-
psnet.ahrq.gov/node/47614/psn-pdf
October 19, 2020 - Patient.
October 19, 2020
Canadian Patient Safety Institute;
https://psnet.ahrq.gov/issue/patient
Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health
care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore
solut…
-
psnet.ahrq.gov/node/41387/psn-pdf
May 18, 2012 - Surfing the Healthcare Tsunami: Bring Your Best Board.
May 18, 2012
Austin, TX: Texas Medical Institute for Technology; 2012.
https://psnet.ahrq.gov/issue/surfing-healthcare-tsunami-bring-your-best-board
The second in a series, this documentary focuses on learning from other high-risk industries and engaging
hospi…
-
psnet.ahrq.gov/node/42331/psn-pdf
June 05, 2013 - Using the ABCs of situational awareness for patient
safety.
June 5, 2013
Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5.
doi:10.1097/01.NURSE.0000428332.23978.82.
https://psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
This commentary exa…
-
psnet.ahrq.gov/node/40794/psn-pdf
June 10, 2018 - Telling true stories is an ISMP hallmark: here's why you
should tell stories, too.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3.
https://psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too
This piece describes storytelling as a s…
-
psnet.ahrq.gov/node/41524/psn-pdf
November 05, 2013 - Creating a culture of safety by coaching clinicians to
competence.
November 5, 2013
Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today.
2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025.
https://psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
…
-
psnet.ahrq.gov/node/36911/psn-pdf
September 01, 2011 - Managing clinical failure: a complex adaptive system
perspective.
September 1, 2011
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health
Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…
-
psnet.ahrq.gov/node/36196/psn-pdf
November 01, 2012 - Myths and realities of the 80-hour work week.
November 1, 2012
Schenarts PJ, Schenarts KDA, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg.
2006;63(4):269-274.
https://psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week
The authors reviewed the literature on the impact of resident work-…
-
psnet.ahrq.gov/node/35025/psn-pdf
September 21, 2005 - A mediation skills model to manage disclosure of errors
and adverse events to patients.
September 21, 2005
Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events
To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.23.4.22.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/36988/psn-pdf
February 17, 2011 - An elusive balance — residents' work hours and the
continuity of care.
February 17, 2011
Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med.
2007;356(26):2665-2667.
https://psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
The author discusses wo…
-
psnet.ahrq.gov/node/36571/psn-pdf
January 05, 2017 - The Objective Structured Clinical Examination as an
educational tool in patient safety.
January 5, 2017
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt
Comm J Qual Patient Saf. 2007;33(1):48-53.
https://psnet.ahrq.gov/issue/objective-structured-clinical-…
-
psnet.ahrq.gov/node/36359/psn-pdf
October 26, 2010 - How might acknowledging a medical error promote
patient safety?
October 26, 2010
Malaty W, Crane S. How might acknowledging a medical error promote patient safety? J Fam Pract.
2006;55(9):775-80.
https://psnet.ahrq.gov/issue/how-might-acknowledging-medical-error-promote-patient-safety
The authors present a case o…
-
digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-0
January 01, 2023 - Job satisfaction ratings: measurement equivalence across nurses and physicians.
Citation
Etchegaray JM, Sexton JB, Helmreich RL, et al. Job satisfaction ratings: measurement equivalence across nurses and physicians. West J Nurs Res 2010 Jun;32(4):530-9.
Link
Etchegaray JM, Sexton JB, Helmreich…
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/usability
January 01, 2023 - Usability
Usability Evaluation
Description
A usability evaluation is conducted to determine the extent to which a system is easy to use or "user friendly."
Simulation
Description
Simulation is a form of (usability) evaluation in which realist…
-
www.ahrq.gov/research/publications/search.html?page=4
November 01, 2020 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 41 - 50 of 191 Publications displayed
Find Publications by Keyword or Topi…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount)
Introducing the AHRQ SOPS
Health IT Patient Safety
Supplemental Items
Naomi Yount, PhD
Westat
Health IT Patient Safety
Supplemental Items
• Supplemental item set that can be added
to the end of the Hospit…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
January 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items
Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and
Items
In this document, the items in the Ambulatory Surgery Center Survey on Patient Safety Culture are grouped according to
the safety culture composites the…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-hospital-survey-workplace-item-set-webcast-bakdash.pdf
December 01, 2024 - SOPS State Hospital Association Webcast - Bakdash Presentation
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-based agency of
the US Depart…
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-kho.html
April 01, 2023 - Grantee Profile
Disseminating Evidence-based Strategies to Improve Primary Care Delivery
Abel Kho, M.D., M.S.
Professor, Feinberg School of Medicine
Northwestern University
Abel Kho, M.D., M.S.
“With AHRQ funding, I have built infrastructure to provide primary care practices with effective …
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - Grantee Profile
Advancing Academic and Practical Knowledge To Prevent Infections From Hospital to Home
Susan Huang, M.D., M.P.H.
Medical Director of Epidemiology and Infection Prevention
Professor, Infectious Diseases, School of Medicine
University of California, Irvine Medical Center
"Understan…
-
www.ahrq.gov/talkingquality/measures/measure-questions.html
November 01, 2018 - Key Questions When Choosing Health Care Quality Measures
When selecting measures to include in your report, you need to consider two issues:
Whether the measures are "good".
Whether the measures are appropriate for your audience.
Are the Measures Good?
The easiest way to determine whether a measure …