-
psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - issue/back-basics-preventing-surgical-site-infections
https://psnet.ahrq.gov/issue/american-college-surgeons-and-surgical-infection-society-surgical-site-infection-guidelines
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - The relationship with malpractice claims among primary care physicians and surgeons.
-
psnet.ahrq.gov/home
August 04, 2021 - Promoting Patient Safety.
Search
Apply
Advanced Search
Search Tips
AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits , opportunities for free CME and trainings . The p…
-
psnet.ahrq.gov/issue/root-cause-analysis-support-infection-control-healthcare-premises
May 10, 2023 - Commentary
Root cause analysis to support infection control in healthcare premises.
Citation Text:
Venier A-G. Root cause analysis to support infection control in healthcare premises. J Hosp Infect. 2015;89(4):331-4. doi:10.1016/j.jhin.2014.12.003.
Copy Citation
Format:
Goo…
-
psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
May 01, 2015 - Book/Report
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System.
Citation Text:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…
-
psnet.ahrq.gov/issue/using-medication-containers-during-pharmacist-transitional-care-visits-and-impact-medication
March 08, 2023 - Study
Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk.
Citation Text:
Herges JR, Garrison GM, Mara KC, et al. Using medication containers during pharmacist transitional care visits and …
-
psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
July 12, 2023 - Study
Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center.
Citation Text:
Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…
-
psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or
April 12, 2011 - Study
The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture.
Citation Text:
Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but…
-
psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
September 10, 2014 - Government Resource
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System.
Citation Text:
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix H…
-
psnet.ahrq.gov/issue/ethical-considerations-and-patient-safety-concerns-cancelling-non-urgent-surgeries-during
June 23, 2021 - Commentary
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review.
Citation Text:
Brown NJ, Wilson B, Szabadi S, et al. Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the…
-
psnet.ahrq.gov/issue/perception-patient-safety-alternate-site-care-elective-surgery-during-first-wave-novel
May 12, 2021 - Study
The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.
Citation Text:
Lee G, Clough OT, Walker JA, et al. The perception of patient safety in an alte…
-
psnet.ahrq.gov/issue/ai-health-huge-potential-huge-risks
October 11, 2023 - Book/Report
AI in Health: Huge Potential, Huge Risks.
Citation Text:
Paris, France: OECD Publishing; 2024.
Copy Citation
Save
Save to your library
Print
Share
Facebook
Twitter
Linkedin
Copy URL
April 3, 2024
…
-
psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - A Troubling Amine
September 1, 2006
Flynn EA. A Troubling Amine. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/troubling-amine
The Case
A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure.
She was found to have severe mitral and tricuspid valve regurgi…
-
psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - Falling Between the Cracks in the Software
Citation Text:
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX En…
-
psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - September 30, 2010
Bringing surgeons down to earth.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-331
March 31, 2022 - me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons … To increase the number of self-reports by surgeons, this hospital implemented a program of financial
-
psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
May 05, 2025 - face challenges associated with implementation and adherence, for example, the difficulty of engaging surgeons … face challenges associated with implementation and adherence, for example, the difficulty of engaging surgeons
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Laboratory testing plays a limited role in risk stratification
Communication and collaboration between surgeons
-
psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Presented at Association of VA Surgeons 35 th Annual Meeting; April 2011; Irvine, CA.
15. … Basketball players do it, and I'm sure surgeons do it as well.
-
psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - increase patient mortality by 2%.( 5 ) To make matters worse, other health care professionals, such as surgeons … Historically, surgeons had worked around this problem by searching for another, hopefully functioning