-
psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - With the above considerations in mind, the term “retained surgical item (RSI)” is clearly preferred over … With the above caveats in mind, the incidence of RSIs has been estimated as 1.3 per 10,000 surgical procedures
-
psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
July 24, 2019 - Book/Report
Talking with Patients and Families about Medical Error: A Guide for Education and Practice.
Citation Text:
Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…
-
psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
March 10, 2021 - Commentary
Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare.
Citation Text:
Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2.
Copy Citation
Format:
DOI G…
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/phone-roleplay.html
March 01, 2025 - CALLER: Do you mind if I ask you a few questions so I can see if there is anything I can help you with
-
digital.ahrq.gov/sites/default/files/docs/resource/Logan_TheExcellenceReport_FAQs.pdf
January 01, 2007 - At any point, you can change your mind and take away access by any person to whom
you have previously
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
February 16, 2011 - Methods and Metrics Issues in Delivery Systems Research
Methods and Metrics Issues in Delivery System Research
JEFF ALEXANDER
The University of Michigan
The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts, and Stakeholders
Doubletree Dulles – Sterling, Virginia
February 16, 201…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pdf
April 02, 2025 - Information Session (Tool 5)
• Listen well
• Ask questions
• Share your views
• Keep an open mind
-
psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
November 04, 2015 - Book/Report
Classic
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition.
Citation Text:
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…
-
psnet.ahrq.gov/issue/still-failing-frail
March 29, 2010 - Newspaper/Magazine Article
Still Failing the Frail.
Citation Text:
Still Failing the Frail. Simmons-Ritchie D. Penn Live. November 15, 2018.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedi…
-
psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
March 20, 2017 - Newspaper/Magazine Article
Clinician support: five years of lessons learned.
Citation Text:
Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31.
Copy Citation
Save
Save to your li…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Qualitative_Methods_2012_04_11_Transcript.pdf
January 01, 2012 - So I think that's a very, very
important thing to keep in mind, and I think it’s important message to … effective way of identifying people like this is to start with
your clinicians and see who comes to mind
-
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/develop/index.html
June 01, 2020 - Data Issues to Keep in Mind
For many child health issues, it may be hard to identify data that are: … Keep in mind:
The sequencing of questions has been carefully structured and tested to ensure that
-
psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
February 06, 2019 - Newspaper/Magazine Article
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages.
Citation Text:
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…
-
psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
October 13, 2021 - Review
A state-of-the-art review of speaking up in healthcare.
Citation Text:
Violato E. A state-of-the-art review of speaking up in healthcare. Adv Health Sci Educ Theory Pract. 2022;27(4):1177-1194. doi:10.1007/s10459-022-10124-8.
Copy Citation
Format:
DOI Google Scholar …
-
psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-are-not-aligned
May 26, 2021 - Commentary
The new CMS hospital quality star ratings: the stars are not aligned.
Citation Text:
Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679.
Copy Citation
Format:
DO…
-
psnet.ahrq.gov/issue/patient-safety-professionals-third-victims-adverse-events
July 07, 2021 - Commentary
Patient safety professionals as the third victims of adverse events.
Citation Text:
Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
October 27, 2021 - Review
Diagnostic reasoning in cardiovascular medicine.
Citation Text:
Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNot…
-
psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
May 18, 2022 - Commentary
Organisational failure: rethinking whistleblowing for tomorrow's doctors.
Citation Text:
Taylor DJ, Goodwin D. Organisational failure: rethinking whistleblowing for tomorrow’s doctors. J Med Ethics. 2022;48(10):672-677. doi:10.1136/jme-2022-108328.
Copy Citation
Format: …
-
digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines
January 01, 2023 - Prevalence) Study , Mixed Methods Technology: Electronic Health Record/Electronic Medical Record
Mind … Mind the gap.
-
psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - RW: In your mind, have you reconciled this balance between the system needs to be better but at times