-
psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
March 16, 2016 - Study
Root cause analyses of suicides of mental health clients.
Citation Text:
Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…
-
psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
March 11, 2013 - Study
A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.
Citation Text:
Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
-
psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
December 20, 2017 - Study
Radiographers' experience of preventing patient safety incidents in the context of radiological examinations.
Citation Text:
Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …
-
psnet.ahrq.gov/node/40077/psn-pdf
July 10, 2012 - Improvement Cymru.
July 10, 2012
NHS Wales.
https://psnet.ahrq.gov/issue/improvement-cymru
This national program draws from other large collaborative efforts to engage health care organizations
across Wales in reducing preventable harm. It was rebranded from the 1000 Lives campaign in 2018.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/43314/psn-pdf
August 15, 2018 - ISQua Fellowship Programme.
August 15, 2018
International Society for Quality in Health Care.
https://psnet.ahrq.gov/issue/isqua-fellowship-programme
This announcement highlights a peer learning initiative that builds on existing programs and
interdisciplinary networks to develop participants' understanding about …
-
psnet.ahrq.gov/node/34855/psn-pdf
March 07, 2005 - Pharmacists play key role in patient safety.
March 7, 2005
https://psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
Description of a successful model from Duke University (SD), where hospital pharmacists play an integral
role in patient care. They provide counseling for patients, support for medical te…
-
psnet.ahrq.gov/node/39466/psn-pdf
June 27, 2018 - Patient engagement in patient safety: barriers and
facilitators.
June 27, 2018
Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47.
https://psnet.ahrq.gov/issue/patient-engagement-patient-safety-barriers-and-facilitators
This article reviews the literature and describes a framework for patien…
-
psnet.ahrq.gov/node/41874/psn-pdf
November 21, 2012 - Reducing Diagnostic Errors.
November 21, 2012
Boston, MA: National Patient Safety Foundation; 2011.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors
This online continuing education module will educate participants on diagnostic errors, including
contributing factors and prevention strategies. Dr. Mark Grab…
-
psnet.ahrq.gov/node/35729/psn-pdf
May 08, 2018 - Pump up the volume—tips for increasing error reporting.
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.
https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
This article presents best practices in six areas that can influence the success of incident repor…
-
psnet.ahrq.gov/node/34006/psn-pdf
August 15, 2018 - PULSE Center for Patient Safety Education & Advocacy.
August 15, 2018
Wantagh, NY 11793-0353. 516-579-4711; Info@Pulsecpsea.org.
https://psnet.ahrq.gov/issue/pulse-center-patient-safety-education-advocacy
PULSE is a nonprofit grassroots organization and support group that works at the community level in
sever…
-
psnet.ahrq.gov/node/35662/psn-pdf
June 25, 2010 - Debriefing after critical incidents for anaesthetic trainees.
June 25, 2010
Tan H. Debriefing after critical incidents for anaesthetic trainees. Anaesth Intensive Care. 2005;33(6):768-
72.
https://psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
The author surveyed Australian anesthesi…
-
psnet.ahrq.gov/node/35100/psn-pdf
November 04, 2015 - Patient Safety Improvement Corps: An AHRQ/VA
partnership.
November 4, 2015
AHRQ; Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
The Agency for Healthcare Research and Quality announces the 2007–2008 Patient Safety Improvement
Corps (PSI…
-
psnet.ahrq.gov/node/40389/psn-pdf
July 31, 2012 - Getting Your Best Health Care: Real-World Stories for
Patient Empowerment.
July 31, 2012
Farbstein K. Rockville, MD: Access Intelligence, LLC; 2011. ISBN: 9781885461452.
https://psnet.ahrq.gov/issue/getting-your-best-health-care-real-world-stories-patient-empowerment
This book explores patient-centered care and pr…
-
psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - SPOTLIGHT CASE
Mobility Lost in the ICU
Citation Text:
Smith J. Mobility Lost in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
-
psnet.ahrq.gov/node/36193/psn-pdf
September 30, 2010 - The Ethics of Using QI Methods to Improve Health Care
Quality and Safety.
September 30, 2010
Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40.
https://psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety
The participants in this AHRQ–funded …
-
psnet.ahrq.gov/node/37128/psn-pdf
February 24, 2011 - Development and implementation of an oral sign-out
skills curriculum.
February 24, 2011
Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen
Intern Med. 2007;22(10):1470-4.
https://psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculu…
-
psnet.ahrq.gov/node/36352/psn-pdf
April 14, 2011 - Patient expectations of fair complaint handling in
hospitals: empirical data.
April 14, 2011
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC
Health Serv Res. 2006;6:106.
https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…
-
psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - Physician's Guide to Patient Safety Organizations.
November 30, 2016
Chicago, IL: American Medical Association; 2009.
https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician
knowledge of and p…
-
psnet.ahrq.gov/node/41933/psn-pdf
February 19, 2013 - Overarching goals: a strategy for improving healthcare
quality and safety?
February 19, 2013
Nanji KC, Ferris T, Torchiana DF, et al. Overarching goals: a strategy for improving healthcare quality and
safety? BMJ Qual Saf. 2013;22(3):187-93. doi:10.1136/bmjqs-2012-001082.
https://psnet.ahrq.gov/issue/overarching-g…
-
psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
April 11, 2011 - Study
Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals.
Citation Text:
Takata GS, Mason W, Taketomo C, et al. Development, testing, and findings of a pediatric-focused trigger tool to identify medicati…