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psnet.ahrq.gov/node/44437/psn-pdf
September 04, 2015 - A piece of my mind. Writing the wrong.
September 4, 2015
Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2.
doi:10.1001/jama.2015.5281.
https://psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
Despite the potential for electronic health record (EHR) systems to improve access to patient data,…
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psnet.ahrq.gov/node/43985/psn-pdf
December 06, 2017 - Development of a medication safety and quality survey
for small rural hospitals.
December 6, 2017
Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for
Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/45185/psn-pdf
August 03, 2016 - Final Report of the Commission on Care.
August 3, 2016
Washington, DC: Commission on Care; June 2016.
https://psnet.ahrq.gov/issue/final-report-commission-care
The Veterans Affairs health system has recently faced challenges associated with access and quality.
Providing an assessment of the current and future stat…
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psnet.ahrq.gov/node/60903/psn-pdf
March 15, 2023 - AMA Prior Authorization (PA) Physician Survey.
March 15, 2023
Chicago, IL: American Medical Association; March 2023.
https://psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey
Insurance policies can have consequences that reduce the safety of medical care. This latest version of the
study …
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psnet.ahrq.gov/node/45006/psn-pdf
April 06, 2016 - Quality and Patient Safety.
April 6, 2016
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/quality-and-patient-safety
The Agency for Healthcare Research and Quality has provided access to patient safety research,
information, and tools for nearly two decades. This website offers a wide rang…
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psnet.ahrq.gov/node/843090/psn-pdf
January 25, 2023 - Bleeding and in pain, a pregnant woman in Louisiana
couldn’t get answers.
January 25, 2023
Westwood R. Kaiser Health News. January 12, 2023.
https://psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
Lack of access to obstetric care impedes safe treatment for mothers. This story de…
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psnet.ahrq.gov/node/60902/psn-pdf
September 09, 2020 - Using telehealth to revolutionize the speed of making rare
disease diagnoses.
September 9, 2020
Nothaft W, Moore G, Le Cam Y. STAT. August 27, 2020.
https://psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
Patients with rare diseases present diagnostic challenges. This articl…
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psnet.ahrq.gov/node/851464/psn-pdf
July 19, 2023 - Emergency lights and sirens on ambulances may do more
harm than good.
July 19, 2023
Renault M. Stat. July 7, 2023.
https://psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good
Emergency vehicle transport can be dangerous for the patient, the clinician team, and the community. This
art…
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psnet.ahrq.gov/node/60717/psn-pdf
July 22, 2020 - The U.S. is repeating its deadliest pandemic mistake.
July 22, 2020
KHAZAN OLGA. The U.S. is repeating its deadliest pandemic mistake. The Atlantic. 2020;July 6.
https://psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake
Residential care facilities have been particularly challenged by COVID-19. This a…
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psnet.ahrq.gov/node/41222/psn-pdf
May 01, 2016 - Reducing Unnecessary Hospital Readmissions: The Role
of the Patient Safety Organization (PSO).
May 1, 2016
Agency for Healthcare Quality and Research.
https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-
pso
Patient safety organizations (PSO) present a unique o…
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psnet.ahrq.gov/node/35523/psn-pdf
December 14, 2010 - ISMP Medication Errors Reporting Program.
December 14, 2010
Institute for Safe Medication Practices
https://psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
The Institute for Safe Medication Practices (ISMP) administers this national reporting program, which
collects confidential reports of medication…
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psnet.ahrq.gov/node/73898/psn-pdf
September 29, 2021 - A Thematic Analysis of HSIB's First 22 Investigations.
September 29, 2021
Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
https://psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
In-depth failure investigations provide improvement insights for individuals and or…
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psnet.ahrq.gov/node/37619/psn-pdf
March 19, 2008 - Learning from error: identifying contributory causes of
medication errors in an Australian hospital.
March 19, 2008
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication
errors in an Australian hospital. Med J Aust. 2008;188(5):276-9.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/41930/psn-pdf
March 06, 2013 - The value of library and information services in patient
care: results of a multisite study.
March 6, 2013
Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in
patient care: results of a multisite study. J Med Libr Assoc. 2013;101(1):38-46. doi:10.3163/1536-
5050…
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psnet.ahrq.gov/node/37963/psn-pdf
April 09, 2009 - Use of a computerized forcing function improves
performance in ordering restraints.
April 9, 2009
Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in
ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergmed.2008.05.035.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47050/psn-pdf
April 18, 2018 - Improving Physician Well-Being, Restoring Meaning in
Medicine.
April 18, 2018
Accreditation Council for Graduate Medical Education.
https://psnet.ahrq.gov/issue/physician-well-being
Physician and resident well-being is receiving increased attention as an area of focus of the clinical
learning environment. This we…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/document-workflow-assessment-guide
January 01, 2023 - Document Workflow Assessment Guide: Hospital
This is an interview guide designed to be conducted with staff in an inpatient setting. The tool includes questions to assess user's needs of health information exchange.
Survey Document
Document Workflow Assessment Guide: Hospital
(Persons …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/eldertree-baseline
January 01, 2023 - ElderTree Baseline Survey
This is a questionnaire designed to be completed by elderly patients or their caregivers in the patient home. The tool includes questions to assess attitudes of social media and mobile homes.
Survey Document
ElderTree Baseline Survey
(Persons using assistive t…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/tests-pending
January 01, 2023 - Tests Pending at Discharge Survey
This is a questionnaire designed to be completed by physicians in an inpatient setting. The tool includes questions to assess the current state of and attitudes around clinical messaging.
Survey Document
Tests Pending at Discharge Survey
(Persons using…
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digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-tn/final-report
January 01, 2023 - State and Regional Demonstration in Health Information Technology: Tennessee - Final Report
Citation
Frisse M, King J, Rice W, et al. State and Regional Demonstration in Health Information Technology: Tennessee - Final Report. (Prepared by the Vanderbilt Regional Informatics Team under Contract No. 29…