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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
January 01, 2021 - Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II
Surveys on Patient Safety CultureTM (SOPS®)
Hospital 2.0 Survey:
2021 User Database Report
Part II: Appendix A—Results by Hospital Characteristics
Appendix B—Results by Respondent Characteristics
Prepared for:
Ag…
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psnet.ahrq.gov/node/836791/psn-pdf
August 21, 2024 - TeamSTEPPS for Diagnosis Improvement.
August 21, 2024
TeamSTEPPS for Diagnosis Improvement.
https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on
the established TeamSTEPPS® principles, this new Te…
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digital.ahrq.gov/location/usa-la-franklin
January 01, 2023 - USA, LA, Franklin
Service Integration
Description
Built an integrated communications system with area hospitals, clinics, and service providers in St. Mary Parish, Iberia Parish, and Terrebonne Parish that will support chronic disease management and improve patient safety. Aut…
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effectivehealthcare.ahrq.gov/sites/default/files/lincoln_p1.pdf
January 01, 2010 - Lincoln_p1
Slide 1: Realizing
the Promise of Web 2.0 Marketing
and Dissemination of
Patient-‐Centered
Health Research
Jane
Lincoln
Project Manager
Social Impact -‐ AARP
Slide 2: Untitled
http://www.youtube.com/watch?v=h-‐8PBx7isoM
Slide 3:
Realizing
the Promise of Web 2.0 Marketing
and Dis…
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psnet.ahrq.gov/node/44226/psn-pdf
November 03, 2015 - The Patient Survival Handbook.
November 3, 2015
Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
https://psnet.ahrq.gov/issue/patient-survival-handbook
Engaging patients in their care is increasingly advocated as a way to improve safety. This book
recommends actions for patients and families to reduce risk…
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psnet.ahrq.gov/node/74766/psn-pdf
June 24, 2024 - Patient handoffs.
June 24, 2024
Arora V, Farnan J. UpToDate. June 24, 2024.
https://psnet.ahrq.gov/issue/patient-handoffs-0
The change of an inpatient’s location or handoffs between teams can fragment care due to communication,
information, and knowledge gaps. This review examines in-patient transition safety issu…
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psnet.ahrq.gov/node/46039/psn-pdf
April 05, 2017 - Retained lumbar catheter tip.
April 5, 2017
DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270.
doi:10.1001/jama.2017.1713.
https://psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
Retained surgical items are considered a sentinel event. Discussing an incident involvi…
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psnet.ahrq.gov/node/42403/psn-pdf
August 02, 2015 - Encouraging patients to ask questions: how to overcome
"white-coat silence."
August 2, 2015
Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat
silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797.
https://psnet.ahrq.gov/issue/encouraging-patients-ask-quest…
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psnet.ahrq.gov/node/42874/psn-pdf
January 29, 2014 - Interdisciplinary Perspectives on Medical Error.
January 29, 2014
J Public Health Res. 2013;2:e22-e33.
https://psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
This special issue explores the challenges of advancing patient safety and highlights the value of
interdisciplinary collaboration to achi…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-13.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.13. Key Facilitators and Barriers to Lean at Central Hospital (from Conceptual Framework)
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case…
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psnet.ahrq.gov/node/42158/psn-pdf
April 03, 2013 - Long-term effects of a perioperative safety checklist from
the viewpoint of personnel.
April 3, 2013
Böhmer AB, Kindermann P, Schwanke U, et al. Long-term effects of a perioperative safety checklist from
the viewpoint of personnel. Acta Anaesthesiol Scand. 2013;57(2):150-7. doi:10.1111/aas.12020.
https://psnet.ahr…
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psnet.ahrq.gov/node/34898/psn-pdf
April 21, 2011 - Crossing to safety: transforming healthcare organizations
for patient safety.
April 21, 2011
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J
Postgrad Med. 2005;51(1):61-67.
https://psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-pati…
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psnet.ahrq.gov/node/40230/psn-pdf
November 23, 2016 - Talking with Patients and Families about Medical Error: A
Guide for Education and Practice.
November 23, 2016
Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins University Press;
2011. ISBN: 0801898048.
https://psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-…
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psnet.ahrq.gov/node/35776/psn-pdf
March 10, 2011 - A systematic review of the literature on multidisciplinary
rounds to design information technology.
March 10, 2011
Gurses AP, Xiao Y. A systematic review of the literature on multidisciplinary rounds to design information
technology. J Am Med Inform Assoc. 2006;13(3):267-76.
https://psnet.ahrq.gov/issue/systematic…
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psnet.ahrq.gov/node/46490/psn-pdf
October 29, 2017 - Simulation training in obstetrics.
October 29, 2017
Gavin NR, Satin AJ. Simulation Training in Obstetrics. Clin Obstet Gynecol. 2017;60(4):802-810.
doi:10.1097/GRF.0000000000000322.
https://psnet.ahrq.gov/issue/simulation-training-obstetrics
Adverse events in obstetrics put both maternal and infant patients at ris…
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psnet.ahrq.gov/node/42291/psn-pdf
September 12, 2016 - Human cognition and the dynamics of failure to rescue:
the Lewis Blackman case.
September 12, 2016
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis
Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.
https://psnet.ahrq.gov/issue/huma…
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digital.ahrq.gov/ahrq-funded-projects/success-stories/text-messaging-managing-chronic-disease
January 01, 2023 - Text Messaging for Managing Chronic Disease
Your browser does not support inline frames. Please go to http://youtu.be/bpP8xawfoi4 to view the video. Principal Investigator: Jennifer Uhrig (Contract No. HHSA290200600001I #7) [5 min., 10 sec.] This project showed that text messaging can effec…
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psnet.ahrq.gov/node/43017/psn-pdf
June 12, 2019 - Saying Sorry.
June 12, 2019
London, England: NHS Resolution; 2018.
https://psnet.ahrq.gov/issue/saying-sorry
Although victims of adverse events have clearly expressed their preferences for full error disclosure, most
physicians remain uncomfortable with disclosing and apologizing for errors. This leaflet offers in…
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psnet.ahrq.gov/node/38165/psn-pdf
January 31, 2011 - Patient care, square-rigger sailing, and safety.
January 31, 2011
Henkind SJ, Sinnett C. Patient care, square-rigger sailing, and safety. JAMA. 2008;300(14):1691-3.
doi:10.1001/jama.300.14.1691.
https://psnet.ahrq.gov/issue/patient-care-square-rigger-sailing-and-safety
To maximize safety, information handoff and s…
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digital.ahrq.gov/organization/university-california-riverside
January 01, 2023 - University of California Riverside
Digital Health Intervention for Children with ADHD: Improving Mental Health Intervention, Patient Experiences, and Outcomes
Description
This research will adapt an evidence-based digital health intervention for attention deficit hyperactivity…