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  1. Artificial Intelligence and Human Factors in Healthcare Quality & Safety | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-and-human-factors-healthcare-quality-safety
    September 30, 2024 - Artificial Intelligence and Human Factors in Healthcare Quality & Safety Project Description By bringing together experts from academia, industry, and clinical practice to integrate human factors engineering (HFE) into artificial intelligence (AI) implementation and usage, this…

  2. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
    July 01, 2025 - AHRQ Papers on Diagnostic Safety Topics Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. As the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error, AHRQ is c…

  3. Crowding in the Emergency Department: Challenges for the Care of Children. | PSNet

    psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
    October 19, 2022 - Organizational Policy/Guidelines Crowding in the Emergency Department: Challenges for the Care of Children. Citation Text: Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10…

  4. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. | PSNet

    psnet.ahrq.gov/issue/should-audits-consider-care-pathway-model-new-approach-benchmarking-real-world-activities
    July 28, 2021 - Commentary Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Citation Text: Kwok CS, Waters D, Phan T, et al. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Healthcare. 2022;10(9):179…

  5. Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
    August 07, 2019 - Commentary Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. Citation Text: Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …

  6. Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
    April 06, 2011 - Commentary Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. Citation Text: Madsen P, Desai V, Roberts K, et al. Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit. Organizati…

  7. Teaching quality improvement. | PSNet

    psnet.ahrq.gov/issue/teaching-quality-improvement
    July 19, 2023 - Commentary Teaching quality improvement. Citation Text: Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  8. A plan for achieving significant improvement in patient safety. | PSNet

    psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
    September 23, 2020 - Commentary A plan for achieving significant improvement in patient safety. Citation Text: Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual. 2007;22(2):164-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  9. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. | PSNet

    psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety
    June 08, 2010 - Commentary Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Citation Text: Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…

  10. Patient safety events reported in general practice: a taxonomy. | PSNet

    psnet.ahrq.gov/issue/patient-safety-events-reported-general-practice-taxonomy
    April 03, 2012 - Study Patient safety events reported in general practice: a taxonomy. Citation Text: Makeham MAB, Stromer S, Bridges-Webb C, et al. Patient safety events reported in general practice: a taxonomy. Qual Saf Health Care. 2008;17(1):53-7. doi:10.1136/qshc.2007.022491. Copy Citation F…

  11. Teaching nurses to make clinical judgments that ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
    August 17, 2022 - Commentary Teaching nurses to make clinical judgments that ensure patient safety. Citation Text: Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. Copy Citation Format: …

  12. Introducing the patient safety professional: why, what, who, how, and where? | PSNet

    psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
    July 03, 2014 - Commentary Introducing the patient safety professional: why, what, who, how, and where? Citation Text: Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…

  13. Miles to go: an introduction to the 5 Million Lives Campaign. | PSNet

    psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
    April 04, 2011 - Commentary Miles to go: an introduction to the 5 Million Lives Campaign. Citation Text: McCannon J, Hackbarth AD, Griffin F. Miles to go: an introduction to the 5 Million Lives Campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-84. Copy Citation Format: Google Scholar Pub…

  14. Case study: preventing surgical complications at Baystate Medical Center. | PSNet

    psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
    May 27, 2011 - Commentary Case study: preventing surgical complications at Baystate Medical Center. Citation Text: Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:…

  15. Development and implementation of a patient safety program in an academic, urban emergency department. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department
    December 12, 2012 - Study Development and implementation of a patient safety program in an academic, urban emergency department. Citation Text: Blank FSJ, Henneman PL, Maynard AM, et al. Development and implementation of a patient safety program in an academic, urban emergency department. Journal of emerg…

  16. Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma. | PSNet

    psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
    June 21, 2016 - Study Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma. Citation Text: Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…

  17. Patient safety and leadership: do you walk the walk? | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
    November 04, 2020 - Commentary Patient safety and leadership: do you walk the walk? Citation Text: Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  18. Project Background | Digital Healthcare Research

    digital.ahrq.gov/project-background
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

  19. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. | PSNet

    psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ
    December 30, 2014 - Study High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. Citation Text: Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…

  20. The architecture of safety: an emerging priority for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
    June 09, 2011 - Review The architecture of safety: an emerging priority for improving patient safety. Citation Text: Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…
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