-
psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
December 04, 2016 - Study
Hospital progress in reducing error: the impact of external interventions.
Citation Text:
Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20.
Copy Citation
Format:
DOI Google S…
-
psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
October 14, 2009 - Study
Prioritizing patient safety interventions in small and rural hospitals.
Citation Text:
Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/infection-preventionist-checklist-improve-culture-and-reduce-central-line-associated
January 15, 2014 - Commentary
Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and reduce central line-associated bloodstream i…
-
psnet.ahrq.gov/issue/creating-pediatric-joint-council-promote-patient-safety-and-quality-governance-and
January 29, 2015 - Commentary
Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine.
Citation Text:
Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…
-
psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
November 10, 2010 - Commentary
Using a logic model to design and evaluate quality and patient safety improvement programs.
Citation Text:
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …
-
psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Study
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Citation Text:
Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…
-
psnet.ahrq.gov/issue/improving-reliability-clinical-care-practices-ventilated-patients-context-patient-safety
November 07, 2011 - Study
Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.
Citation Text:
Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patie…
-
psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
February 10, 2012 - Study
The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units.
Citation Text:
Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…
-
psnet.ahrq.gov/node/34616/psn-pdf
March 28, 2005 - Score Your Safety Culture.
March 28, 2005
Reason J. Flight Safety Australia. 2001;5(1):40-41.
https://psnet.ahrq.gov/issue/score-your-safety-culture
James Reason's checklist to help an organization determine if it has installed and sustained a safety
culture. The tool is drawn from his thinking in Managing the Ris…
-
psnet.ahrq.gov/node/37208/psn-pdf
December 15, 2011 - Can your nurses stop a surgeon?
December 15, 2011
Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42.
https://psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
This article traces the development of a safety culture in a large Illinois health care system and describes
its successful us…
-
psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - Commentary
Classic
The wisdom and justice of not paying for "preventable complications."
Citation Text:
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…
-
psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus
September 20, 2011 - Study
Classic
The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs.
Citation Text:
Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Saf…
-
psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical
January 03, 2017 - Study
Implementing standardized operating room briefings and debriefings at a large regional medical center.
Citation Text:
Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qua…
-
psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
April 27, 2010 - Review
Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.
Citation Text:
Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…
-
psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
July 01, 2017 - Commentary
Classic
Paying the piper: investing in infrastructure for patient safety.
Citation Text:
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
Co…
-
psnet.ahrq.gov/issue/description-development-and-validation-canadian-paediatric-trigger-tool
January 25, 2017 - Study
Description of the development and validation of the Canadian Paediatric Trigger Tool.
Citation Text:
Matlow A, Cronin CMG, Flintoft V, et al. Description of the development and validation of the Canadian Paediatric Trigger Tool. BMJ Qual Saf. 2011;20(5):416-23. doi:10.1136/bmjqs…
-
psnet.ahrq.gov/node/42289/psn-pdf
May 22, 2013 - The high-reliability pediatric intensive care unit.
May 22, 2013
Niedner M, Muething S, Sutcliffe K. The high-reliability pediatric intensive care unit. Pediatr Clin North Am.
2013;60(3):563-80. doi:10.1016/j.pcl.2013.02.005.
https://psnet.ahrq.gov/issue/high-reliability-pediatric-intensive-care-unit
This review d…
-
psnet.ahrq.gov/node/42061/psn-pdf
October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving
Quality of Care.
October 5, 2015
Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January
2013. AHRQ Publication No. 13-0015-EF.
https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care…
-
psnet.ahrq.gov/node/36282/psn-pdf
April 29, 2018 - Our long journey towards a safety-minded just culture.
Part I: Where we've been.
April 29, 2018
ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11.
https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
This article discusses the difference betwe…
-
psnet.ahrq.gov/node/40639/psn-pdf
August 25, 2011 - The introduction of a surgical safety checklist in a tertiary
referral obstetric centre.
August 25, 2011
Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral
obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs.2010.050179.
https://psnet.ahrq.g…