-
psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
July 21, 2017 - Study
Simulation in the executive suite: lessons learned for building patient safety leadership.
Citation Text:
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
Copy Cita…
-
psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - C-section rates by the Secretary of Health and
Human Services for California
Health plan incentives to participate … rate
Hospitals with rates of cesarean delivery greater than 23.9% for NTSV births were invited to
participate
-
psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - We learned during the pandemic that we can do this virtually—families can participate in rounds from … And that’s sad because they didn’t tap into the value of having patient and family partners participate … because it is easier for many families, especially those from diverse and underserved communities, to participate … adaptations were well received, and in some cases virtual options made it easier for PFAC members to participate … Some people found it easier to share their feelings and participate in virtual meetings versus in the
-
psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
January 18, 2023 - Study
Walking the plank: an experimental paradigm to investigate safety voice.
Citation Text:
Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668.
Copy Citation
Format:
…
-
psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - Daily patient safety huddles enable all team members to participate in improving patient safety.
-
psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - DM: If you participate in sports, which is a high-risk system, if you make a mistake and break the ankle … It's the cost of doing business to participate in the high-risk endeavor of sport, and it's a reason … All staff are screened for MRI safety themselves, participate in MRI safety training, follow check-in
-
psnet.ahrq.gov/node/44288/psn-pdf
March 21, 2024 - Prevention of adverse drug events in hospitals.
March 21, 2024
Zhu J, Weingart SN. UpToDate. February 29, 2024.
https://psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
Unsafe medication systems in hospitals can lead to adverse drug events (ADEs). This review discusses
patient care and organizational …
-
psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - Reducing adverse drug events: lessons from a
breakthrough series collaborative.
January 4, 2017
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough
series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
-
psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - Study
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.
Citation Text:
Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…
-
psnet.ahrq.gov/sites/default/files/2025-01/ACPE%20Home%20Study%20Activity%20Announcement%20-%20A%20Fatal%20Twist%20in%20Pseudohyperkalemia.pdf
January 01, 2025 - HTTPS://PSNET.AHRQ.GOV 1
AHRQ’S PATIENT SAFETY NETWORK (PSNET) SPOTLIGHT CASE
SERIES:
A FATAL TWIST IN PSEUDOHYPERKALEMIA
INITIAL RELEASE DATE: JANAURY 1, 2025
EXPIRATION DATE: AUGUST 27, 2027
SPEAKERS:
Justin L. Devera, MD
Cardiovascular Medicine Fellow
Department of Internal Medicine, Divis…
-
psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Staff to participate in the Lean teams and create collaborative safety plans with patients. … Staff to participate in the Lean teams and create collaborative safety plans with patients.
-
psnet.ahrq.gov/issue/consumer-participation-early-detection-deteriorating-patient-and-call-activation-rapid
February 28, 2024 - Review
Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review.
Citation Text:
Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation to rapid response…
-
psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - States Targeting Reduction in Infections via Engagement
(STRIVE).
November 20, 2019
Ann Intern Med. 2019;171(7_Suppl):s1-s82.
https://psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
The States Targeting Reduction in Infections via Engagement (STRIVE) initiative was 3-year hospital-
ba…
-
psnet.ahrq.gov/node/60000
January 01, 2021 - Patient Safety Innovations Exchange
The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety. It is based on AHRQ’s Health Care Innovations Exchange , which shares many health care innovations, including those that improve patient safety. While available …
-
psnet.ahrq.gov/issue/association-workload-call-medical-interns-call-sleep-duration-shift-duration-and
September 25, 2008 - Study
Classic
Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.
Citation Text:
Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical intern…
-
psnet.ahrq.gov/issue/evaluation-organizational-culture-among-different-levels-healthcare-staff-participating
February 01, 2012 - Study
Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.
Citation Text:
Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture amo…
-
psnet.ahrq.gov/node/866530/psn-pdf
August 14, 2024 - Healthcare Simulation in Nursing Practice.
August 14, 2024
Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510.
https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice
Simulation is an established method to examine nursing process resilience and develop non-techni…
-
psnet.ahrq.gov/sites/default/files/2025-01/ACPE%20Home%20Study%20Activity%20Announcement%20-%20Mismanagement%20of%20Acute%20Decompensated%20Heart%20Failure.pdf
January 01, 2025 - HTTPS://PSNET.AHRQ.GOV 1
AHRQ’S PATIENT SAFETY NETWORK (PSNET) SPOTLIGHT CASE
SERIES:
MISMANAGEMENT OF ACUTE DECOMPENSATED HEART FAILURE
WITH HYPERTENSIVE EMERGENCY
INITIAL RELEASE DATE: JANAURY 1, 2025
EXPIRATION DATE: JULY 31, 2027
SPEAKERS:
Jaenic Lee, MD
Resident Physician
Department of In…
-
psnet.ahrq.gov/node/60969/psn-pdf
November 08, 2023 - Network of Patient Safety Databases Chartbook.
November 8, 2023
Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-
0082.
https://psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
The sharing of data is a core element of a learning health system. AHRQ h…
-
psnet.ahrq.gov/node/34068/psn-pdf
July 10, 2008 - Pharmacists on rounding teams reduce preventable
adverse drug events in hospital general medicine units.
July 10, 2008
Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse
drug events in hospital general medicine units. Arch Intern Med. 2003;163(17):2014-8.
https://…