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  1. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 6. Discussion and Policy Implications Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Desi…

  2. The Safety and Quality of Long Term Care | PSNet

    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - SPOTLIGHT CASE The Safety and Quality of Long Term Care Citation Text: Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Goog…

  3. Slide 1 (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - Slide 1 Patient Safety and Quality Improvement Act of 2005—HHS Guidance Regarding Patient Safety Work Product and Providers’ External Obligations Effective Date: May 24, 2016 1 Overview of the Guidance Document 2 Why Was The Guidance Issued? • Clarify what information that a provider cre…

  4. A Breakthrough Approach to Improving CAHPS Communication Performance (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/communication_2012_04_01_transcript.pdf
    January 01, 2012 - A Breakthrough Approach to Improving CAHPS Communication Performance A Breakthrough Approach to Improving CAHPS Communication Performance April 2012  Podcast Speaker Wendy Leebov, Ed.D., CEO, Leebov Golde & Associates Moderator Lise Rybowski, Consultant, CAHPS User Network; President, The Severyn Group …

  5. Evidence Map on Home and Community Based Services (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-map-hcbs-protocol.pdf
    July 27, 2023 - Evidence Map on Home and Community Based Services Evidence-based Practice Center Technical Brief Protocol Project Title: Evidence Map on Home and Community Based Services I. Background and Objectives One in four adults in the United States live with some form of disability that impacts their cognit…

  6. CDS Connect Patient and Caregiver Partnering Panel - Lessons Learned (pdf file)

    cds.ahrq.gov/sites/default/files/Lessons%20Learned%20Summary%20Sheet%20CDS%20Connect%20Patient%20Partnering%20Panel%202021.pdf
    July 18, 2023 - CDS Connect Patient and Caregiver Partnering Panel - Lessons Learned CDS Connect Patient and Caregiver Partnering Panel We aspire to inspire CDS developers to take one more step to engage and partner with patients and caregivers What is patient and caregiver partnering? Patient partnering, patient engagement, a…

  7. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety-threats-mixed
    October 07, 2020 - Study Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. Citation Text: Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods s…

  8. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. | PSNet

    psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
    February 12, 2020 - Study The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. Citation Text: Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…

  9. Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. | PSNet

    psnet.ahrq.gov/issue/organizational-conditions-engagement-quality-and-safety-improvement-longitudinal-qualitative
    November 25, 2020 - Study Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. Citation Text: Phipps D, Jones CEL, Parker D, et al. Organizational conditions for engagement in quality and safety improvement: a longitudinal qual…

  10. The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. | PSNet

    psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
    March 04, 2015 - Study The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. Citation Text: Kapadia SN, Abramson EL, Carter EJ, et al. The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the Uni…

  11. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

    psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
    August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

  12. 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…

  13. Electronic health record reviews to measure diagnostic uncertainty in primary care. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care
    August 20, 2018 - Study Electronic health record reviews to measure diagnostic uncertainty in primary care. Citation Text: Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. …

  14. Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. | PSNet

    psnet.ahrq.gov/issue/patient-perspectives-how-physicians-communicate-diagnostic-uncertainty-experimental-vignette
    August 07, 2019 - Study Classic Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. Citation Text: Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental…

  15. Advanced practice nurses' experiences of patient safety: a focus group study. | PSNet

    psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
    March 06, 2024 - Study Advanced practice nurses' experiences of patient safety: a focus group study. Citation Text: Glarcher M, Rihari-Thomas J, Duffield C, et al. Advanced practice nurses’ experiences of patient safety: a focus group study. Contemp Nurse. 2024;Epub Jun 11. doi:10.1080/10376178.2024.2363…

  16. Patients' perception of types of errors in palliative care—results from a qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study
    December 04, 2016 - Study Patients' perception of types of errors in palliative care—results from a qualitative interview study. Citation Text: Kiesewetter I, Schulz CM, Bausewein C, et al. Patients' perception of types of errors in palliative care - results from a qualitative interview study. BMC Palliat C…

  17. Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
    June 12, 2019 - Study Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. Citation Text: Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and…

  18. The patient's "story": an examination of patient-reported safety incidents in general practice. | PSNet

    psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice
    November 03, 2021 - Study The patient's "story": an examination of patient-reported safety incidents in general practice. Citation Text: Madden C, Lydon S, Murphy AW, et al. The patient’s “story”: an examination of patient-reported safety incidents in general practice. Fam Pract. 2022;39(6):1095-1102. doi:1…

  19. Modeling and Analysis of Clinical Care for Health Information Technology Improvement - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/modeling-and-analysis-clinical-care-health-information-technology-improvement/annual-summary/2012
    January 01, 2012 - Modeling and Analysis of Clinical Care for Health Information Technology Improvement - 2012 Project Name Modeling and Analysis of Clinical Care for Health Information Technology Improvement Principal Investigator Butler, Keith Organization University of Washington Fun…

  20. Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

    psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
    August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…
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