-
psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical
August 13, 2014 - Commentary
Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.
Citation Text:
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…
-
psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
January 11, 2017 - Study
Classic
Safety of overlapping surgery at a high-volume referral center.
Citation Text:
Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. …
-
psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
March 16, 2016 - Study
Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice.
Citation Text:
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks id…
-
psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
April 21, 2010 - Study
How event reporting by US hospitals has changed from 2005 to 2009.
Citation Text:
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
Copy Citation
Format:
D…
-
psnet.ahrq.gov/issue/examination-opportunities-active-patient-improving-patient-safety
October 04, 2011 - Review
An examination of opportunities for the active patient in improving patient safety.
Citation Text:
Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e318…
-
psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - Study
Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill.
Citation Text:
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…
-
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/40076/psn-pdf
October 20, 2014 - Learning to Use Patient Stories.
October 20, 2014
Cardiff, UK: NHS Wales; April 2010.
https://psnet.ahrq.gov/issue/learning-use-patient-stories
This report provides insights from participants in the 1000 Lives Campaign on how patient stories can focus
attention on safety improvements and drive commitment to change…
-
psnet.ahrq.gov/node/42373/psn-pdf
June 19, 2013 - Hospitals lagging in PSO contracts.
June 19, 2013
Clarke C. HealthLeaders Media. June 6, 2013.
https://psnet.ahrq.gov/issue/hospitals-lagging-pso-contracts
This news piece examines why few hospitals participate in the AHRQ Patient Safety Organizations
program.
https://psnet.ahrq.gov/issue/hospitals-lagging-pso-co…
-
psnet.ahrq.gov/node/41236/psn-pdf
March 29, 2018 - Speak Up video posters.
March 29, 2018
Oakbrook Terrace, IL: Joint Commission.
https://psnet.ahrq.gov/issue/speak-video-posters
The Speak Up video series encourages patients to actively participate in their care. Posters to complement
the video series, in both English and Spanish are available upon request.
http…
-
psnet.ahrq.gov/node/40314/psn-pdf
January 31, 2018 - Speak Up Video Series.
January 31, 2018
Oakbrook Terrace, IL: Joint Commission.
https://psnet.ahrq.gov/issue/speak-video-series
This video series illustrates techniques for patients to actively participate in their care. Episodes are
available in both English and Spanish and are accompanied by transcripts. …
-
psnet.ahrq.gov/node/33994/psn-pdf
March 17, 2011 - San Diego Center for Patient Safety.
March 17, 2011
https://psnet.ahrq.gov/issue/san-diego-center-patient-safety
The San Diego Center for Patient Safety (SDCPS) consists of a multidisciplinary team and an associated
research infrastructure. The SDCPS provides for patient safety education and supports the introducti…
-
psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - Discharging Our Responsibility
September 1, 2007
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/discharging-our-responsibility
The Case
A 75-year-old man with a history of hypertension, coronary artery disease, and congestive heart failure
(CHF) presented to the …
-
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/issue/evaluation-outcomes-national-patient-initiated-second-opinion-program
July 15, 2015 - Study
Evaluation of outcomes from a national patient-initiated second-opinion program.
Citation Text:
Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020.
Copy Citation …
-
psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Citation Text:
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
-
psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - EMERGING INNOVATIONS
Let us to the TWISST; Plan, Simulate, Study and Act.
Citation Text:
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
Copy Citation
Format:
DOI Google Scholar BibTeX…
-
psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm resulting from medical care.
Citation Text:
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…