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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44998/psn-pdfApril 20, 2016 - High reliability: excellent care every time. April 20, 2016 Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. https://psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time Achieving high reliability has attracted attention as a goal in health care. This article provides an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44909/psn-pdfMarch 23, 2016 - Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. March 23, 2016 Horsham, PA: Institute for Safe Medication Practices; 2013. https://psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy Root cause analysis offers a structured way to detect and address system weaknesses. This… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44718/psn-pdfNovember 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient Safety. November 25, 2015 Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety The 2004 Canadian Adverse Events Study helpe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34681/psn-pdfFebruary 09, 2011 - No-fault compensation for medical injuries: the prospect for error prevention. February 9, 2011 Studdert DM, Brennan TA. No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2). doi:10.1001/jama.286.2.217. https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention The auth… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838015/psn-pdfSeptember 07, 2022 - Physicians and cognitive decline: a challenge for state medical boards. September 7, 2022 Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19. https://psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46750/psn-pdfJanuary 31, 2018 - Iowans' Views on Medical Errors: Iowa Patient Safety Study. January 31, 2018 Clive, IA: Heartland Health Research Institute; January 7, 2018. https://psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study Patient perspectives can provide insights regarding areas in need of improvement. This sur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43243/psn-pdfJune 11, 2014 - Improved incident reporting following the implementation of a standardized emergency department peer review process. June 11, 2014 Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34994/psn-pdfSeptember 29, 2017 - Advances in Patient Safety: From Research to Implementation. September 29, 2017 Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality (US); 2005. https://psnet.ahrq.gov/issue/advances-patient-safety-research-implementation With 4 volumes and 140 articles (all of … -
digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care/final-reportJanuary 01, 2023 - Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report Citation Hettinger A. Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report. (Prepared by MedStar Health Research Institute under Grant No. R01 HS022542). Rockville…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43839/psn-pdfJanuary 28, 2015 - Patient Safety. January 28, 2015 J Health Serv Res Policy. 2015;20(suppl 1):S1-S60. https://psnet.ahrq.gov/issue/patient-safety-11 Articles in this special supplement explore research commissioned by National Institute for Health Research in the United Kingdom to address four patient safety research gaps: how orga… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36881/psn-pdfApril 12, 2011 - Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. April 12, 2011 Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Ann Surg Innov Res. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36419/psn-pdfJuly 14, 2010 - Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. July 14, 2010 Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90690.97. https://psnet.ahrq.gov/issue/tim… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43529/psn-pdfOctober 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37847/psn-pdfJune 18, 2008 - Effect of the 80-hour work week on resident case coverage. June 18, 2008 Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34737/psn-pdfNovember 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems Failure. November 19, 2015 Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure This video, produced by the Partnership for Patient Safety and the Harvard … -
www.ahrq.gov/funding/process/review/index.htmlApril 01, 2015 - Grant Application Peer Review Process Grant applications submitted to AHRQ are evaluated by the AHRQ peer review process to ensure a fair, competent and objective assessment of their scientific and technical merit. Application Receipt and Referral Process Once received, AHRQ grant applications are submitt…
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www.ahrq.gov/cpi/about/mission/strategic-plan/strategic-plan.htmlSeptember 01, 2024 - AHRQ Strategic Plan Information on the Agency's strategic plans. As 1 of 12 agencies within the Department of Health and Human Services (HHS), the Agency for Healthcare Research and Quality (AHRQ) supports health services research initiatives that seek to improve the quality of healthcare in America. AHRQ’s m…
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psnet.ahrq.gov/web-mm/getting-root-matterSeptember 01, 2005 - SPOTLIGHT CASE Getting to the Root of the Matter Citation Text: Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Schola…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49483/psn-pdfJune 01, 2005 - Getting to the Root of the Matter June 1, 2005 Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/getting-root-matter Case Objectives Appreciate the goals and limitations of root cause analysis Outline the steps to conduct root cause analysis The Case A… -
hcup-us.ahrq.gov/db/vars/dispuniform/nisnote.jspSeptember 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…
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