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  1. Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. | PSNet

    psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
    May 29, 2024 - Study Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. Citation Text: Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…

  2. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/unsafe-design-infusion-task-reallocation-and-safety-perceptions-us-hospitals
    December 21, 2017 - Study Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Citation Text: Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/…

  3. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. | PSNet

    psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet
    June 08, 2022 - Study Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. Citation Text: Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the Un…

  4. Radiologic safety events within a pediatric emergency medicine network. | PSNet

    psnet.ahrq.gov/issue/radiologic-safety-events-within-pediatric-emergency-medicine-network
    August 01, 2018 - Study Radiologic safety events within a pediatric emergency medicine network. Citation Text: Blumberg SM, Mahajan P, OʼConnell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. Copy…

  5. Errare humanum est: frequency of laterality errors in radiology reports. | PSNet

    psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
    September 13, 2023 - Study Errare humanum est: frequency of laterality errors in radiology reports. Citation Text: Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. Copy Citatio…

  6. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. | PSNet

    psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians
    September 20, 2011 - Review Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. Citation Text: Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists…

  7. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
    March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. Citation Text: Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…

  8. Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/clarifying-radiologys-role-safety-events-5-year-retrospective-common-cause-analysis-safety
    November 21, 2017 - Study Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. Citation Text: Khalatbari H, Menashe SJ, Otto RK, et al. Clarifying radiology’s role in safety events: a 5-year retrospective common cause analysis o…

  9. Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. | PSNet

    psnet.ahrq.gov/issue/patient-observer-approach-alternative-method-hand-hygiene-auditing-ambulatory-care-setting
    September 13, 2023 - Study Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. Citation Text: Le-Abuyen S, Ng J, Kim S, et al. Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. Am J Infect Cont…

  10. An examination of Leapfrog safety measures and Magnet designation. | PSNet

    psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
    January 27, 2021 - Study An examination of Leapfrog safety measures and Magnet designation. Citation Text: Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533. Copy Citation Format: …

  11. Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. | PSNet

    psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence
    May 18, 2022 - Study Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. Citation Text: Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From Engli…

  12. University of Texas Health at San Antonio, University Health System Used AHRQ Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201905.html
    September 01, 2019 - University of Texas Health at San Antonio, University Health System Used AHRQ Tools Search All Impact Case Studies July 2019 The University of Texas Health at San Antonio (UT Health SA) used three AHRQ tools as the basis for developing a multimedia decision aid to help patients fully understand and consent …

  13. Nursing Protocol Training_Nasal Iodophor (10% Povidone-Iodine) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-iodophor.pdf
    March 01, 2022 - Nursing Protocol Training_Nasal Iodophor (10% Povidone-Iodine) Decolonization of Non-ICU Patients With Devices Section 11-8 Nursing Protocol Training Nasal Iodophor (10% Povidone-Iodine) AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Targeted Decolonization Introduction …

  14. Nursing Protocol Training_Nasal Mupirocin (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-mupirocin.pdf
    March 01, 2022 - Nursing Protocol Training_Nasal Mupirocin AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Section 11-7 Nursing Protocol Training Nasal Mupirocin Decolonization of Non-ICU Patients With Devices Targeted Decolonization Introduction  Our hospital is adopting a targeted decol…

  15. Mod4-Event-Checklist (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool? The Communication and Optimal Resolution Toolkit (CANDOR) Response Team or designee, unless otherwise indicated. How to use this tool: Use the checklist to ensure that appropriate action is t…

  16. CANDOR Event Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
    August 01, 2022 - CANDOR Event Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool?   The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated. …

  17. AHRQ-Funded Researchers Disseminate in High-Impact Journals | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-dissemination/journals
    January 01, 2018 - AHRQ-Funded Researchers Disseminate in High-Impact Journals In 2018, AHRQ-funded researchers published over 100 research articles in peer-reviewed journals and book chapters, including the following: Development and Dissemination of a Novel Quality Improvement Framework to Improve Care…

  18. In Conversation With… Matthew Weinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
    August 01, 2018 - In Conversation With… Matthew Weinger, MD August 1, 2018  Also Read an Essay Citation Text: In Conversation With… Matthew Weinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  19. Labor and Delivery Unit Safety: Umbilical Cord Prolapse | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
    July 01, 2023 - Labor and Delivery Unit Safety: Umbilical Cord Prolapse AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support safe umbilical cord prolapse management. The key safety elements are presented within the framework of the Compreh…

  20. Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface …
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