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  1. New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. | PSNet

    psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
    December 15, 2021 - Book/Report New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Citation Text: New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 978311…

  2. The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.  | PSNet

    psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
    March 28, 2012 - Newspaper/Magazine Article The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.  Citation Text: The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.  Wilson L. Copy Citation Save Save to…

  3. Radiotherapy Incident Reporting and Analysis System. | PSNet

    psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
    February 05, 2020 - Multi-use Website Radiotherapy Incident Reporting and Analysis System. Citation Text: Radiotherapy Incident Reporting and Analysis System. Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-5795. Email: brthomad@cars-pso.org. Copy Citation …

  4. TeamSTEPPS for Diagnosis Improvement. | PSNet

    psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
    July 17, 2024 - Toolkit TeamSTEPPS for Diagnosis Improvement. Citation Text: TeamSTEPPS for Diagnosis Improvement. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your librar…

  5. Joshua’s Story. | PSNet

    psnet.ahrq.gov/issue/joshuas-story
    February 26, 2014 - Audiovisual Joshua’s Story. Citation Text: Joshua’s Story. Anderson-Wallace M, Denning R. Leeds, UK: Patient Stories; October 18, 2014. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  6. Final five: ASCs told to target patient safety. | PSNet

    psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
    April 24, 2018 - Newspaper/Magazine Article Final five: ASCs told to target patient safety. Citation Text: Rollins G. Final five: ASCs told to target patient safety. Hospitals & health networks. 2007;81(12):53-4, 56, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  7. Impact of a statewide reporting system on medication error reduction. | PSNet

    psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
    December 16, 2011 - Study Impact of a statewide reporting system on medication error reduction. Citation Text: Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K. Copy Citation Save Save to your library Print…

  8. Common Program Requirements. The Learning and Working Environment (Duty Hours). | PSNet

    psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
    November 18, 2020 - Multi-use Website Common Program Requirements. The Learning and Working Environment (Duty Hours). Citation Text: Common Program Requirements. The Learning and Working Environment (Duty Hours). Accreditation Council for Graduate Medical Education. Copy Citation Save …

  9. The importance of simulation: preventing hand-off mistakes. | PSNet

    psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
    May 20, 2009 - Commentary The importance of simulation: preventing hand-off mistakes. Citation Text: Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  10. Implementing a patient safety alert system. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
    June 21, 2015 - Study Implementing a patient safety alert system. Citation Text: Furman C. Implementing a patient safety alert system. Nurs Econ. 2005;23(1):42-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  11. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. | PSNet

    psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
    April 22, 2016 - Newspaper/Magazine Article Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Citation Text: Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern healthcare. 2015;45(3):18-20. Copy Citation For…

  12. University of Georgia Health Center Relies on AHRQ Survey to Assess Culture of Safety and Quality | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/202303.html
    October 01, 2023 - University of Georgia Health Center Relies on AHRQ Survey to Assess Culture of Safety and Quality Search All Impact Case Studies October 2023 The University of Georgia Health Center (UHC) used AHRQ’s Medical Office Survey on Patient Safety Culture ™ (SOPS ® ) to conduct a required assessment to evaluate …

  13. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. | PSNet

    psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
    August 01, 2012 - Toolkit Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. Citation Text: Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. Rockville, MD: Agency for Healthcare Research and Quality; July 2023. Copy Citation Save Save to …

  14. Patient Safety and Quality Improvement; Final Rule. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
    December 24, 2008 - Government Resource Patient Safety and Quality Improvement; Final Rule. Citation Text: Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814. C…

  15. | Agency for Healthcare Research and Quality

    www.ahrq.gov/topics/index.html
    October 01, 2008 - Topics Information on AHRQ's most-searched topics are included below and in the A to Z menu above. Results Topics 1 - 10 of 19 displayed Pagination 1 2 next › ›› last » Last » Antimicrobial Stewardship Antimicrobial stewardship programs are coordinated p…

  16. Patient Safety 101 | PSNet

    psnet.ahrq.gov/patient-safety-101
    March 26, 2025 - Patient Safety 101: The Fundamentals What is Patient Safety? The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…

  17. Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. | PSNet

    psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
    February 06, 2018 - Book/Report Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Citation Text: Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. Copy Citation Save Save to your library …

  18. Learning Not Blaming. | PSNet

    psnet.ahrq.gov/issue/learning-not-blaming
    March 28, 2018 - Book/Report Learning Not Blaming. Citation Text: Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716. Copy Citation Save Save to your library Print Download PDF Share F…

  19. Physician resiliency and wellness for transforming a health system. | PSNet

    psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system
    November 23, 2024 - Commentary Physician resiliency and wellness for transforming a health system. Citation Text: Physician resiliency and wellness for transforming a health system. Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018. Copy Citation Save Save to your library Print …

  20. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. | PSNet

    psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
    October 02, 2013 - Toolkit Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Citation Text: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for H…
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