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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/4-2023hcbs-survey-webcast-huben.pdfJune 02, 2025 - Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Huben HCBS CAHPS Technical Assistance Amanda Huben Consultant, The Lewin Group 21 Helpful Resources • AHRQ CAHPS Guidance • AHRQ Guide to Quality Improvement • CMS HCBS CAHPS Survey and Technical Assis…
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Clabsitoolsap6 (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap6.docJune 02, 2025 - Central Line Maintenance Audit Form Audit Date: ____/____/20____ Addressograph Here 1. Was the need for a central line for this patient discussed on patient rounds? [ ] Yes [ ] Yes, as part of Daily Goals [ ] No 2. Was proper hand hygiene used by all personnel involved in line care for this patient (i.e.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45751/psn-pdfJanuary 01, 2019 - Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. December 21, 2018 Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety performance on hospital financial outcomes. Health Care Manage Rev. 2019;44(1):2-9. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47778/psn-pdfMarch 06, 2019 - Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. March 6, 2019 Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10.1056/NEJMms1813427. https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46297/psn-pdfMarch 21, 2018 - Reasons for computerised provider order entry (CPOE)- based inpatient medication ordering errors: an observational study of voided orders. March 21, 2018 Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)- based inpatient medication ordering errors: an observational s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48060/psn-pdfJune 19, 2019 - Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. June 19, 2019 Klimas J, Gorfinkel L, Fairbairn N, et al. Strategies to Identify Patient Risks of Prescription Opioid Addiction When Initiating Opioids for Pain: A Systematic Review. JAMA Net… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47948/psn-pdfMay 29, 2019 - Potential consequences of patient complications for surgeon well-being: a systematic review. May 29, 2019 Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamasurg.2018.5640. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47307/psn-pdfDecember 12, 2018 - Are teaching hospitals treated fairly in the Hospital- Acquired Condition Reduction Program? December 12, 2018 Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.0000000000002399. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46704/psn-pdfDecember 04, 2018 - Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. December 4, 2018 Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Improve Advance Care Planning. Jt C… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48084/psn-pdfAugust 14, 2019 - Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. August 14, 2019 Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Diagnosis… -
psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitalsAugust 29, 2021 - Organizational Policy/Guidelines ASHP guidelines on preventing medication errors in hospitals. Citation Text: ASHP guidelines on preventing medication errors in hospitals. American journal of hospital pharmacy. 1993;50(2):305-14. Copy Citation Format: Google Scholar PubMed …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42654/psn-pdfDecember 21, 2014 - Primary care closed claims experience of Massachusetts malpractice insurers. December 21, 2014 Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):2063-8. doi:10.1001/jamainternmed.2013.11070. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40232/psn-pdfFebruary 23, 2011 - Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. February 23, 2011 Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. BMJ. 2011;342(feb03 1):d195. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48016/psn-pdfJanuary 01, 2020 - Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. May 22, 2019 Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:10.1177/1062860619845494. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44813/psn-pdfFebruary 15, 2017 - Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. February 15, 2017 Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metric… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43386/psn-pdfJanuary 20, 2016 - The influence of organizational factors on patient safety: examining successful handoffs in health care. January 20, 2016 Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage Rev. 2016;41(1):32-41. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42472/psn-pdfAugust 07, 2013 - Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. August 7, 2013 Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. J Healthc Risk Mana… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39604/psn-pdfNovember 23, 2016 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. November 23, 2016 Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. Acad Med. 2010;85(6):1010-1017.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37167/psn-pdfFebruary 03, 2011 - Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. February 3, 2011 Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298(9):984-92. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40725/psn-pdfOctober 16, 2012 - Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. October 16, 2012 Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. JAMA. 2011;306(8):840-7. doi:10.10…
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