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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73407/psn-pdf
    June 16, 2021 - Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. June 16, 2021 The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01 Measurement of diagnostic errors is an imp…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36769/psn-pdf
    June 15, 2011 - Using incident reporting to improve patient safety: a conceptual model. June 15, 2011 Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45896/psn-pdf
    March 15, 2017 - Medication governance: preventing errors and promoting patient safety. March 15, 2017 Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46931/psn-pdf
    January 15, 2019 - Strategies for optimizing OR drug safety. January 15, 2019 Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018. https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety Perioperative adverse drug events are common and understudied. Reporting on the complexity of medication administration durin…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41533/psn-pdf
    July 18, 2012 - "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. July 18, 2012 Greysen R, Schiliro D, Horwitz LI, et al. "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. J Hosp Med. 2012;…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45066/psn-pdf
    February 18, 2017 - Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. February 18, 2017 Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed- methods evaluation of a quality improvement project. BMJ Qual Saf. 2017;26(3):…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34755/psn-pdf
    September 06, 2011 - Safe Practices for Better Healthcare: 2006 Update. September 6, 2011 Washington DC: National Quality Forum; 2007. https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2006-update The National Quality Forum used expert consensus and evidence review to identify 30 health care “safe practices” that should be…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47075/psn-pdf
    November 21, 2018 - Integrating systemic accident analysis into patient safety incident investigation practices. November 21, 2018 Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.apergo.2018.04.012. https://psnet.a…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41117/psn-pdf
    March 04, 2015 - The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. March 4, 2015 McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies across the phases of medication man…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61126/psn-pdf
    November 11, 2020 - Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. November 11, 2020 US Food and Drug Administration: November 3, 2020. https://psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45369/psn-pdf
    October 29, 2017 - The aging physician and the medical profession: a review. October 29, 2017 Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review. JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342. https://psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44918/psn-pdf
    April 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46369/psn-pdf
    September 06, 2017 - Critical Issues in Food Allergy: A National Academies Consensus Report. September 6, 2017 Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194. https://psnet.ahrq.gov/issue/critical-issues-food-allergy-natio…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836714/psn-pdf
    March 09, 2022 - Intraoperative deaths: who, why, and can we prevent them? March 9, 2022 Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007. https://psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-preven…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34592/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. January 4, 2017 Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;28(12):646-50. https://psnet.ahrq.gov…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72582/psn-pdf
    December 16, 2020 - Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. December 16, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Report No 19-08542-11. https://psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died I…

  17. AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/pcor/index.html
    July 01, 2015 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development, and dissemination and implementation. Public Law 111-148 established the Patient-Cente…

  18. Surveys on Patient Safety Culture Action Planning Steps (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/action-planning-tool-infographic-sops.pdf
    March 01, 2024 - Surveys on Patient Safety Culture Action Planning Steps ACTION PLANNING FOR THE SOPS SURVEYS The AHRQ Surveys on Patient Safety Culture® (SOPS®) Action Planning Tool consists of a three-step process to guide teams as they work to improve patient safety culture. 1 Identify Areas To Improve • What areas do you…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72852/psn-pdf
    March 17, 2021 - Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. March 17, 2021 Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341. doi:10.1542/hpeds.2020- 000174.…

  20. Barriers | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-7.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Barriers Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dyad …
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