AHRQ Search | Home Page

The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. | PSNet

psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving-health-care-quality

February 29, 2012 - Commentary The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. Citation Text: Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3). doi:10.1001/jama.295.3.324. Copy Citation Format: DOI Google S…

Nurse staffing levels and patient-reported missed nursing care. | PSNet

psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care

September 27, 2017 - Study Nurse staffing levels and patient-reported missed nursing care. Citation Text: Dabney BW, Kalisch BJ. Nurse Staffing Levels and Patient-Reported Missed Nursing Care. J Nurs Care Qual. 2015;30(4):306-12. doi:10.1097/NCQ.0000000000000123. Copy Citation Format: DOI Googl…

Patient Safety Essentials Toolkit. | PSNet

psnet.ahrq.gov/issue/patient-safety-essentials-toolkit

January 08, 2020 - Toolkit Patient Safety Essentials Toolkit. Citation Text: Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. | PSNet

psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors

November 13, 2009 - Study The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. Citation Text: Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…

The effect of the fit between organizational culture and structure on medication errors in medical group practices. | PSNet

psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group

June 30, 2009 - Study The effect of the fit between organizational culture and structure on medication errors in medical group practices. Citation Text: Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practi…

Improving patient safety—five years after the IOM report. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report

February 18, 2011 - Commentary Classic Improving patient safety—five years after the IOM report. Citation Text: Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243. Copy Ci…

On error management: lessons from aviation. | PSNet

psnet.ahrq.gov/issue/error-management-lessons-aviation

September 13, 2011 - Commentary Classic On error management: lessons from aviation. Citation Text: Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Liquid medication errors and dosing tools: a randomized controlled experiment. | PSNet

psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-tools-randomized-controlled-experiment

December 21, 2017 - Study Liquid medication errors and dosing tools: a randomized controlled experiment. Citation Text: Yin S, Parker RM, Sanders LM, et al. Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. Pediatrics. 2016;138(4):e20160357. Copy Citation Format: G…

Improving the safety of health information technology requires shared responsibility: it is time we all step up. | PSNet

psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all

August 20, 2014 - Commentary Improving the safety of health information technology requires shared responsibility: it is time we all step up. Citation Text: Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healt…

Improving the quality of health care: who will lead? | PSNet

psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead

June 14, 2011 - Commentary Classic Improving the quality of health care: who will lead? Citation Text: Becher EC, Chassin MR. Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. Copy Citation Format: Google Scholar PubM…

Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review

January 22, 2016 - Review Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. Citation Text: Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. Copy Citati…

The wrong patient. | PSNet

psnet.ahrq.gov/issue/wrong-patient

December 23, 2008 - Commentary Classic The wrong patient. Citation Text: Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. | PSNet

psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995-mistakenly-applied

September 30, 2020 - Press Release/Announcement Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. Citation Text: Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. National Alert Net…

Medication Safety Certificate Program. | PSNet

psnet.ahrq.gov/issue/medication-safety-certificate-program

September 30, 2020 - Audiovisual Presentation Medication Safety Certificate Program. Citation Text: Medication Safety Certificate Program. American Society of Health-System Pharmacists, Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Do…

Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. | PSNet

psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults

May 25, 2022 - Book/Report Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Citation Text: Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcar…

The Weekend Effect | PSNet

psnet.ahrq.gov/perspective/weekend-effect

April 01, 2008 - Annual Perspective The Weekend Effect Sumant Ranji, MD | January 1, 2017 View more articles from the same authors. Citation Text: Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…

Are Residency Duty Hour Rules Improving Patient Safety? | PSNet

psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety

April 01, 2013 - For example, performance on cognitive tests ( 1 ) and in laparoscopic surgery skills (measured via simulation

In Conversation With… Mark Graban, MS, MBA | PSNet

psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba

January 01, 2015 - called experience-based design, Virginia Mason is showing that patient and family experience can be measured

Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet

psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care