-
psnet.ahrq.gov/node/41748/psn-pdf
April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals.
April 5, 2013
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals. Med Care. 2012;50(7):599-605.
doi:10.1097/MLR.0b013e…
-
psnet.ahrq.gov/node/39948/psn-pdf
December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal
Protocol era: analysis of a prospective database of
physician self-reported occurrences.
December 21, 2014
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol
era: analysis of a prospective database of p…
-
psnet.ahrq.gov/node/38761/psn-pdf
July 15, 2009 - Effect of bar-code–assisted medication administration on
medication administration errors and accuracy in multiple
patient care areas.
July 15, 2009
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication
administration errors and accuracy in multiple patient care are…
-
psnet.ahrq.gov/node/40216/psn-pdf
February 16, 2011 - Impact of a statewide intensive care unit quality
improvement initiative on hospital mortality and length of
stay: retrospective comparative analysis.
February 16, 2011
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality
improvement initiative on hospital mortalit…
-
psnet.ahrq.gov/node/43264/psn-pdf
June 18, 2014 - CDC central-line bloodstream infection prevention efforts
produced net benefits of at least $640 million during
1990–2008.
June 18, 2014
Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts
produced net benefits of at least $640 Million during 1990-2008. Health Af…
-
psnet.ahrq.gov/node/48084/psn-pdf
August 14, 2019 - Electronic health records, communication, and data
sharing: challenges and opportunities for improving the
diagnostic process.
August 14, 2019
Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing:
challenges and opportunities for improving the diagnostic process. Diagnosis…
-
psnet.ahrq.gov/node/44813/psn-pdf
February 15, 2017 - Remote video auditing with real-time feedback in an
academic surgical suite improves safety and efficiency
metrics: a cluster randomised study.
February 15, 2017
Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic
surgical suite improves safety and efficiency metric…
-
psnet.ahrq.gov/node/45220/psn-pdf
June 08, 2016 - Medical Office Survey on Patient Safety Culture: 2016
User Comparative Database Report.
June 8, 2016
Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and
Quality; May 2016. AHRQ Publication No. 16-0028-EF.
https://psnet.ahrq.gov/issue/medical-office-survey-patient-sa…
-
psnet.ahrq.gov/node/47228/psn-pdf
August 09, 2018 - A road map for advancing the practice of respect in health
care: the results of an interdisciplinary modified Delphi
consensus study.
August 9, 2018
Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in
Health Care: The Results of an Interdisciplinary Modified Delphi C…
-
psnet.ahrq.gov/node/38289/psn-pdf
July 05, 2008 - Resident Duty Hours: Enhancing Sleep, Supervision, and
Safety.
July 5, 2008
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National
Academies Press; 2008. ISBN: 97803091277…
-
psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - Computerised physician order entry-related medication
errors: analysis of reported errors and vulnerability
testing of current systems.
May 1, 2015
Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors:
analysis of reported errors and vulnerability testing of current sy…
-
psnet.ahrq.gov/node/37978/psn-pdf
April 11, 2011 - Effects of the Accreditation Council for Graduate Medical
Education duty hour limits on sleep, work hours, and
safety.
April 11, 2011
Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical
education duty hour limits on sleep, work hours, and safety. Pediatrics. 2008;…
-
psnet.ahrq.gov/node/46959/psn-pdf
August 20, 2018 - Education outcomes from a duty-hour flexibility trial in
internal medicine.
August 20, 2018
Desai SV, Asch DA, Bellini LM, et al. Education Outcomes in a Duty-Hour Flexibility Trial in Internal
Medicine. New Engl J Med. 2018;378(16):1494-1508. doi:10.1056/nejmoa1800965.
https://psnet.ahrq.gov/issue/education-outco…
-
psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - Root cause analysis reports help identify common factors
in delayed diagnosis and treatment of outpatients.
August 21, 2013
Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in
delayed diagnosis and treatment of outpatients. Health Aff (Millwood). 2013;32(8):1368-75.…
-
psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Learning Health Systems for Patient Safety
Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Savitz LA, Sousane Z, Mossburg SE. Learning …
-
psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety
Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Citation Text:
Savitz LA, S…
-
psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - Clinically indicated screening obviously reduces the burden on the clinician because they are only going
-
psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - Clinically indicated screening obviously reduces the burden on the clinician because they are only going
-
psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - An intervention that reduces readmissions and creates capacity for higher revenue patients may be particularly
-
psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - June 16, 2019
Adherence to simple and effective measures reduces the incidence of ventilator-associated