-
psnet.ahrq.gov/node/39093/psn-pdf
November 11, 2009 - For whom the Bell Commission tolls: unintended effects
of limiting residents' hours.
November 11, 2009
Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg
Med. 2009;54(4):A25-9.
https://psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limitin…
-
psnet.ahrq.gov/node/37767/psn-pdf
June 01, 2022 - Hospital Survey on Patient Safety Culture 2.0.
June 1, 2022
Rockville, MD: Agency for Healthcare Research and Quality; 2019.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20
The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey and accompanying toolkit were
developed to collect …
-
psnet.ahrq.gov/node/74249/psn-pdf
January 12, 2022 - Medication safety issues with newly authorized
PAXLOVID.
January 12, 2022
Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022.
https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
Emerging care practices can produce unsafe situations due to the newness…
-
psnet.ahrq.gov/node/74043/psn-pdf
September 18, 2023 - DAISY Award for Extraordinary Nurses in Patient Safety.
September 18, 2023
The Daisy Foundation and Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/daisy-award-extraordinary-nurses-patient-safety
Nurses have a fundamental role in safe care delivery by fostering a healthy work environment. This aw…
-
psnet.ahrq.gov/node/43086/psn-pdf
March 26, 2014 - International Comparisons: A Focus on Quality of Care.
March 26, 2014
Ottawa, ON: Canadian Institute for Health Information; January 23, 2014.
https://psnet.ahrq.gov/issue/international-comparisons-focus-quality-care
This report compared the quality of care in Canada with 34 other countries to identify areas in whi…
-
psnet.ahrq.gov/node/35858/psn-pdf
July 22, 2010 - How long and how much are nurses now working?
July 22, 2010
Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs.
2006;106(4):60-72.
https://psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working
The authors analyzed results from a national survey and foun…
-
psnet.ahrq.gov/node/35595/psn-pdf
January 04, 2009 - Patient Safety: Achieving a New Standard of Care.
January 4, 2009
Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM,
Wolcott J, Erickson SM, eds. Washington (DC): National Academies Press (US); 2004.
https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standa…
-
psnet.ahrq.gov/node/39728/psn-pdf
January 03, 2017 - Diffusing aviation innovations in a hospital in the
Netherlands.
January 3, 2017
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The
Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
https://psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-n…
-
psnet.ahrq.gov/node/42537/psn-pdf
October 02, 2013 - The use of a checklist in a pediatric oncology clinic.
October 2, 2013
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr
Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
An Institute o…
-
psnet.ahrq.gov/node/43202/psn-pdf
September 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care
Settings.
September 11, 2023
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023.
https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
Experience from the sharp end helps to inform safety improvement initiatives. The…
-
psnet.ahrq.gov/node/41204/psn-pdf
March 07, 2012 - The Canadian interprofessional patient safety
competencies: their role in health-care professionals'
education.
March 7, 2012
King J, Anderson CM. The Canadian interprofessional patient safety competencies: their role in health-care
professionals' education. J Patient Saf. 2012;8(1):30-35. doi:10.1097/PTS.0b013e31…
-
psnet.ahrq.gov/node/46620/psn-pdf
January 30, 2018 - Where should patient safety be installed?
January 30, 2018
Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17.
doi:10.1002/jhrm.21285.
https://psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
Organizational structure influences the prioritization of safe…
-
psnet.ahrq.gov/node/39033/psn-pdf
October 21, 2009 - Enhancing medication use safety: benefits of learning
from your peers.
October 21, 2009
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from
your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
https://psnet.ahrq.gov/issue/enhancing-medi…
-
psnet.ahrq.gov/node/50920/psn-pdf
February 19, 2020 - Preeminent hospitals penalized over rates of patients’
injuries.
February 19, 2020
Rau J. Kaiser Health News. January 30, 2020.
https://psnet.ahrq.gov/issue/preeminent-hospitals-penalized-over-rates-patients-injuries
Medicare reimbursement restrictions are a controversial stimulus to motivate hospital acquired con…
-
psnet.ahrq.gov/node/38208/psn-pdf
November 12, 2008 - Specimen labeling errors: a Q-probes analysis of 147
clinical laboratories.
November 12, 2008
Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical
laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-
2165(2008)132[1617:SLEAQA]2.0.CO;2.
https:/…
-
psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects.
January 2, 2017
Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects.
Jt Comm J Qual Saf. 2009;35(3):123-132.
https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
Th…
-
psnet.ahrq.gov/node/36610/psn-pdf
January 14, 2011 - Prevent medication errors: a New Year's resolution:
teaching patients about their medications.
January 14, 2011
Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications.
Home Healthc Nurse. 2007;25(1):59-62.
https://psnet.ahrq.gov/issue/prevent-medication-errors-new-…
-
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/41608/psn-pdf
August 22, 2012 - Reduction in pediatric identification band errors: a quality
collaborative.
August 22, 2012
Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality
collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911.
https://psnet.ahrq.gov/issue/reduction-pedia…