-
psnet.ahrq.gov/node/41387/psn-pdf
May 18, 2012 - Surfing the Healthcare Tsunami: Bring Your Best Board.
May 18, 2012
Austin, TX: Texas Medical Institute for Technology; 2012.
https://psnet.ahrq.gov/issue/surfing-healthcare-tsunami-bring-your-best-board
The second in a series, this documentary focuses on learning from other high-risk industries and engaging
hospi…
-
psnet.ahrq.gov/node/50767/psn-pdf
August 12, 2024 - 2024 IHI Forum
August 12, 2024
Institute for Healthcare Improvement. Orlando World Center Marriott, Orlando, FL, December 9-11, 2024.
https://psnet.ahrq.gov/issue/2024-ihi-forum
This hybrid conference will offer workshops and interactive sessions exploring strategies from within health
care and beyond to improve h…
-
psnet.ahrq.gov/node/40870/psn-pdf
October 19, 2011 - The Richard and Hinda Rosenthal Lecture 2011: New
Frontiers in Patient Safety.
October 19, 2011
Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030.
https://psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
This lecture features Ka…
-
psnet.ahrq.gov/training-catalog/niosh-training-nurses-shift-work-and-long-work-hours
June 23, 2025 - NIOSH Training for Nurses on Shift Work and Long Work Hours
Save
Save to your library
Print
Share
Facebook
Twitter
Linkedin
Copy URL
Organization:
Organization
National Institute for Occupational Safety and Health (…
-
psnet.ahrq.gov/node/35676/psn-pdf
June 25, 2010 - Implementation of patient centeredness to enhance
patient safety.
June 25, 2010
Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual.
2006;21(1):15-19.
https://psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
The author reviews the six aims…
-
psnet.ahrq.gov/node/37819/psn-pdf
April 14, 2010 - Standardizing Medication Labels: Confusing Patients
Less, Workshop Summary.
April 14, 2010
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice,
Institute of Medicine. Washington, DC: National Academies Press; 2008.
https://psnet.ahrq.gov/issue/standardizing-medica…
-
psnet.ahrq.gov/node/36146/psn-pdf
February 05, 2019 - Guidelines for Design and Construction.
February 5, 2019
St Louis, Missouri; Facilities Guidelines Institute; 2018.
https://psnet.ahrq.gov/issue/guidelines-design-and-construction
These updated guidelines include design changes, such as the adoption of private rooms to reduce
medical error, interruptions, and hosp…
-
psnet.ahrq.gov/node/36922/psn-pdf
June 22, 2015 - Fluorouracil Incident Root Cause Analysis Report.
June 22, 2015
Toronto, CA: Institute for Safe Medication Practices Canada; May 2007.
https://psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
This report shares findings from a root cause analysis of a medication error incident that led to a pat…
-
psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - current U.S. health care system is the lack of standardized performance measures that enable cross-institutional
-
psnet.ahrq.gov/node/35379/psn-pdf
June 15, 2011 - Report 6: Managing Risk and Minimising Mistakes in
Services to Children and Families.
June 15, 2011
Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellence; September 2005.
https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
This…
-
psnet.ahrq.gov/node/38248/psn-pdf
December 27, 2008 - AHRQ presses on: no rule yet, but agency taps 10 safety
organizations.
December 27, 2008
DerGurahian J. AHRQ presses on. No rule yet, but agency taps 10 safety organizations. Modern
healthcare. 2008;38(45):8-9.
https://psnet.ahrq.gov/issue/ahrq-presses-no-rule-yet-agency-taps-10-safety-organizations
This article …
-
psnet.ahrq.gov/node/38518/psn-pdf
October 27, 2015 - Hospital Report Card: Ontario 2009.
October 27, 2015
Esmail N, Hazel M. Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009.
ISSN: 1918-2082.
https://psnet.ahrq.gov/issue/hospital-report-card-ontario-2009
Designed to help patients choose hospitals, this report utilized AHRQ qualit…
-
psnet.ahrq.gov/node/37806/psn-pdf
July 14, 2010 - Impact of patient safety mandates on medical education
in the United States.
July 14, 2010
Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United
States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5.
https://psnet.ahrq.gov/issue/impact-patient-safety-m…
-
psnet.ahrq.gov/node/39191/psn-pdf
February 08, 2011 - Leadership in Healthcare Organizations: A Guide to Joint
Commission Leadership Standards.
February 8, 2011
Schyve PM. San Diego, CA: Governance Institute; 2009.
https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-
standards
This white paper provides comprehensive inf…
-
psnet.ahrq.gov/node/40696/psn-pdf
December 01, 2011 - Rapid response systems: a prospective study of
response times.
December 1, 2011
Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J
Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013.
https://psnet.ahrq.gov/issue/rapid-response-systems-prospective-…
-
psnet.ahrq.gov/node/47977/psn-pdf
August 14, 2019 - Reducing Diagnostic Error: Measurement Considerations.
August 14, 2019
National Quality Forum
https://psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
This website tracks the progress of a project focused on the development and review of measures to
enhance viability, reporting, accountabi…
-
psnet.ahrq.gov/node/39969/psn-pdf
October 27, 2010 - The Preventable Harm Index: an effective motivator to
facilitate the drive to zero.
October 27, 2010
Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the
drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.2010.05.046.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/37450/psn-pdf
June 13, 2011 - Technical patient safety solutions for medicines
reconciliation on admission of adults to hospital.
June 13, 2011
Manchester, UK: National Institute for Health and Clinical Excellence; 2015.
https://psnet.ahrq.gov/issue/technical-patient-safety-solutions-medicines-reconciliation-admission-adults-
hospital
This gu…
-
psnet.ahrq.gov/node/34718/psn-pdf
August 05, 2008 - How can we save the next victim?
August 5, 2008
Belkin L
https://psnet.ahrq.gov/issue/how-can-we-save-next-victim
In this article, Belkin examines how the medical field has recently shifted away from blaming individuals for
medical error toward a model that searches for systems problems and solutions for preventio…
-
psnet.ahrq.gov/node/36883/psn-pdf
August 31, 2011 - Voluntary review of quality of care peer review for patient
safety.
August 31, 2011
Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet
Gynaecol. 2007;21(4):557-64.
https://psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
The autho…