-
psnet.ahrq.gov/node/39718/psn-pdf
July 28, 2010 - What is patient safety culture? A review of the literature.
July 28, 2010
Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs
Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x.
https://psnet.ahrq.gov/issue/what-patient-safety-culture-review-liter…
-
psnet.ahrq.gov/node/36307/psn-pdf
June 30, 2011 - Is "first do no harm" a lost concept in medical education?
June 30, 2011
O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77.
https://psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
This commentary advocates for better patient safety training in medical…
-
psnet.ahrq.gov/node/35481/psn-pdf
December 30, 2012 - System errors in intrapartum electronic fetal monitoring:
a case review.
December 30, 2012
Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens
Health. 2005;50(6):507-16.
https://psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review
…
-
psnet.ahrq.gov/node/41960/psn-pdf
May 19, 2014 - It's always something: hospital nurses managing risk.
May 19, 2014
Groves PS, Finfgeld-Connett D, Wakefield BJ. It's always something: hospital nurses managing risk. Clin
Nurs Res. 2014;23(3):296-313. doi:10.1177/1054773812468755.
https://psnet.ahrq.gov/issue/its-always-something-hospital-nurses-managing-risk
This…
-
psnet.ahrq.gov/node/39685/psn-pdf
July 14, 2010 - Human Factors in Anaesthesia and Critical Care.
July 14, 2010
Hardman JG, Moppett IK, eds. Br J Anaesth. 2010;105(1):1-83.
https://psnet.ahrq.gov/issue/human-factors-anaesthesia-and-critical-care
This special issue includes numerous articles discussing how human factors, communication, and latent
system fact…
-
psnet.ahrq.gov/node/35944/psn-pdf
August 02, 2010 - Analysis of laboratory critical value reporting at a large
academic medical center.
August 2, 2010
Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic
medical center. Am J Clin Pathol. 2006;125(5):758-64.
https://psnet.ahrq.gov/issue/analysis-laboratory-critical-…
-
www.ahrq.gov/research/shuttered/toolkitchecklist/medcare.html
July 01, 2018 - Medical/Patient Care
Availability of other space for ancillary services. Examine general condition of facilities. Other experts will look at these areas from a different perspective.
Date: ____________ Location: _______________________ Team member: __________________________
General
Observations:
…
-
psnet.ahrq.gov/node/36048/psn-pdf
September 27, 2010 - Can technology improve intershift report? What the
research reveals.
September 27, 2010
Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of
Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007.
https://psnet.ahrq.gov/issue/can-technology-improve-inte…
-
psnet.ahrq.gov/node/40536/psn-pdf
September 19, 2012 - Putting the 'patient' in patient safety: a qualitative study of
consumer experiences.
September 19, 2012
Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer
experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.2011.00685.x.
https://psnet.ahrq.…
-
www.ahrq.gov/nursing-home/resources/teamstepps-2.html
February 01, 2021 - TeamSTEPPS 2.0 for LTC - Team Strategies & Tools to Enhance Performance and Patient Safety
Resource: TeamSTEPPS 2.0 for LTC - Team Strategies & Tools to Enhance Performance and Patient Safety
This website provides an evidence-based set of teamwork tools aimed at optimizing patient outcomes by improving …
-
www.ahrq.gov/policy/electronic/index.html
July 01, 2025 - Website Policies
Accessibility Information about how AHRQ makes information and resources on the websites that it sponsors accessible to the widest possible audience. Website Disclaimers Website disclaimers for AHRQ.gov. Linking to the AHRQ Website Information about establishing links to the AHRQ website. Plain…
-
digital.ahrq.gov/principal-investigator/abraham-olufunmilola
January 01, 2023 - Abraham, Olufunmilola
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T Mo…
-
digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-demand-inpatient-services/citation/impact
January 01, 2023 - The impact of health information technology on demand for hospital inpatient services [dissertation].
Citation
Barrette, EG. The impact of health information technology on demand for hospital inpatient services [dissertation]. Minneapolis: University of Minnesota; 2011.
Link
https://search.pro…
-
www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
January 01, 2024 - Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications
Title of Project: Improving Safety After Hospitalization in Older Persons on High-Risk Medications
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Kathleen M. Mazor, EdD; Terry S. Field, DSc;…
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - Chartbook on Hispanic Health Care: Slide Presentation—Part 3
2014 National Healthcare Quality and Disparities Report
Trends in Access and Priorities of the National Quality Strategy
Slide 1
National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics
Part 3: Trends in Acce…
-
digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/citation/hospitals
January 01, 2023 - How hospitals reengineer their discharge processes to reduce readmissions.
Citation
Mitchell SE, Martin J, Holmes S, et al. How hospitals reengineer their discharge processes to reduce readmissions. J Healthc Qual. 2016 Mar-Apr;38(2):116-26. PMID: 26042743.
Link
https://www.ncbi.nlm.nih.gov/p…
-
digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-americ-6
January 01, 2023 - Reaching women through health information technology: the gabby preconception care system.
Citation
Gardiner P, Hempstead MB, Ring L, et al. Reaching women through health information technology: the gabby preconception care system. Am J Health Promot 2013 Jan-Feb;27(3 Suppl):eS11-20.
Link
http…
-
digital.ahrq.gov/ahrq-funded-projects/interactive-health-communication-program-young-urban-adults-asthma/citation/young-african-american-adults-asthma
January 01, 2023 - Young, African American adults with asthma: what matters to them?
Citation
Speck AL, Nelson B, Jefferson SO, et al. Young, African American adults with asthma: what matters to them? Ann Allerg Asthma Immunol 2014 Jan; 112(1):35-9.
Link
http://www.ncbi.nlm.nih.gov/pubmed/24331391
Principa…
-
digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmakin-2
January 01, 2023 - Can electronic health records help improve patients' understanding of medications?
Citation
Webb JR, Feinglass J, Makoul G, et al. Can electronic health records help improve patients' understanding of medications? Am J Manag Care 2010; 16(12):919-22.
Link
http://www.ncbi.nlm.nih.gov/pubmed/213…
-
psnet.ahrq.gov/node/34137/psn-pdf
February 06, 2018 - Anesthesia Patient Safety Foundation.
February 6, 2018
P.O. Box 6668, Rochester, MN 55903.
https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the
effects of anesthesia. To achieve that mission, APSF s…