AHRQ Search | Home Page

When I say…diagnostic error. | PSNet

psnet.ahrq.gov/issue/when-i-saydiagnostic-error

January 26, 2022 - Commentary When I say…diagnostic error. Citation Text: Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…

Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. | PSNet

psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs

January 04, 2019 - Commentary Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. Citation Text: Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/…

Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. | PSNet

psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic

November 29, 2017 - Commentary Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Citation Text: Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…

Patient safety answers require outreach, in-reach, and partnerships. | PSNet

psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships

August 23, 2023 - Commentary Patient safety answers require outreach, in-reach, and partnerships. Citation Text: Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436. Copy Citation Format: DOI Google …

High reliability: excellent care every time. | PSNet

psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time

July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

Identifying violation-provoking conditions in a healthcare setting. | PSNet

psnet.ahrq.gov/issue/identifying-violation-provoking-conditions-healthcare-setting

April 18, 2011 - Study Identifying violation-provoking conditions in a healthcare setting. Citation Text: Phipps D, Parker D, Pals EJM, et al. Identifying violation-provoking conditions in a healthcare setting. Ergonomics. 2008;51(11):1625-42. doi:10.1080/00140130802331617. Copy Citation Form…

Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. | PSNet

psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry

January 13, 2021 - Book/Report Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…

Implement strategies to prevent persistent medication errors and hazards. | PSNet

psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards

March 14, 2023 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards. Citation Text: Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. Copy Citation …

Improving Quality and Safety in Healthcare. | PSNet

psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare

November 30, 2016 - Special or Theme Issue Improving Quality and Safety in Healthcare. Citation Text: Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. Copy Citation Save Save to your library Print …

Leading change: why transformation efforts fail. | PSNet

psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

March 03, 2021 - Commentary Classic Leading change: why transformation efforts fail. Citation Text: Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67. Copy Citation Save Save to your library …

Behind Human Error, Second Edition. | PSNet

psnet.ahrq.gov/issue/behind-human-error-second-edition

April 13, 2018 - Book/Report Classic Behind Human Error, Second Edition. Citation Text: Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537. Copy Citation Save Save to your lib…

A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet

psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays

September 09, 2020 - Newspaper/Magazine Article A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Citation Text: A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Linnane R, Diedrich J. Milwaukee Journal Sentinel. F…

Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. | PSNet

psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices

December 10, 2024 - Book/Report Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Citation Text: Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025. …

High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. | PSNet

psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations

October 09, 2013 - Book/Report High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. Citation Text: High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…

The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. | PSNet

psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2022-eisenberg-award-recipients

February 21, 2024 - Award Recipient The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. Citation Text: The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum: January 23…

Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014

October 03, 2018 - Book/Report Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Citation Text: Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. …

AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. | PSNet

psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-care

August 07, 2024 - Book/Report AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Citation Text: AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Rockville, MD: Agency for Healthcare Research and Qua…

Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. | PSNet

psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories

May 29, 2014 - Commentary Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. Citation Text: Tessier EG, Henneman EA, Nathanson BH, et al. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. American Journal of Health-Sys…

The National Healthcare System Action Alliance for Patient and Workforce Safety. | PSNet

psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety

April 01, 2024 - Multi-use Website The National Healthcare System Action Alliance for Patient and Workforce Safety. Citation Text: The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services. Copy Citation Save Save t…

Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet

psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard

February 09, 2011 - Commentary Classic Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Citation Text: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…

Search AHRQ

Results