-
psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
March 13, 2013 - Commentary
Classic
Complexity science: the challenge of complexity in health care.
Citation Text:
Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628.
Copy Citation
Format:
Google Scho…
-
psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - did have to make was a hospital-associated infection reporting system, which was built with our IT partner
-
psnet.ahrq.gov/node/839327/psn-pdf
December 05, 2024 - The National Healthcare System Action Alliance for
Patient and Workforce Safety.
December 5, 2024
US Department of Health and Human Services.
https://psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
The large system change required to reduce patient harm requires multi-stakeho…
-
psnet.ahrq.gov/node/866820/psn-pdf
September 25, 2024 - Interrogating and uprooting systemic racism in the
emergency department.
September 25, 2024
Sangal RB, Khidir H, Agarwal AK. Interrogating and uprooting systemic racism in the emergency
department. JAMA Health Forum. 2024;5(8):e242347. doi:10.1001/jamahealthforum.2024.2347.
https://psnet.ahrq.gov/issue/interrogati…
-
psnet.ahrq.gov/node/867190/psn-pdf
November 20, 2024 - Misdiagnosis is dangerous. Help your doctor get it right.
November 20, 2024
Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024;
https://psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
Patients are partners in health care and can inform actions to id…
-
psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
December 21, 2014 - Study
Classic
6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial.
Citation Text:
Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…
-
psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient
June 13, 2018 - Study
Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.
Citation Text:
Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…
-
psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
January 27, 2019 - Study
A survey of hospital quality improvement activities.
Citation Text:
Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285.
Copy Citation
Format:
DOI Google Sch…
-
psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
June 21, 2016 - Study
Four-year impact of an alert notification system on closed-loop communication of critical test results.
Citation Text:
Lacson R, Prevedello LM, Andriole KP, et al. Four-year impact of an alert notification system on closed-loop communication of critical test results. AJR Am J Roent…
-
psnet.ahrq.gov/issue/contamination-health-care-personnel-during-removal-personal-protective-equipment
April 24, 2018 - Study
Contamination of health care personnel during removal of personal protective equipment.
Citation Text:
Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel During Removal of Personal Protective Equipment. JAMA Intern Med. 2015;175(12):1904-10. doi:10.1001/ja…
-
psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-medical-care-how-might-more-be-worse
April 24, 2018 - Commentary
Classic
Avoiding the unintended consequences of growth in medical care: how might more be worse?
Citation Text:
Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999;281(5):446-53.
…
-
psnet.ahrq.gov/issue/pictograms-units-and-dosing-tools-and-parent-medication-errors-randomized-study
December 14, 2016 - Study
Pictograms, units and dosing tools, and parent medication errors: a randomized study.
Citation Text:
Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3…
-
psnet.ahrq.gov/node/35217/psn-pdf
February 17, 2011 - Bar coding for patient safety.
February 17, 2011
Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31.
https://psnet.ahrq.gov/issue/bar-coding-patient-safety
In this perspective, the authors present support for bar coding and report on the Partners HealthCare
system bar coding initia…
-
psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - I believe we have an urgent need to reverse the near-impermeable barriers to patient and care partner
-
psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - I believe we have an urgent need to reverse the near-impermeable barriers to patient and care partner
-
psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - If you want to go to your
CEO, CFO and say you have a reliable partner, you want to be able to point
-
psnet.ahrq.gov/issue/impact-time-work-and-time-work-rule-compliance-case-hand-hygiene-health-care
May 18, 2022 - Study
Classic
The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care.
Citation Text:
Dai H, Milkman KL, Hofmann DA, et al. The impact of time at work and time off from work on rule compliance: the case of ha…
-
psnet.ahrq.gov/node/867021/psn-pdf
October 23, 2024 - Blind Spots: When Medicine Gets It Wrong, and What It
Means for Our Health.
October 23, 2024
Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY:
Bloomsbury Publishing; 2024. ISBN 9781639735310.
https://psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-…
-
psnet.ahrq.gov/node/837867/psn-pdf
August 17, 2022 - Distributed Cognition and the Role of Nurses in
Diagnostic Safety in the Emergency Department.
August 17, 2022
Manojlovich M, Krein SL, Kronick SL, et al. Rockville, MD: Agency for Healthcare Research and Quality;
August 2022. AHRQ Publication No. 22-0026-2-EF.
https://psnet.ahrq.gov/issue/distributed-cognition-an…
-
psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - concerning given that co-infection with syphilis and HIV increases the risk of HIV transmission to a sex partner