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Ricciardi R. J Nurs Care Qual. 2015;30:193-196.
Ricciardi R. AHRQ focuses on ambulatory patient safety. J Nurs Care Qual. 2015; 30: 193-196
AHRQ has generated funding and educational opportunities toward understanding and improving patient safety in ambulatory settings. This commentary reviews AHRQ initiatives related to primary care, office-based testing, and research opportunities to engage nurses in these efforts.
Restoring trust in VA health care.
Kizer KW, Jha AK. N Engl J Med. 2014;371:295-297.
Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force.
Michael YL, Whitlock EP, Lin JS, Fu R, O'Connor EA, Gold R; US Preventive Services Task Force. Ann Intern Med. 2010;153:815-825.
Leadership Role in Improving Safety
Patient Safety 101
Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience.
Nix M, McNamara P, Genevro J, et al. Health Aff (Millwood). 2018;37:205-212.
Patient Safety in the Office-Based Practice Setting.
Philadelphia, PA: American College of Physicians; 2017.
Pressure Injury Prevention in Hospitals Training Program.
Rockville, MD: Agency for Healthcare Research and Quality; September 2017.
Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout.
Shanafelt TD, Noseworthy JH. Mayo Clin Proc. 2017;92:129-146.
Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition.
Oak Brook, IL; Joint Commission; 2016. ISBN: 9781599409412.
Partnership for Patients and the Hospital Improvement Innovation Networks: Continuing Forward Momentum on Reducing Patient Harm.
Fact Sheets. Baltimore, MD: Centers for Medicare & Medicaid Services; September 29, 2016.
Is misdiagnosis inevitable?
Page L. Medscape Business of Medicine. March 28, 2016.
Safer Healthcare: Strategies for the Real World.
Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016. ISBN: 9783319255576.
Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system.
Berry JC, Davis JT, Bartman T, et al. J Patient Saf. 2016 Jan 7; [Epub ahead of print].
The Sociology of Healthcare Safety and Quality.
Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38:179-339.
Saving Lives and Saving Money: Hospital-Acquired Conditions Update.
Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-0009-EF.
Improving Diagnosis in Health Care.
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015.
Rapidly increasing rapid response team activation rates.
Braaten JS, deGunst G, Bilys K. Jt Comm J Qual Patient Saf. 2015;41:421-427.
Learning From Serious Failings in Care: Main Report.
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015.
Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care.
Verbakel JY, Lemiengre MB, De Burghgraeve T, et al. BMJ Open. 2015;5:e008657.
Petty, dangerous, disruptive doctors: watch out!
Crane ME. Medscape Business of Medicine. July 23, 2015.
Who applies an intervention to influence cultural attributes in a quality improvement collaborative?
Hsu YJ, Marsteller JA. J Patient Saf. 2015 Jul 8; [Epub ahead of print].
Aiming higher to enhance professionalism: beyond accreditation and certification.
Chassin MR, Baker DW. JAMA. 2015;313:1795-1796.
What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities.
Brewster L, Aveling EL, Martin G, Tarrant C, Dixon-Woods M; Safer Clinical Systems Phase 2 Core Group Collaboration & Writing Committee. BMJ Qual Saf. 2015;24:318-324.
Safer Clinical Systems: Evaluation Findings.
Dixon-Woods M, Martin G, Tarrant C, et al. London, UK: Health Foundation; December 2014.
The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units.
Braddock CH III, Szaflarski N, Forsey L, Abel L, Hernandez-Boussard T, Morton J. J Gen Intern Med. 2015;30:425-433.
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.
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