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
Nathan AT, Kaplan HC. Semin Perinatol. 2017;41:142-150.
Nathan AT ; Kaplan HC.Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017; 41: 142-150
Quality improvement methods are crucial to implement lasting change. This commentary reviews frameworks and tools such as fishbone diagrams, checklists, and process maps that organizations can utilize to improve safety in perinatal care.
IHI National Forum on Quality Improvement in Health Care.
Institute for Healthcare Improvement. December 10–13, 2017; World Center Marriott, Orlando, FL.
2017 Hospital Quality Institute Conference.
Hospital Quality Institute. November 1–3, 2017, Monterey Marriott and Monterey Conference Center, Monterey, CA.
Individual Clinician Performance Issues
Health Care Facility Design Safety Risk Assessment Toolkit.
Rockville, MD: Agency for Healthcare Research and Quality; 2017.
ISMP Medication Safety Self Assessment for High-Alert Medications.
Horsham, PA: Institute for Safe Medication Practices; 2017.
Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.
Liu JB, Berian JR, Ban KA, et al. Ann Surg. 2017;266:411-420.
Gupta M, Kaplan HC, eds. Clin Perinatol. 2017;44:469-728.
A multicomponent fall prevention strategy reduces falls at an academic medical center.
France D, Slayton J, Moore S, et al. Jt Comm J Qual Patient Saf. 2017;43:460-470.
Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm.
Lyren A, Brilli RJ, Zieker K, Marino M, Muething S, Sharek PJ. Pediatrics. 2017;140:20163494.
Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.
Morrison RJ, Bowe SN, Brenner MJ. JAMA Otolaryngol Head Neck Surg. 2017 Aug 10; [Epub ahead of print].
AHRQ Safety Program for Improving Antibiotic Use.
Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, University of Chicago.
How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England.
Jones L, Pomeroy L, Robert G, Burnett S, Anderson JE, Fulop NJ. BMJ Qual Saf. 2017 Jul 8; [Epub ahead of print].
Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program.
Kane RL, Huckfeldt P, Tappen R, et al. JAMA Intern Med. 2017;177:1257-1264.
Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.
Schiff GD, Reyes Nieva H, Griswold P, et al. Med Care. 2017;55:797-805.
Death due to pharmacy compounding error reinforces need for safety focus.
ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4.
Long-term Care and Patient Safety
Triggers and Trigger Tools
A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents.
Mody L, Greene MT, Meddings J, et al. JAMA Intern Med. 2017;177:1154-1162.
Evaluating serial strategies for preventing wrong-patient orders in the NICU.
Adelman JS, Aschner JL, Schechter CB, et al. Pediatrics. 2017;139:e20162863.
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.
Charles R, Hood B, DeRosier JM, et al. Orthopedics. 2017;40:e628-e635.
Significant and sustained reduction in chemotherapy errors through improvement science.
Weiss BD, Scott M, Demmel K, Kotagal UR, Perentesis JP, Walsh KE. J Oncol Pract. 2017;13:e329-e336.
Clinical perspective: creating an effective practice peer review process—a primer.
Gandhi M, Louis FS, Wilson SH, Clark SL. Am J Obstet Gynecol. 2017;216:244-249.
Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.
King HB, Kesling K, Birk C, et al. Mil Med. 2017;182:e1612-e1619.
Primary care collaboration to improve diagnosis and screening for colorectal cancer.
Schiff GD, Bearden T, Hunt LS, et al. Jt Comm J Qual Patient Saf. 2017;43:338–350.
An improvement approach to integrate teaching teams in the reporting of safety events.
Dunbar AE III, Cupit M, Vath RJ, et al. Pediatrics. 2017;139:e20153807.
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