnet.ahrq.gov/issue/marylanddc-patient-safety-coalition
September 28, 2023 - Multi-use Website
Maryland/DC Patient Safety Coalition.
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
March 17, 2011
The Maryland Patient Safety Center facilitates the study …