U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Taylor HA, Pronovost PJ, Sugarman J. Qual Saf Health Care. 2010;19:271-274.
Taylor HA ; Pronovost PJ ; Sugarman J.Ethics, oversight and quality improvement initiatives. Qual Saf Health Care. 2010; 19: 271-274
This survey of participants in the 100,000 Lives Campaign provides an overview of oversight of quality improvement initiatives and the ethical considerations involved in conducting quality improvement research.
Does health care role and experience influence perception of safety culture related to preventing infections?
Braun BI, Harris AD, Richards CL, et al. Am J Infect Control. 2013;41:638-641.
Overarching goals: a strategy for improving healthcare quality and safety?
Nanji KC, Ferris TG, Torchiana DF, Meyer GS. BMJ Qual Saf. 2013;22:187-193.
High-performance work systems in health care management—part 1 and part 2.
Garman AN, McAlearney AS, Harrison MI, Song PH, McHugh M, Robbins J. Health Care Manage Rev. 2011;36:201-226.
Before you make that big decision...
Kahneman D, Lovallo D, Sibony O. Harv Bus Rev. June 2011;89:50-60, 137.
The ongoing quality improvement journey: next stop, high reliability.
Chassin MR, Loeb JM. Health Aff (Millwood). 2011;30:559-568.
Organisational culture: variation across hospitals and connection to patient safety climate.
Speroff T, Nwosu S, Greevy R, et al. Qual Saf Health Care. 2010;19:592-596.
The Preventable Harm Index: an effective motivator to facilitate the drive to zero.
Brilli RJ, McClead RE Jr, Davis T, Stoverock L, Rayburn A, Berry JC. J Pediatr. 2010;157:681-683.
Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals.
McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Trust; June 2010.
The normalization of deviance in healthcare delivery.
Banja J. Bus Horiz. 2010;53:139-148.
For whom the Bell Commission tolls: unintended effects of limiting residents' hours.
Millard WB. Ann Emerg Med. 2009;54:A25-A29.
Identifying organizational cultures that promote patient safety.
Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.
Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement.
Opel DJ, Brownstein D, Diekema DS, Wilfond BS, Pearlman RA. J Clin Ethics. 2009;20:220-226.
Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare.
Dotan DB. J Clin Eng. 2009;34:142-146.
Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.
Pringle J, Weber RJ, Rice K, Kirisci L, Sirio C. Am J Med Qual. 2009; 24:374-384.
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
Improving the Health Care Work Environment.
Jt Comm J Qual Patient Saf. November 2007;33(suppl 1):3-84.
Creating complex health improvement programs as mindful organizations: from theory to action.
Issel LM, Narasimha KM. J Health Organ Manag. 2007;21:166-183.
The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study.
Williams ES, Manwell LB, Konrad TR, Linzer M. Health Care Manage Rev. 2007;32:203-212.
Healthcare climate: a framework for measuring and improving patient safety.
Zohar D, Livne Y, Tenne-Gazit O, Admi H, Donchin Y. Crit Care Med. Crit Care Med. 2007;35:1312-1317.
"What Did the Doctor Say?:" Improving Health Literacy to Protect Patient Safety.
Oakbrook Terrace, IL: The Joint Commission; 2007.
Developing a medication patient safety program — infrastructure and strategy.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.
Impact and implications of disruptive behavior in the perioperative arena.
Rosenstein AH, O'Daniel M. J Am Coll Surg. 2006;203:96-105.
Quality improvement implementation and hospital performance on patient safety indicators.
Weiner BJ, Alexander JA, Baker LC, Shortell SM, Becker M. Med Care Res Rev. 2006;63:29-57.
Problem doctors: is there a system-level solution?
Leape LL, Fromson JA. Ann Intern Med. 2006;144:107-115.
Acting Locally: Working in Clinical Microsystems CD-ROM.
Oakbrook Terrace, IL: Joint Commission Resources; 2005. ISBN: 0866889868.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364