-
psnet.ahrq.gov/node/866621/psn-pdf
August 28, 2024 - Application of Safety-II Principles
August 28, 2024
Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/application-safety-ii-principles
Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
-
psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Feeling No Pain
July 1, 2003
Bogner MS. Feeling No Pain. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/feeling-no-pain
The Case
A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the
patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…
-
psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - Don’t Bite Your Tongue.
December 14, 2022
Singh NS. Don’t Bite Your Tongue. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/dont-bite-your-tongue
The Case
A 63-year-old woman with a past medical history of hypertension, osteoarthritis, migraine headaches, and
daily smoking was admitted to a hospital for ant…
-
psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
Perspective
Progress in any field requires scholarship and dissem…
-
psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - Check the Anesthesia Machine
December 1, 2013
Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/check-anesthesia-machine
The Case
A 62-year-old man with weight of 134 kg (body mass index [BMI] of 40) and history of hypertension,
diabetes, sleep apnea…
-
psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - Patient Mix-Up
February 1, 2003
Shojania KG. Patient Mix-Up. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/patient-mix
The Case
Joe Smith [not his real name], a 42-year-old man with nausea and vomiting for 4 days, was on the general
medical service at an academic medical center. Overnight, another man wit…
-
www.uspreventiveservicestaskforce.org/uspstf/document/brief-evidence-summary/bladder-cancer-screening-2004
June 07, 2004 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
archived
Brief Evidence Summary
Bladder Cancer in Adults: Screening, 2004
June 07, 2004
Recommendations made by the USPSTF are independent of the U.S. government. They sho…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety
SOPS® Nursing Home Survey
Version: 1.0
Language: English
· For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and prod…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-12-15-22.docx
December 01, 2022 - SOPS Workplace Safety Supplemental Items for Hospitals
SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey
Language: English
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the extent to which their organization’s …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-items-english.pdf
September 01, 2024 - SOPS® Workplace Safety Supplemental Items for Nursing Homes
SOPS® Workplace Safety Supplemental Items for
the SOPS Nursing Home Survey
Language: English
Purpose: These supplemental items were designed for use with the core Agency for Healthcare Research and Quality
(AHRQ) Surveys on Patient Safety Culture® (SOP…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
January 01, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Rose Tyler
AHRQ’s SOPS Program
www.ahrq.gov/sops
Rose Tyler
User Network for AHRQ’s Surveys on Patient Safety Culture, Westat
http://www.ahrq.gov/sops
SOPS Surveys and Databases
• Surveys of providers and staff about the extent to which their
organizatio…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - SOPS Ambulatory Surgery Center Webcast - HARE
SOPS ASC Survey, Database and Resources
Ryan Hare, MPP
Lead Research Associate
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
13
SOPS ASC Survey
• Designed specifically for ASC staff and asks for their opinions
about the culture of patie…
-
www.ahrq.gov/news/newsletters/e-newsletter/925.html
August 01, 2024 - New Data Files Provide Comprehensive View of U.S. Healthcare
Issue Number
925
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
August 13, 2024
AHRQ Stats: Sepsis-Related Mortality Before and During COVID-19 Between 2016 and 2019, the in-hospital mortality rate…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonat…
-
www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
January 01, 2024 - Final Progress Report: Valuation of a Simple Tool for Chest Pain Patient Risk-Stratification in North America
FINAL PROGRESS REPORT
1. Valuation of a simple tool for chest pain patient risk-stratification in North America
Principal Investigator and Team Members: Timothy J. Mader, MD, and Kye E. Poronsky, MA,
Bay…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-oregon-state-snapshot.pdf
January 01, 2018 - Spotlight on Oregon -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Oregon’s experience during the quality
demonstration funded by the Centers for Medicare &
Medicaid Services (CMS) through the…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
July 01, 2015 - CHIPRA - Spotlight on New Mexico
July 2015
This brief highlights the major strategies, lessons learned,
and outcomes from New Mexico’s experience in the quality
demonstration funded by the Centers for Medicare &
Medicaid Services (CMS) through the Children’s Health
Insurance Program Reauthorization Act of 2009 (…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
January 01, 2018 - Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Idaho’s experience during the quality
demonstration funded by the Centers for Medicare
& Medicaid Services (CMS) through the C…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-west-virginia-state-snapshot.pdf
January 01, 2018 - Spotlight on West Virginia -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from West Virginia’s experience during the
quality demonstration funded by the Centers for Medicare
& Medicaid Services (CM…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-alaska-state-snapshot.pdf
January 01, 2018 - Spotlight on Alaska -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Alaska’s experience in the quality
demonstration funded by the Centers for Medicare &
Medicaid Services (CMS) through the Chi…