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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865334/psn-pdf
    March 27, 2024 - Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. March 27, 2024 Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education interventions to improving the delivery of sa…

  2. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
    May 01, 2016 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention The Agency for Healthcare Research and Quality (AHRQ) created On-Time Pressure Ulcer Prevention to help nursing homes with electronic medical records reduce the occurrence of in-house pressure ulcers. Pressure ulcers remain a serious pro…

  3. How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/news-and-events/events/webinar-121024.html
    December 01, 2024 - How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) December 10, 2024 Contents Summary Speakers and Presentation Slides Recording Summary This free webcast from AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program featured a moderated discussion with three…

  4. Evolving Methods and the Future of Diagnostic Improvement | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology9.html
    April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Evolving Methods and the Future of Diagnostic Improvement Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847537/psn-pdf
    April 12, 2023 - Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. April 12, 2023 Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observa…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42882/psn-pdf
    November 23, 2016 - Structuring patient and family involvement in medical error event disclosure and analysis. November 23, 2016 Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. doi:10.1377/hlthaff.2013.0831. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38863/psn-pdf
    August 12, 2009 - Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. August 12, 2009 Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care. 2009;18(4):2…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73282/psn-pdf
    January 01, 2022 - Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. May 19, 2021 Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73083/psn-pdf
    March 31, 2021 - Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. March 31, 2021 Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicid…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866643/psn-pdf
    September 04, 2024 - Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. September 4, 2024 Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic method for finding missed and…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840153/psn-pdf
    November 16, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. November 16, 2022 Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-w…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40250/psn-pdf
    July 09, 2012 - Patient involvement in patient safety: how willing are patients to participate? July 9, 2012 Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:10.1136/bmjqs.2010.041871. https://psnet.ahrq.gov/issue/patient-involvem…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43447/psn-pdf
    November 20, 2015 - Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. November 20, 2015 Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Med Qual. 2015;30(6):550-8. doi:…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45754/psn-pdf
    September 01, 2018 - Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. September 1, 2018 Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/1475-6773.12621. https://psnet.ahrq.go…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862991/psn-pdf
    February 21, 2024 - Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. February 21, 2024 Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incide…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34763/psn-pdf
    March 07, 2005 - The Limits of Safety: Organizations, Accidents and Nuclear Weapons. March 7, 2005 Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214. https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons Two competing paradigms dominate the study of the hazards associate…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44164/psn-pdf
    November 03, 2015 - Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. November 3, 2015 Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System. JAMA Intern Med. 2015;175(7):1130-1135. doi:10.100…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38692/psn-pdf
    March 04, 2015 - Errare humanum est: frequency of laterality errors in radiology reports. March 4, 2015 Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. https://psnet.ahrq.gov/issue/errare-humanum-est-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42011/psn-pdf
    March 06, 2013 - A multidisciplinary approach to reduce central line- associated bloodstream infections. March 6, 2013 McMullan C, Propper G, Schuhmacher C, et al. A multidisciplinary approach to reduce central line- associated bloodstream infections. Jt Comm J Qual Patient Saf. 2013;39(2):61-69. https://psnet.ahrq.gov/issue/multi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35611/psn-pdf
    June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…
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