-
psnet.ahrq.gov/node/60034/psn-pdf
March 11, 2020 - Responding to unprofessional behavior by trainees - a
"just culture" framework.
March 11, 2020
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just
Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591.
https://psnet.ahrq.gov/issue/resp…
-
psnet.ahrq.gov/node/43842/psn-pdf
January 28, 2015 - Should health care providers be forced to apologise after
things go wrong?
January 28, 2015
McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go
wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y.
https://psnet.ahrq.gov/issue/should-health-care-provid…
-
psnet.ahrq.gov/node/44449/psn-pdf
January 22, 2016 - Do patient safety indicators explain increased weekend
mortality?
January 22, 2016
Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend
mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030.
https://psnet.ahrq.gov/issue/do-patient-safety-indicators-ex…
-
psnet.ahrq.gov/node/43138/psn-pdf
April 23, 2014 - The quest for safe surgical care: are we missing the
obvious?
April 23, 2014
Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg.
2014;99(2):42-5.
https://psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
Many studies have examined how checklists impact …
-
psnet.ahrq.gov/node/74722/psn-pdf
February 02, 2022 - Preventing and mitigating radiology system failures: a
guide to disaster planning.
February 2, 2022
Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide
to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/45826/psn-pdf
January 18, 2017 - Ensuring staff safety when treating potentially violent
patients.
January 18, 2017
Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA.
2016;316(24):2669-2670. doi:10.1001/jama.2016.18260.
https://psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-…
-
psnet.ahrq.gov/node/44584/psn-pdf
March 15, 2016 - Barriers to implementing a reporting and learning patient
safety system: pediatric chiropractic perspective.
March 15, 2016
Pohlman KA, Carroll L, Hartling L, et al. Barriers to Implementing a Reporting and Learning Patient Safety
System: Pediatric Chiropractic Perspective. J Evid Based Complementary Altern Med. 20…
-
psnet.ahrq.gov/node/850349/psn-pdf
June 14, 2023 - Cognitive biases in internal medicine: a scoping review.
June 14, 2023
Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review.
Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120.
https://psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review…
-
psnet.ahrq.gov/node/45099/psn-pdf
December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers:
A Resource List for Users of the AHRQ Ambulatory
Surgery Center Survey on Patient Safety Culture.
December 7, 2018
Rockville, MD; Agency for Healthcare Quality and Research; March 2016.
https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-…
-
psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What
Have We Learned in the United States.
June 23, 2020
Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information.
June 23, 2020.
https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
-
psnet.ahrq.gov/node/865974/psn-pdf
May 29, 2024 - Minimizing bias when using artificial intelligence in
critical care medicine.
May 29, 2024
Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J
Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796.
https://psnet.ahrq.gov/issue/minimizing-bias-when-us…
-
psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question.
August 9, 2023
Jaklevic MC. HealthJournalism.org. July 27, 2023.
https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-
question
Published rates of medical errors con…
-
psnet.ahrq.gov/node/72628/psn-pdf
January 13, 2021 - Awareness of human factors in the operating theatres
during the COVID-19 pandemic.
January 13, 2021
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the
COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
https://psnet.ahrq.gov/issue/awa…
-
www.ahrq.gov/evidencenow/tools/practice-team.html
November 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide
Resource: The Practice Team
This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.15. Major Factors that Inhibited Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
-
www.ahrq.gov/hai/cusp/modules/assemble/index.html
July 01, 2018 - Assemble the Team
The Assemble the Team module of the CUSP Toolkit addresses CUSP team composition for your quality improvement initiative.
This module presents five concepts that address—
The importance of teamwork and team composition to the CUSP initiative.
How to develop a strategy to build an eff…
-
psnet.ahrq.gov/node/34676/psn-pdf
December 23, 2008 - Driving improvement in patient care: lessons from
Toyota.
December 23, 2008
Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm.
2003;33(11):585-595.
https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
Representatives from University of Pit…
-
psnet.ahrq.gov/node/60963/psn-pdf
September 30, 2020 - Organisation and characteristics of out-of-hours primary
care during a COVID-19 outbreak: a real-time
observational study.
September 30, 2020
Morreel S, Philips H, Verhoeven V. Organisation and characteristics of out-of-hours primary care during a
COVID-19 outbreak: a real-time observational study. PLoS One. 2020;…
-
psnet.ahrq.gov/node/855090/psn-pdf
January 01, 2024 - Supporting nurses in acute and emergency care settings
to speak up.
November 8, 2023
Clarke-Romain B. Supporting nurses in acute and emergency care settings to speak up. Emerg Nurse.
2024;32(3):16-21. doi:10.7748/en.2023.e2162.
https://psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak
…
-
psnet.ahrq.gov/node/39960/psn-pdf
September 19, 2016 - Respectful Management of Serious Clinical Adverse
Events. Second Edition.
September 19, 2016
Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement;
2011.
https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
This white paper e…