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Total Results: 7,550 records

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3541. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet
      psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
      May 04, 2022 - Study Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. Citation Text: Riblet N, Shiner B, Watts B, et al. Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports. J Nerv Ment Dis…

3542. The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting. | PSNet
      psnet.ahrq.gov/issue/reduction-race-and-gender-bias-clinical-treatment-recommendations-using-clinician-peer
      August 09, 2023 - Study The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting. Citation Text: Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment recommendations using clinician…

3543. A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement. | PSNet
      psnet.ahrq.gov/issue/cross-sectional-observational-study-high-override-rates-drug-allergy-alerts-inpatient-and
      July 02, 2019 - Study A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement. Citation Text: Slight SP, Beeler PE, Seger DL, et al. A cross-sectional observational study of high override rates of drug al…

3544. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
      psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
      December 18, 2019 - Study Emerging Classic Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. Citation Text: Härkänen M, Turunen H, Vehviläine…

3545. Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Records - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-quality-pediatric-emergency-care-using-electronic-medical-records/annual-summary/2011
      January 01, 2011 - Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Records - 2011 Project Name Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry and Clinician Feedback Principal Investigator Alpern, Elizabeth Organization …

3546. Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet
      psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
      August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…

3547. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. | PSNet
      psnet.ahrq.gov/issue/adaptive-design-adaptation-and-adoption-patient-safety-practices-daily-routines-multi-site
      November 25, 2020 - Study Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. Citation Text: Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-…

3548. Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. | PSNet
      psnet.ahrq.gov/issue/medication-errors-pediatric-emergency-departments-systematic-review-and-recommendations
      January 11, 2023 - Review Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. Citation Text: Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic review and recommendations for enh…

3549. 141-Cusp-Tip-Sheet-Assembling-Team (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/141-cusp-tip-sheet-assembling-team.docx
      April 01, 2025 - CUSP Tip Sheet: Assembling the CUSP Team Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Purpose Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Compre…

3550. How Do I Evaluate Workflow? (ppt file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
      January 01, 2009 - How Do I Evaluate Workflow? What is Workflow? Defining workflow Definitions of workflow vary. Here are a couple: The flow of work through space and time, where work is comprised of three components: inputs are transformed into outputs.[1] The activities, tools, and processes needed to produce or modify work, pr…

3551. Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chap…

3552. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. | PSNet
      psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
      March 15, 2017 - Study 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. Citation Text: Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…

3553. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
      October 24, 2018 - Study Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Citation Text: Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…

3554. How often are potential patient safety events present on admission? | PSNet
      psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-present-admission
      January 26, 2022 - Study Classic How often are potential patient safety events present on admission? Citation Text: Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63. Copy Citat…

3555. Available Comprehensive Quality Improvement Guides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
      June 02, 2025 - Available Comprehensive Quality Improvement Guides Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Available Comprehensive Quality Improvement Guides What is the purpose of this tool? This tool provides information on oth…

3556. Exploring situational awareness in diagnostic errors in primary care. | PSNet
      psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
      September 20, 2011 - Study Exploring situational awareness in diagnostic errors in primary care. Citation Text: Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310. Copy Citation Fo…

3557. Research Initiative in Clinical Economics | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/rice/index.html
      August 01, 2018 - Research Initiative in Clinical Economics Research on cost-effectiveness analysis (CEA), cost-benefit analysis, and methods for estimating the value of health care interventions, use of resources, outcomes, and quality. Contents Program Focus Priorities Policy Projects Database Resources Outcome…

3558. Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/outcomes-privacy-and-security-solutions
      January 01, 2023 - Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project Below are the final reports produced under RTI International's contract with the Agency for Healthcare Research and Quality (AHRQ). The contract, entitled Privacy and Security…

3559. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
      psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
      January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…

3560. Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-nc
      January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Project Final Report ( PDF , 2.07 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …