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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867752/psn-pdfMarch 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. March 12, 2025 Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36409/psn-pdfSeptember 28, 2016 - The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. September 28, 2016 Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. IntJ Med Inform. 2007;76… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47007/psn-pdfMay 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46583/psn-pdfDecember 18, 2017 - Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. December 18, 2017 Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes. Int J Health Care Qual. 2017… -
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.htmlJuly 01, 2023 - About the Toolkit Development Toolkit for Improving Perinatal Safety Background Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.htmlApril 01, 2013 - Our two hospitals have very different cultures, so sometimes our delivery methods and communications
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-test-result-communication-apb.pdfJuly 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act - Appendix B. Included Studies AHRQ Publication No. 24-0010-4-EF July 2024 Electronic Test Result Communication in the Era of the 21st Century Cures Act Appendix B. Included Studies Type of Data Collection First Author Last Name…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdfJune 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.htmlNovember 01, 2014 - Internal hospital communications. … External communications. … —Senior executive Internal hospital communications. … External communications.
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-responseMay 14, 2020 - Federal Communications Commission.
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challengesAugust 30, 2023 - Scores rating healthcare communications improved from 6.2% to 17.4% depending on the measure. 1 Quality
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursingAugust 30, 2023 - Scores rating healthcare communications improved from 6.2% to 17.4% depending on the measure. 1 Quality
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdfJanuary 01, 2020 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro The SOPS Databases Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 23 SOPS Databases Hospital 630 Hospitals Nursing Home 191 Nursing Homes Medical Office…
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Learndefects (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.docJune 02, 2025 - Learn From Defects Tool Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect. Wh… -
psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-dischargeApril 27, 2022 - Readmissions and Adverse Events After Discharge Citation Text: Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3…
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www.ahrq.gov/ncepcr/tools/confid-report/refs.htmlMarch 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance References Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Fundamentals …
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.htmlDecember 01, 2012 - Learn from Defects Tool CUSP Toolkit Health care organizations can increase the extent to which they learn from defects. Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/patient-safety/reports/liability/prologue.htmlAugust 01, 2017 - Advances in Patient Safety and Medical Liability Prologue Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Re…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti.pdfJanuary 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I 2019 User Database Report Community Pharmacy Survey on Patient Safety Culture The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Health…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdfJanuary 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I 2019 User Database Report Community Pharmacy Survey on Patient Safety Culture The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Health…
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