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
Schiff GD, Ruan EL. J Gen Intern Med. 2018;33:983-985.
Schiff GD ; Ruan EL.The elusive and illusive quest for diagnostic safety metrics. J Gen Intern Med. 2018; 33: 983-985
Measurement of patient safety is a complex and evolving field. This commentary describes a proposed set of diagnoses to track, discusses the limitations of metrics in achieving progress, and suggests that a culture of diagnostic safety is needed to fully engage health care in improving diagnosis.
GMS J Med Educ. 2019;36:Doc11-Doc22.
Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.
Giardina TD, Haskell H, Menon S, et al. Health Aff (Millwood). 2018;37:1821-1827.
Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error.
Campione JR, Mardon RE, McDonald KM. J Patient Saf. 2018 Aug 22; [Epub ahead of print].
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. September 2010;7:76-86.
Reducing diagnostic error through medical home-based primary care reform.
Singh H, Graber M. JAMA. 2010;304:463-464.
Practical Patient Safety.
Reynard J, Reynolds J, Stevenson P. Oxford, UK: Oxford University Press; 2009. ISBN: 9780199239931.
Patient Safety Learning Annual Conference 2019.
Patient Safety Learning. October 2, 2019; London, UK.
Resilient Health Care Workshop and 8th RHCN Meeting 2019.
Resilient Health Care Network. August 25–28, 2019; Awaji Yumebutai International Conference Center, Awaji Island, Hyogo, Japan.
Special issue on resilience engineering and high reliability organizations.
Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533.
Learn Not Blame.
Doctors' Association UK.
Patient Safety Learning.
China Works, SB220, 100 Black Prince Road, Vauxhall, London, SE1 7SJ.
Developing resilience to combat nurse burnout.
Quick Safety. July 15, 2019;(50):1-4.
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Stahl JM, Mack K, Cebula S, Gillingham BL. Mil Med. 2019 Jun 27; [Epub ahead of print].
Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire.
Deilkås ECT, Hofoss D, Husebo BS, Bondevik GT. PLoS One. 2019;14:e0218244.
Best Practices for Web-Based SOPS Surveys.
Rockville, MD. Agency for Healthcare Research and Quality. June 2019.
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.
Macrae C, Draycott T. Safety Sci. 2019;117:490-500.
In Conversation With… Erik Hollnagel, PhD
Exposure to incivility hinders clinical performance in a simulated operative crisis.
Katz D, Blasius K, Isaak R, et al. BMJ Qual Saf. 2019;28:750-757.
Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives.
Sholl S, Scheffler G, Monrouxe LV, Rees C. BMJ Open. 2019;9:e025615.
Interventions to reduce burnout and improve resilience: impact on a health system's outcomes.
Moffatt-Bruce SD, Nguyen MC, Steinberg B, Holliday S, Klatt M. Clin Obstet Gynecol. 2019 May 15; [Epub ahead of print].
The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care.
Cole DA, Bersick E, Skarbek A, Cummins K, Dugan K, Grantoza R. J Nurs Manag. 2019 May 11; [Epub ahead of print].
In harm's way.
Donaldson LJ, Lemer C, Titcombe J. BMJ. 2019;365:l2037.
Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.
Chang BH, Hsu YJ, Rosen MA, et al. Am J Med Qual. 2019 May 3; [Epub ahead of print].
A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts.
Toffolutti V, Stuckler D. Health Aff (Millwood). 2019;38:844-850.
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