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
Vogus TJ, Hilligoss B. BMJ Qual Saf. 2016;25:141-146.
Vogus TJ ; Hilligoss B.The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016; 25: 141-146
High reliability has been an elusive goal for hospitals and care teams. This commentary examines habit as a mechanism to ensure that high performance practices are applied routinely during care delivery to enhance reliability.
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care.
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019.
Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being.
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academy of Medicine.
Reframing and addressing horizontal violence as a workplace quality improvement concern.
Taylor RA, Taylor SS. Nurs Forum. 2018;53:459-465.
Systems thinking and incivility in nursing practice: an integrative review.
Phillips JM, Stalter AM, Winegardner S, Wiggs C, Jauch A. Nurs Forum. 2018;53:286-298.
Workplace factors associated with burnout of family physicians.
Rassolian M, Peterson LE, Fang B, et al. JAMA Intern Med. 2017;177:1036-1038.
Changing the narratives for patient safety.
Pronovost PJ, Sutcliffe KM, Basu L, Dixon-Woods M. Bull World Health Organ. 2017;95:478-480.
Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.
Linzer M, Poplau S, Brown R, et al. J Gen Intern Med. 2017;32:56-61.
Why studying human behavior is a critical component of patient safety.
Su L. Curr Probl Pediatr Adolesc Health Care. 2015;45:367-369.
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.
Maben J, Griffiths P, Penfold C, et al. BMJ Qual Saf. 2016;25:241-256.
Why even good physicians do not wash their hands.
Redelmeier DA, Shafir E. BMJ Qual Saf. 2015;24:744-747.
Technology, cognition and error.
Coiera E. BMJ Qual Saf. 2015;24:417-422.
Role of cognition in generating and mitigating clinical errors.
Patel VL, Kannampallil TG, Shortliffe EH. BMJ Qual Saf. 2015;24:468-474.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. October 21-25, 2019; Armstrong Institute for Patient Safety and Quality, Baltimore, MD.
Behavioral Health—Strategic Facility Design Innovations That Improve Treatment Outcomes, Safety and the Bottom Line Workshop.
The Center for Health Design. September 18, 2019. Hilton Baltimore Inner Harbor, Baltimore, MD.
The NHS Patient Safety Strategy.
NHS Improvement. July 2, 2019.
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.
Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308.
Healthcare Safety Investigation Branch.
Farnborough, Hampshire, UK.
Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.
Chen YF, Armoiry X, Higenbottam C, et al. BMJ Open. 2019;9:e025764.
Advances in Human Factors and Ergonomics in Healthcare and Medical Devices.
Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501.
Moving towards a safety II approach.
Woodward S. J Patient Saf Risk Manag. 2019;24:96-99.
A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit.
Ansari SP, Rayfield ME, Wallis VA, Jardine JE, Morris EP, Prosser-Snelling E. J Patient Saf. 2019 May 28; [Epub ahead of print].
Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.
Macrae C. J R Soc Med. 2019 May 22; [Epub ahead of print].
Addressing Problematic Opioid Use in OECD Countries.
Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260.
Medicines safety in anaesthetic practice.
Mackay E, Jennings J, Webber S. BJA Education. 2019;19:151-157.
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.
Sherman JP, Hedli LC, Kristensen-Cabrera AI, et al; Safety Learning Laboratory for Neonatal and Maternal Care. Am J Perinatol. 2019 Apr 23; [Epub ahead of print].
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