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
China Works, SB220, 100 Black Prince Road, Vauxhall, London, SE1 7SJ.
This website shares system-focused approaches to enhance patient safety. The organization offers white papers, an annual conference, and a social media portal to enable knowledge and evidence sharing among a wide range of health care stakeholders.
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.
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
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.
Nebraska Coalition for Patient Safety 2018 Annual Report.
Omaha, NE: Nebraska Coalition for Patient Safety; 2019.
Safety in the Prehospital Emergency Medical Services Setting
P. Daniel Patterson, PhD, NRP, and Donald M. Yealy, MD
Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare.
Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928.
Chasing zero harm in radiation oncology: using pre-treatment peer review.
Vijayakumar S, Duggar WN, Packianathan S, Morris B, Yang CC. Front Oncol. 2019;9:302.
Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices.
Patel MR, Friese CR, Mendelsohn-Victor K, et al. J Oncol Pract. 2019;15:e529-e536.
Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior.
Stratman JL, Youssef-Morgan CM. Safety Sci. 2019;116:13-25.
Building an ambulatory safety program at an academic health system.
Desai S, Fiumara K, Kachalia A. J Patient Saf. 2019 Apr 18; [Epub ahead of print].
Health systems and hospitals in pursuit of high reliability.
Cheney C. HealthLeaders Media. April 17, 2019.
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