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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34849/psn-pdf
    May 14, 2012 - The end of the beginning: patient safety five years after 'To Err Is Human.' May 14, 2012 Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73682/psn-pdf
    September 08, 2021 - Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. September 8, 2021 Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and improves competence for patient saf…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45002/psn-pdf
    June 07, 2016 - The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. June 7, 2016 Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on Quality and Safety in Trauma Care.…

  4. Exhibit 3.11. Lean Project Activities | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-11.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.11. Lean Project Activities Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44501/psn-pdf
    January 22, 2016 - Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. January 22, 2016 Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative. J Pediatr. 2015;167(5):1143-8.e1. doi:10.1016/j.jpeds.2…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60277/psn-pdf
    January 01, 2021 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. April 29, 2020 Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621. https://psnet.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60030/psn-pdf
    March 11, 2020 - Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. March 11, 2020 Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse ev…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44857/psn-pdf
    March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste. March 23, 2016 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016. https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste Electronic health records have potential to improve health …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46031/psn-pdf
    April 12, 2017 - Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. April 12, 2017 Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60027/psn-pdf
    January 01, 2021 - Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. March 11, 2020 Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital f…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842762/psn-pdf
    January 18, 2023 - Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. January 18, 2023 Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. B…

  12. Ppe-Activity (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-activity.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 3 Activity Guide Personal Protective Equipment: Putting On and Taking Off Personal Protective Equipment (PPE) Supplies · Gloves · Gowns · Masks · Face shields or goggles · Simulated germs (e.g., chocolate syrup, washable paint, povidone-iodine) · Wast…

  13. Skills-Test (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/skills-test.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 1—Skills Questions The How-To’s of Hand Hygiene 1. How long should you rub your hands with soap when you are hand washing? a. At least 5 seconds b. At least 15 seconds c. At least 30 seconds d. At least 60 seconds 2. How long should you rub your ha…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74229/psn-pdf
    January 12, 2022 - A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. January 12, 2022 Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safet…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848359/psn-pdf
    May 03, 2023 - Medical line entanglement: the unspoken patient safety hazard of medical devices. May 3, 2023 Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. https://psnet.ahrq.gov/issue/medical-line-enta…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46738/psn-pdf
    February 28, 2018 - Safe care for pediatric patients: a scoping review across multiple health care settings. February 28, 2018 Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.1177/0009922817691820. https://ps…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47942/psn-pdf
    July 01, 2019 - Responding to health information technology reported safety events: insights from patient safety event reports. July 1, 2019 Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124. https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights- patient-saf…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47741/psn-pdf
    March 06, 2019 - Association of overlapping surgery with perioperative outcomes. March 6, 2019 Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711. https://psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836772/psn-pdf
    March 23, 2022 - Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. March 23, 2022 Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trauma Acute Care Surg. 2022;92(3):47…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…
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