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  1. Patient safety 2.0: slaying dragons, not just investigating them. | PSNet

    psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
    September 14, 2016 - Commentary Patient safety 2.0: slaying dragons, not just investigating them. Citation Text: Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. Copy Citation Format: DOI Google Schol…

  2. Large-scale Coordination: Health Care. | PSNet

    psnet.ahrq.gov/issue/large-scale-coordination-health-care
    August 06, 2016 - Special or Theme Issue Large-scale Coordination: Health Care. Citation Text: Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176. Copy Citation Save Save to your library Print Download PDF Shar…

  3. System-related factors contributing to diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/system-related-factors-contributing-diagnostic-errors
    January 11, 2023 - Review System-related factors contributing to diagnostic errors. Citation Text: Thammasitboon S, Thammasitboon S, Singhal G. System-related factors contributing to diagnostic errors. Curr Probl Pediatr Adolesc Health Care. 2013;43(9):242-7. doi:10.1016/j.cppeds.2013.07.004. Copy Citat…

  4. Error disclosure and apology in radiology: the case for further dialogue. | PSNet

    psnet.ahrq.gov/issue/error-disclosure-and-apology-radiology-case-further-dialogue
    October 19, 2022 - Commentary Error disclosure and apology in radiology: the case for further dialogue. Citation Text: Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126. Copy Citation …

  5. Ethical and practical aspects of disclosing adverse events in the emergency department. | PSNet

    psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
    April 04, 2011 - Review Ethical and practical aspects of disclosing adverse events in the emergency department. Citation Text: Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714. Copy Citat…

  6. Incidents during out-of-hospital patient transportation. | PSNet

    psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
    March 23, 2011 - Study Incidents during out-of-hospital patient transportation. Citation Text: Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  7. Identification errors in pathology and laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
    October 19, 2022 - Commentary Identification errors in pathology and laboratory medicine. Citation Text: Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  8. Conclusions and Implications | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/conclusions.html
    October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Conclusions and Implications Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview o…

  9. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. | PSNet

    psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
    November 03, 2021 - Study A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Citation Text: Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5. Copy Citation Format: …

  10. Appendix B11: Fall Interventions Plan | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
    February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B11: Fall Interventions Plan Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview …

  11. Medication Errors | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/medication-errors
    January 01, 2023 - Medication Errors Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction Description This research will use artificial intelligence and machine learning to create prediction tools i…

  12. Provider Burden | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/provider-burden
    January 01, 2023 - Provider Burden Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of a…

  13. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

    psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
    January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

  14. The CUSP Method | PSNet

    psnet.ahrq.gov/issue/cusp-method
    October 23, 2019 - Toolkit The CUSP Method Citation Text: The CUSP Method. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library Print Download PDF Shar…

  15. On the scene at Children's Hospitals and Clinics of Minnesota. | PSNet

    psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota
    September 24, 2010 - Commentary On the scene at Children's Hospitals and Clinics of Minnesota. Citation Text: Malone G, Akre M, Hauck M. On the scene at Children's Hospitals and Clinics of Minnesota. Nurs Adm Q. 2009;33(1):54-61. doi:10.1097/01.NAQ.0000343349.93537.08. Copy Citation Format: D…

  16. The tension between promoting mobility and preventing falls in the hospital. | PSNet

    psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
    April 24, 2018 - Commentary The tension between promoting mobility and preventing falls in the hospital. Citation Text: Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …

  17. Twelve best practices for team training evaluation in health care. | PSNet

    psnet.ahrq.gov/issue/twelve-best-practices-team-training-evaluation-health-care
    July 02, 2014 - Commentary Twelve best practices for team training evaluation in health care. Citation Text: Weaver SJ, Salas E, King HB. Twelve best practices for team training evaluation in health care. Jt Comm J Qual Patient Saf. 2011;37(8):341-9. Copy Citation Format: Google Scholar …

  18. Mazur, Lukasz | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/mazur-lukasz
    January 25, 2018 - Mazur, Lukasz Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology Description This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review proc…

  19. National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. | PSNet

    psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
    January 11, 2013 - Book/Report National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Citation Text: National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012. Copy Citation …

  20. Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? | PSNet

    psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
    April 04, 2018 - Book/Report Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? Citation Text: Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington Un…
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