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cdsic.ahrq.gov/sites/default/files/2023-09/Stakeholder%20Center%202023%20Q3%20Report%20to%20AHRQ%209.27.23.pdfJanuary 01, 2023 - It also includes a discussion of priority gaps and recommendations based on the current state of app
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keller.pdfJanuary 01, 2004 - The program featured in this discussion central to the Air Force’s longstanding commitment to appropriate
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Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdfJanuary 01, 2014 - The last 15 minutes of this Webinar is reserved for discussion based on questions that you submit. -
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-34June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39790/psn-pdfMarch 21, 2017 - Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. March 21, 2017 Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Jt Comm J Qual Saf. 2010;36(9):40… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39004/psn-pdfApril 04, 2011 - Balancing "no blame" with accountability in patient safety. April 4, 2011 Wachter R, Pronovost P. Balancing "no blame" with accountability in patient safety. New Engl J Med. 2009;361(14):1401-1406. doi:10.1056/NEJMsb0903885. https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety An early fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45036/psn-pdfFebruary 15, 2017 - Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. February 15, 2017 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2016. Report No. OEI-06-14-00110. https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40392/psn-pdfFebruary 10, 2015 - 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. February 10, 2015 Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 2011;30(4):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47272/psn-pdfAugust 15, 2018 - Centers for Medicare and Medicaid Services hospital- acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement. August 15, 2018 Calderwood MS, Kawai AT, Jin R, et al. Centers for medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39714/psn-pdfApril 14, 2011 - US public opinion regarding proposed limits on resident physician work hours. April 14, 2011 Blum AB, Raiszadeh F, Shea S, et al. US public opinion regarding proposed limits on resident physician work hours. BMC Med. 2010;8:33. doi:10.1186/1741-7015-8-33. https://psnet.ahrq.gov/issue/us-public-opinion-regarding-pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42099/psn-pdfMarch 13, 2013 - Inpatient fall prevention programs as a patient safety strategy: a systematic review. March 13, 2013 Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.7326/0003-4819-158-5-201303051- 00005. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43418/psn-pdfApril 24, 2017 - Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. April 24, 2017 Jha V, Buckley H, Gabe R, et al. Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43953/psn-pdfMarch 04, 2015 - Psychological safety and error reporting within Veterans Health Administration hospitals. March 4, 2015 Derickson R, Fishman J, Osatuke K, et al. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf. 2015;11(1):60-66. doi:10.1097/PTS.0000000000000082. https://psne… -
www.ahrq.gov/patient-safety/reports/engage/choosing.htmlApril 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Choosing the Right Intervention for Your Practice Selecting the right information for your practice’s needs is an important first step in implementation process. The information below describes how each strategy may …
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psnet.ahrq.gov/issue/spread-remains-challenge-patient-safety-improvementJanuary 23, 2019 - Newspaper/Magazine Article 'Spread' remains challenge in patient safety improvement. Citation Text: 'Spread' remains challenge in patient safety improvement. Healthcare benchmarks and quality improvement. 2011;18(5):49-52. Copy Citation Format: Google Scholar PubMed BibTe…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42482/psn-pdfJanuary 15, 2014 - 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. January 15, 2014 Ball JE, Murrells T, Rafferty AM, et al. 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2014;23(2):116-125. doi:10.1136/bmjqs-2012-0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44434/psn-pdfJune 21, 2016 - Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. June 21, 2016 Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Health Aff (Millwood). 2015;34(8):130… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42354/psn-pdfJanuary 01, 2014 - Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. December 18, 2013 Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) use: linking individual physician… -
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-material-guide.htmlMay 01, 2017 - Material Use Guide - Coaching Clinical Teams Module Overview Coaching Defined Slides 4-12 Providing Constructive Feedback to Teams Slides 13-27 Three-Part Question* (1 min 24) Putting Coaching Teams Into Action * Slides 28-42 Setting the Stage* (51 sec) Op…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47267/psn-pdfSeptember 05, 2018 - The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. September 5, 2018 Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. J Am M…
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