Commentary The Agency for Healthcare Research and Quality's Patient Safety Network. Citation Text: Clancy CM; Keyes MA. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL November 30, 2005 Clancy CM; Keyes MA. View more articles from the same authors. The authors briefly outline the genesis of the patient safety movement and development of the Agency for Healthcare Research and Quality's patient safety portal, AHRQ Patient Safety Network (PSNet). Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Clancy CM; Keyes MA. Copy Citation Related Resources From the Same Author(s) How to Make an Emergency Department Visit a Safe One. September 16, 2009 Evidence shows cost and patient safety benefits of emergency pharmacists. July 9, 2008 Training health care professionals for patient safety. November 2, 2005 From HRO to HERO: making health equity a core system capability. November 24, 2021 Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. December 14, 2016 Patient safety in nursing practice. July 20, 2005 Working conditions that support patient safety. October 12, 2005 Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations. March 6, 2005 Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. September 30, 2020 Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021 Handwritten-prescription ban puts pharmacists in awkward position as "enforcers." July 5, 2006 Settlement to be used for hospital training in labeling medicines. September 21, 2005 Hospitals to tear up bills for medical mistakes. February 13, 2008 "Near injury" alters procedures at Virginia Mason. June 1, 2005 Suit filed over Virginia Mason Medical Center's error. April 3, 2005 Getting rid of "never events" in hospitals. October 28, 2015 Medication Safety Officer's Handbook. July 23, 2014 Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. August 16, 2006 Cognitive Systems Engineering in Health Care. February 11, 2015 Improving patient safety with team coordination: challenges and strategies of implementation. August 9, 2006 Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. September 28, 2005 Error and Uncertainty in Diagnostic Radiology. March 20, 2019 Misdiagnosed: what to do when your doctor doesn't know. July 27, 2011 Medical errors affecting the pediatric intensive care patient: incidence, identification, and practical solutions. June 18, 2008 Unity of Mistakes: A Phenomenological Interpretation of Medical Work. March 6, 2005 The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. October 18, 2017 Impact of a successful speaking up program on health-care worker hand hygiene behavior. September 13, 2017 Patient Safety and Managing Risk in Nursing. January 15, 2014 Infection prevention and control in pediatric ambulatory settings. November 1, 2017 Learning from incidents in health care: critique from a Safety-II perspective. September 27, 2017 Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. February 27, 2019 The Patient Safety Leadership WalkRounds Guide. November 19, 2008 Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. August 2, 2017 The Nurse's Role in Promoting a Culture of Patient Safety. August 17, 2005 Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. October 11, 2006 AHRQ's Quality Challenge. April 21, 2005 Where Medical Errors Occur and How to Avoid Them. June 23, 2010 Developing an adverse event reporting system using administrative data. March 19, 2008 The Ethics of Using QI Methods to Improve Health Care Quality and Safety. August 16, 2006 Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. March 29, 2006 Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. September 26, 2007 Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. June 21, 2006 Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. November 15, 2006 Special Issue on Medication Safety. July 31, 2019 Quality and Safety Education. August 12, 2009 Improving Diagnosis in Radiology—Progress and Proposals. September 13, 2017 CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. April 28, 2021 Drug shortages amid the COVID-19 pandemic. February 24, 2021 Supporting recovery after adverse events: an essential component of surgeon well-being. February 10, 2021 Transforming the medication regimen review process using telemedicine to prevent adverse events. December 16, 2020 Adverse events and emergency department opioid prescriptions in adolescents. June 30, 2021 A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety. June 30, 2021 Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. June 30, 2021 Racial disparities in child abuse medicine. November 3, 2021 The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, October 27, 2021 Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. October 27, 2021 Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. September 1, 2021 Opioid prescribing to US children and young adults in 2019. September 1, 2021 What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. March 2, 2022 Dedicated teams to optimize quality and safety of surgery: a systematic review. November 16, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. November 16, 2022 Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. September 21, 2022 Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. August 9, 2023 Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. August 10, 2022 Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. August 10, 2022 Implicit racial bias in pediatric orthopaedic surgery. June 15, 2022 Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. May 18, 2022 Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? May 11, 2022 Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. May 11, 2022 Continuing education in patient safety: massive open online courses as a new training tool. October 21, 2015 Why July matters. May 11, 2016 Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. November 11, 2015 The Sepsis Early Recognition and Response Initiative (SERRI). March 9, 2016 Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. December 19, 2018 Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. July 10, 2019 Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. July 10, 2019 The value from investments in health information technology at the U.S. Department of Veterans Affairs. May 5, 2010 Interventions for reducing wrong-site surgery and invasive procedures. November 14, 2012 Effect of social influences on pharmacists' intention to report adverse drug events. October 17, 2012 The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. March 7, 2012 Survey shows that at least some physicians are not always open or honest with patients. February 22, 2012 Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. August 16, 2017 Preventable adverse drug events: descriptive epidemiology. November 13, 2019 Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. February 15, 2023 The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. February 1, 2023 Inappropriate prescribing of opioids for patients undergoing surgery. December 21, 2022 Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. December 14, 2022 A professional development course improves unprofessional physician behavior. February 12, 2020 Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. February 12, 2020 Impact of intensive care unit discharge time on patient outcome. January 17, 2007 Effects of nursing rounds on patients' call light use, satisfaction, and safety. September 20, 2006 Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Mistakes We Make in Dialysis. August 3, 2016 Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. August 22, 2007 The incidence and nature of in-hospital adverse events: a systematic review. June 18, 2008 Special Issue on Teamwork. May 1, 2013 The relationship between safety climate and safety performance: a review. March 1, 2023 Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. February 22, 2023 Workplace violence against anesthesiologists: we are not immune to this patient safety threat. September 18, 2019 Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. February 15, 2023 View More Related Resources Annual Perspective Equity in Patient Safety March 27, 2024 Annual Perspective Communication During Transitions of Care March 27, 2024 Interview In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024 Perspective Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training February 28, 2024 Patient Safety Awareness Week. March 10, 2024 - March 16, 2024 Interview In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023 Perspectives on Safety Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023 Adverse Health Events in Minnesota: Annual Reports. September 30, 2023 Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023 Your Safety in our Hands in Hospital. April 20, 2023 Patient Safety Innovations Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes March 29, 2023 Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? May 11, 2022 The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. January 13, 2021 Racism as a Root Cause approach: a new framework. January 1, 2021 African American COVID-19 mortality: a sentinel event. June 17, 2020 Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. September 25, 2019 CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017 Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. April 1, 2015 Consumer Guide to Adverse Health Events. February 28, 2015 Health care serial murder: a patient safety orphan. March 31, 2010 The Checklist Manifesto: How to Get Things Right. January 13, 2010 Sleep deprivation, physician performance, and patient safety. November 25, 2009 Josie's Story. September 23, 2009 The Best Practice: How the New Quality Movement Is Transforming Medicine. November 5, 2008 Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. March 14, 2007 Avoiding medical error. February 14, 2007 Prevent medication errors: a New Year's resolution: teaching patients about their medications. January 31, 2007 Safety First: a Report for Patients, Clinicians and Healthcare Managers. January 17, 2007 Maternity ward at Highland under fire from patients. January 10, 2007 Hospital-acquired Infections in Pennsylvania. December 6, 2006 View More See More About The Topic Health Care Providers Health Care Executives and Administrators Non-Health Care Professionals Patients
Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. December 14, 2016
Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations. March 6, 2005
Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. September 30, 2020
Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021
Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. August 16, 2006
Improving patient safety with team coordination: challenges and strategies of implementation. August 9, 2006
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. September 28, 2005
Medical errors affecting the pediatric intensive care patient: incidence, identification, and practical solutions. June 18, 2008
The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. October 18, 2017
Impact of a successful speaking up program on health-care worker hand hygiene behavior. September 13, 2017
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. February 27, 2019
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. August 2, 2017
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. October 11, 2006
Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. March 29, 2006
Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. June 21, 2006
Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. November 15, 2006
Supporting recovery after adverse events: an essential component of surgeon well-being. February 10, 2021
Transforming the medication regimen review process using telemedicine to prevent adverse events. December 16, 2020
A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety. June 30, 2021
Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. June 30, 2021
The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, October 27, 2021
Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. October 27, 2021
Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. September 1, 2021
What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. March 2, 2022
CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. November 16, 2022
Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. September 21, 2022
Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. August 9, 2023
Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. August 10, 2022
Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. August 10, 2022
Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. May 18, 2022
Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. May 11, 2022
Continuing education in patient safety: massive open online courses as a new training tool. October 21, 2015
Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. November 11, 2015
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. December 19, 2018
Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. July 10, 2019
Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. July 10, 2019
The value from investments in health information technology at the U.S. Department of Veterans Affairs. May 5, 2010
Effect of social influences on pharmacists' intention to report adverse drug events. October 17, 2012
The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. March 7, 2012
Survey shows that at least some physicians are not always open or honest with patients. February 22, 2012
Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. August 16, 2017
Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. February 15, 2023
The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. February 1, 2023
Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. December 14, 2022
Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. February 12, 2020
Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. August 22, 2007
Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. February 22, 2023
Workplace violence against anesthesiologists: we are not immune to this patient safety threat. September 18, 2019
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. February 15, 2023
Interview In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024
Interview In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Patient Safety Innovations Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes March 29, 2023
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. January 13, 2021
Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. September 25, 2019
CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017
Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. April 1, 2015
Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. March 14, 2007
Prevent medication errors: a New Year's resolution: teaching patients about their medications. January 31, 2007