-
psnet.ahrq.gov/node/850166/psn-pdf
June 07, 2023 - Classification of health information technology safety
events in a pediatric tertiary care hospital.
June 7, 2023
Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a
pediatric tertiary care hospital. J Patient Saf. 2023;19(4):251-257. doi:10.1097/pts.0000000000001…
-
psnet.ahrq.gov/node/866349/psn-pdf
July 24, 2024 - A multifaceted risk management program to improve the
reporting rate of patient safety incidents in primary care:
a cluster-randomised controlled trial.
July 24, 2024
Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to
improve the reporting rate of patient safety inciden…
-
psnet.ahrq.gov/node/47500/psn-pdf
October 24, 2018 - Use of a novel, electronic health record–centered,
interprofessional ICU rounding simulation to understand
latent safety issues.
October 24, 2018
Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered,
Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues. …
-
psnet.ahrq.gov/node/36163/psn-pdf
September 29, 2010 - Improving the bar-coded medication administration
system at the Department of Veterans Affairs.
September 29, 2010
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the
Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/36255/psn-pdf
February 02, 2011 - Interns' compliance with Accreditation Council for
Graduate Medical Education work-hour limits.
February 2, 2011
Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate
medical education work-hour limits. JAMA. 2006;296(9):1063-70.
https://psnet.ahrq.gov/issue/interns-c…
-
psnet.ahrq.gov/node/36986/psn-pdf
June 18, 2013 - Changes in hospital mortality associated with residency
work-hour regulations.
June 18, 2013
Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations.
Ann Intern Med. 2007;147(2):73-80.
https://psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work…
-
psnet.ahrq.gov/node/40341/psn-pdf
November 30, 2016 - Hospital Survey on Patient Safety Culture: 2011 User
Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Dyer N, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2011.
AHRQ Publication No. 11-0030.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-…
-
psnet.ahrq.gov/node/74864/psn-pdf
February 23, 2022 - Exploring changes in patient safety incidents during the
COVID-19 pandemic in a Canadian regional hospital
system: a retrospective time series analysis.
February 23, 2022
Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19
pandemic in a Canadian regional hospit…
-
psnet.ahrq.gov/node/41497/psn-pdf
April 05, 2013 - Avoiding handover fumbles: a controlled trial of a
structured handover tool versus traditional handover
methods.
April 5, 2013
Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover
tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1…
-
psnet.ahrq.gov/node/50886/psn-pdf
February 12, 2020 - Identifying risks areas related to medication
administrations - text mining analysis using free-text
descriptions of incident reports.
February 12, 2020
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations -
text mining analysis using free-text descriptions of in…
-
psnet.ahrq.gov/node/45475/psn-pdf
October 11, 2017 - Perceptions of quality and safety and experience of
adverse events in 27 European Union healthcare systems,
2009–2013.
October 11, 2017
Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27
European Union healthcare systems, 2009-2013. Int J Qual Health Care. 2…
-
psnet.ahrq.gov/node/43450/psn-pdf
May 06, 2015 - Advances in the Prevention and Control of HAIs.
May 6, 2015
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and
Quality; June 2014. AHRQ Publication No. 14-0003.
https://psnet.ahrq.gov/issue/advances-prevention-and-control-hais
Health care–associated infections (HAI…
-
psnet.ahrq.gov/node/73314/psn-pdf
May 26, 2021 - An evidence-based tool (PE for PS) for healthcare
managers to assess patient engagement for patient safety
in healthcare organizations.
May 26, 2021
Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare
managers to assess patient engagement for patient safety in health…
-
psnet.ahrq.gov/node/39497/psn-pdf
February 10, 2015 - The value from investments in health information
technology at the U.S. Department of Veterans Affairs.
February 10, 2015
Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology
at the U.S. Department of Veterans Affairs. Health Aff (Millwood). 2010;29(4):629-638.
doi:…
-
psnet.ahrq.gov/node/42208/psn-pdf
April 17, 2013 - Hospital staff nurses' shift length associated with safety
and quality of care.
April 17, 2013
Stimpfel AW, Aiken LH. Hospital staff nurses' shift length associated with safety and quality of care. J Nurs
Care Qual. 2013;28(2):122-129. doi:10.1097/NCQ.0b013e3182725f09.
https://psnet.ahrq.gov/issue/hospital-staff-n…
-
psnet.ahrq.gov/node/45037/psn-pdf
February 15, 2017 - Disclosing large scale adverse events in the US Veterans
Health Administration: lessons from media responses.
February 15, 2017
Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans
Health Administration: lessons from media responses. Public Health. 2016;135:75-82.
doi:10…
-
digital.ahrq.gov/program/general-patient-safety-program-center-quality-improvement-and-patient-safety
January 01, 2023 - General Patient Safety Program, Center for Quality Improvement and Patient Safety
Program Link: https://www.ahrq.gov/patient-safety/index.html
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model…
-
digital.ahrq.gov/national-webinars/effective-design-and-use-patient-portals-and-their-impact-patient
January 01, 2023 - Effective Design and Use of Patient Portals and their Impact on Patient-Centered Care
Event Date:
March 23, 2017 | 2:30pm – 4:00pm ET
Event Materials:
Presentation Slides ( PDF , 3.42 MB) Q&A ( PDF , 320 KB)
Your browser does not support inline frames. Please go to…
-
psnet.ahrq.gov/node/867638/psn-pdf
February 26, 2025 - Artificial intelligence related safety issues associated with
FDA medical device reports.
February 26, 2025
Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA
medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5.
https://psnet.ahr…
-
digital.ahrq.gov/organization/national-opinion-research-center-university-chicago
January 01, 2023 - National Opinion Research Center at the University of Chicago
Clinical Decision Support Innovation Collaborative (CDSiC)
Description
The Clinical Decision Support Innovation Collaborative (CDSiC) created a learning community of patients, providers, policymakers, researchers, a…