-
psnet.ahrq.gov/node/865971/psn-pdf
May 29, 2024 - Lessons learned from a national hospital antibiotic
stewardship implementation project.
May 29, 2024
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship
implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:10.1016/j.jcjq.2024.04.002.
https://…
-
psnet.ahrq.gov/node/866900/psn-pdf
October 09, 2024 - Defects in value associated with hospital-acquired
conditions: how improving quality could save U.S.
healthcare $50 billion.
October 9, 2024
Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving
quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
-
psnet.ahrq.gov/node/866687/psn-pdf
September 11, 2024 - An exploratory analysis of the association between
healthcare associated infections & hospital financial
performance.
September 11, 2024
Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between
healthcare associated infections & hospital financial performance. Healthcare (Basel…
-
psnet.ahrq.gov/node/837210/psn-pdf
May 25, 2022 - A learning health system agenda for organizational
approaches to enhancing occupational well-being among
clinicians.
May 25, 2022
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to
enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080.
…
-
psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Effectiveness and efficiency of root cause analysis in
medicine.
June 14, 2011
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687.
doi:10.1001/jama.299.6.685.
https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
Application of root c…
-
psnet.ahrq.gov/node/41494/psn-pdf
June 27, 2012 - National Voluntary Consensus Standards for Patient
Safety Measures: A Consensus Report.
June 27, 2012
Washington, DC: National Quality Forum; June 2012.
https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-
report
Progress in improving patient safety has been hampe…
-
psnet.ahrq.gov/node/40469/psn-pdf
May 20, 2019 - Error Reduction in Health Care: A Systems Approach to
Improving Patient Safety, Second edition.
May 20, 2019
Spath PL, ed. San Francisco, CA: Jossey-Bass; 2011. ISBN: 9780470502402.
https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-
edition
Error Reduction in H…
-
psnet.ahrq.gov/node/865817/psn-pdf
May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in
secondary care inpatient wards.
May 8, 2024
Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in secondary care inpatie…
-
psnet.ahrq.gov/node/854258/psn-pdf
October 04, 2023 - A virtual breakthrough series collaborative to support
deprescribing interventions across Veterans Affairs
healthcare settings.
October 4, 2023
Phillips KK, Mecca MC, Baim?Lance AM, et al. A virtual breakthrough series collaborative to support
deprescribing interventions across Veterans Affairs healthcare settings…
-
psnet.ahrq.gov/node/39249/psn-pdf
September 30, 2015 - Patient participation: current knowledge and applicability
to patient safety.
September 30, 2015
Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety.
Mayo Clin Proc. 2010;85(1):53-62. doi:10.4065/mcp.2009.0248.
https://psnet.ahrq.gov/issue/patient-particip…
-
psnet.ahrq.gov/node/837797/psn-pdf
August 10, 2022 - Toward constructive change after making a medical error:
recovery from situations of error theory as a psychosocial
model for clinician recovery.
August 10, 2022
Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error:
recovery from situations of error theory as a psychos…
-
psnet.ahrq.gov/node/50792/psn-pdf
January 15, 2020 - Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large
academic medical center
January 15, 2020
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large academic medi…
-
psnet.ahrq.gov/node/36315/psn-pdf
July 10, 2008 - Wrong-side/wrong-site, wrong-procedure, and wrong-
patient adverse events: are they preventable?
July 10, 2008
Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are
they preventable? Arch Surg. 2006;141(9):931-9.
https://psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-p…
-
psnet.ahrq.gov/node/45648/psn-pdf
February 01, 2017 - Findings of a naloxone database and its utilization to
improve safety and education in a tertiary care medical
center.
February 1, 2017
Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve
Safety and Education in a Tertiary Care Medical Center. Pain Pract. 2016;1…
-
psnet.ahrq.gov/node/866159/psn-pdf
June 19, 2024 - Stakeholder perspectives on contributors to delayed and
inaccurate diagnosis of cardiovascular disease and their
implications for digital health technologies: a UK-based
qualitative study.
June 19, 2024
Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contributors to delayed and
inaccurate …
-
psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to
Complications and Poor Follow-up
July 31, 2023
Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications
and poor follow-up. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…
-
psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN
March 1, 2018
Also Read an Essay
Citation Text:
In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …
-
psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - SPOTLIGHT CASE
Spotlight: Mistaken Attribution, Diagnostic Misstep
Citation Text:
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citat…
-
psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety
Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…
-
psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - Nudge Unit Supports Physician, Patient Behavioral
Changes Towards Medical Decisions that Improve Care
Value and Quality of Care
December 23, 2020
https://psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-
medical-decisions
Summary
Nudges are a change in the way choices ar…