-
psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
June 30, 2011 - Disclosing medical errors to patients: a challenge for health care professionals and institutions
-
psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices
November 30, 2016 - electronic adverse event identification, classification, and corrective actions across academic pediatric institutions
-
psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-safety
October 04, 2006 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions
-
psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
March 19, 2018 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions
-
psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
December 05, 2013 - mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions
-
psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Annual Perspective
Diagnostic Errors
Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
-
psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Essay
View more articles from the same authors. …
-
psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Van CM, Mossb…
-
psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
June 21, 2023 - Measurement Tool/Indicator
Lives and Dollars Lost Calculator.
Citation Text:
Lives and Dollars Lost Calculator. Leapfrog Group.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy …
-
psnet.ahrq.gov/node/47530/psn-pdf
June 19, 2019 - Two decades since To Err Is Human: an assessment of
progress and emerging priorities in patient safety.
June 19, 2019
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging
Priorities In Patient Safety. Health Aff (Millwood). 2018;37(11):1736-1743. doi:10.1377/hlthaff.2018.0738…
-
psnet.ahrq.gov/node/39653/psn-pdf
November 15, 2011 - The new recommendations on duty hours from the
ACGME Task Force.
November 15, 2011
Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force.
N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800.
https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
…
-
psnet.ahrq.gov/node/42099/psn-pdf
March 13, 2013 - Inpatient fall prevention programs as a patient safety
strategy: a systematic review.
March 13, 2013
Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a
systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.7326/0003-4819-158-5-201303051-
00005.
…
-
psnet.ahrq.gov/node/45897/psn-pdf
August 20, 2018 - Clinical reasoning education at US medical schools:
results from a national survey of internal medicine
clerkship directors.
August 20, 2018
Rencic J, Trowbridge RL, Fagan M, et al. Clinical Reasoning Education at US Medical Schools: Results
from a National Survey of Internal Medicine Clerkship Directors. J Gen In…
-
psnet.ahrq.gov/node/38744/psn-pdf
July 01, 2009 - Effects of resident duty hour reform on surgical and
procedural patient safety indicators among hospitalized
Veterans Health Administration and Medicare patients.
July 1, 2009
Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedural
patient safety indicators among ho…
-
psnet.ahrq.gov/issue/spread-remains-challenge-patient-safety-improvement
January 23, 2019 - Newspaper/Magazine Article
'Spread' remains challenge in patient safety improvement.
Citation Text:
'Spread' remains challenge in patient safety improvement. Healthcare benchmarks and quality improvement. 2011;18(5):49-52.
Copy Citation
Format:
Google Scholar PubMed BibTe…
-
psnet.ahrq.gov/issue/quality-and-safety
January 08, 2020 - Multi-use Website
Quality and Safety.
Citation Text:
Quality and Safety. Florida Hospital Association.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
S…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - Malpractice reform—opportunities for leadership by health care institutions and liability insurers. … of an individual physician
However, care may be delivered by numerous providers, sometimes across institutions
-
psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - Very few institutions ever look at close calls or
near misses. … When many institutions go to do this, the people involved don't understand that
you really have to do … But we had a whole host of different people involved in this from
different institutions like Kaiser
-
psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - greater
than 20 million procedures.(8) Because many RSI cases are kept confidential by providers, institutions … These events can have significant financial impact on
providers and institutions, both in legal costs … and nonpayment from the federal government.(16,20)
Additionally, institutions suffer a cost to their
-
psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - health care industry from public outrage, reformed reimbursement policies, and
regulation.(3)
Although institutions … system change, external reporting requirements can increase the priority of patient safety within
institutions … medical errors: although transparency can drive improvements, care must be taken to avoid penalizing
institutions