-
psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
…
-
psnet.ahrq.gov/node/43627/psn-pdf
November 12, 2014 - The 5th National Audit Project (NAP5) on accidental
awareness during general anaesthesia: patient
experiences, human factors, sedation, consent and
medicolegal issues.
November 12, 2014
Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness
during general anaesthesia: p…
-
psnet.ahrq.gov/node/41673/psn-pdf
September 12, 2012 - A root cause analysis project in a medication safety
course.
September 12, 2012
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ.
2012;76(6):116. doi:10.5688/ajpe766116.
https://psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
This commentary descri…
-
psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - Understanding facilitators and barriers to care
transitions: insights from Project ACHIEVE Site Visits.
July 10, 2017
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights
from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447.
doi:1…
-
psnet.ahrq.gov/node/41411/psn-pdf
October 19, 2012 - Minnesota Hospital Association Statewide Project: SAFE
from FALLS.
October 19, 2012
Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care
Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b.
https://psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-p…
-
psnet.ahrq.gov/node/44820/psn-pdf
March 08, 2017 - Patient Safety Project 2015–2017.
March 8, 2017
National Quality Forum; NQF.
https://psnet.ahrq.gov/issue/patient-safety-project-2015-2017
The National Quality Forum (NQF) has been a leader in defining patient safety reporting measures. This
website provides information about the third cycle of an NQF patient safe…
-
psnet.ahrq.gov/node/40931/psn-pdf
July 02, 2014 - Patient safety stories: a project utilizing narratives in
resident training.
July 2, 2014
Cox LAM, Logio LS. Patient safety stories: a project utilizing narratives in resident training. Acad Med.
2011;86(11):1473-8. doi:10.1097/ACM.0b013e318230efaa.
https://psnet.ahrq.gov/issue/patient-safety-stories-project-utili…
-
psnet.ahrq.gov/node/47547/psn-pdf
February 13, 2019 - Prevention of prescription opioid misuse and projected
overdose deaths in the United States.
February 13, 2019
Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected
Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621.
doi:10.1001/jamanetworkopen.2018.76…
-
psnet.ahrq.gov/node/44302/psn-pdf
August 04, 2015 - The Global Comparators project: international
comparison of 30-day in-hospital mortality by day of the
week.
August 4, 2015
Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital
mortality by day of the week. BMJ Qual Saf. 2015;24(8):492-504. doi:10.1136/bmjqs-20…
-
psnet.ahrq.gov/node/42917/psn-pdf
February 05, 2014 - The PROMISES Project.
February 5, 2014
Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the
Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School;
Health Care for All; Massachusetts Medical Society; Massachusetts Departme…
-
psnet.ahrq.gov/node/38457/psn-pdf
December 31, 2014 - 10-State project to study methods to reduce central line-
associated bloodstream infections in hospital ICUs.
December 31, 2014
Rockville, MD: Agency for Healthcare Research and Quality; February 19, 2009.
https://psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-
infec…
-
psnet.ahrq.gov/node/45590/psn-pdf
August 02, 2017 - Improving Diagnostic Accuracy Project 2016–2017.
August 2, 2017
Washington, DC: National Quality Forum; October 2016.
https://psnet.ahrq.gov/issue/improving-diagnostic-accuracy-project-2016-2017
The Improving Diagnosis in Health Care report provided recommendations to help achieve safe, reliable
diagnosis. This we…
-
psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
-
psnet.ahrq.gov/node/44034/psn-pdf
January 19, 2016 - Surgical checklist implementation project: the impact of
variable WHO checklist compliance on risk-adjusted
clinical outcomes after national implementation: a
longitudinal study.
January 19, 2016
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impact of Variable
WHO Checklist C…
-
psnet.ahrq.gov/node/41153/psn-pdf
January 01, 2013 - Quality improvement for patient safety: project-level
versus program-level learning.
December 12, 2012
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-
level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013e318245019f.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/39295/psn-pdf
January 03, 2017 - The Veterans Affairs shift change physician-to-physician
handoff project.
January 3, 2017
Anderson J, Shroff D, Curtis A, et al. The Veterans Affairs shift change physician-to-physician handoff
project. Jt Comm J Qual Patient Saf. 2010;36(2):62-71.
https://psnet.ahrq.gov/issue/veterans-affairs-shift-change-physici…
-
psnet.ahrq.gov/node/43788/psn-pdf
February 25, 2015 - Evaluating ambulatory practice safety: the PROMISES
Project administrators and practice staff surveys.
February 25, 2015
Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project
administrators and practice staff surveys. Med Care. 2015;53(2):141-52.
doi:10.1097/MLR.000000000…
-
psnet.ahrq.gov/node/39042/psn-pdf
July 13, 2010 - Global oximetry: an international anaesthesia quality
improvement project.
July 13, 2010
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement
project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
https://psnet.ahrq.gov/issue/global-oxim…
-
psnet.ahrq.gov/node/43232/psn-pdf
June 04, 2014 - Standardization in patient safety: the WHO High 5s
project.
June 4, 2014
Leotsakos A, Zheng H, Croteau R, et al. Standardization in patient safety: the WHO High 5s project. Int J
Qual Health Care. 2014;26(2):109-16. doi:10.1093/intqhc/mzu010.
https://psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-…
-
psnet.ahrq.gov/node/33904/psn-pdf
January 25, 2016 - Healthcare Cost and Utilization Project (HCUP).
January 25, 2016
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup
The Healthcare Cost and Utilization Project (HCUP) is a family of databases and related software tools and
products developed throug…