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psnet.ahrq.gov/node/46557/psn-pdf
November 22, 2017 - Safe handover.
November 22, 2017
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328.
https://psnet.ahrq.gov/issue/safe-handover
Patient handovers between clinical teams are a common point of information exchange that can be
challenging to perform due to interruptions, produ…
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psnet.ahrq.gov/node/43530/psn-pdf
April 02, 2015 - Patient participation in patient safety and nursing
input—a systematic review.
April 2, 2015
Vaismoradi M, Jordan S, Kangasniemi M. Patient participation in patient safety and nursing input - a
systematic review. J Clin Nurs. 2015;24(5-6):627-39. doi:10.1111/jocn.12664.
https://psnet.ahrq.gov/issue/patient-partici…
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psnet.ahrq.gov/node/37272/psn-pdf
December 23, 2011 - Communication techniques for patients with low health
literacy: a survey of physicians, nurses, and pharmacists.
December 23, 2011
Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health
literacy: a survey of physicians, nurses, and pharmacists. Am J Health Behav. 2007;31…
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psnet.ahrq.gov/node/862621/psn-pdf
February 14, 2024 - Toward the eradication of medical diagnostic errors.
February 14, 2024
Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602.
doi:10.1126/science.adn9602.
https://psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
Artificial intelligence (AI) is being touted…
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psnet.ahrq.gov/node/44016/psn-pdf
November 21, 2016 - Partnering to Improve Quality and Safety: A Framework
for Working With Patient and Family Advisors.
November 21, 2016
Chicago, IL: Health Research & Educational Trust; 2015.
https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family-
advisors
Patient and family advisor…
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psnet.ahrq.gov/node/43376/psn-pdf
January 16, 2017 - Resilience and resilience engineering in health care.
January 16, 2017
Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J
Qual Patient Saf. 2014;40(8):376-383.
https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
Resilience is a charac…
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psnet.ahrq.gov/node/837076/psn-pdf
May 11, 2022 - AHRQ Challenge on Innovative Solutions To Update or
Re-Create TeamSTEPPS Videos.
May 11, 2022
Rockville, MD; Agency for Healthcare Research and Quality: April 2022.
https://psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos
TeamSTEPPS promotes effective teamwork, collabo…
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psnet.ahrq.gov/node/43936/psn-pdf
December 04, 2015 - Exploring the Potential Use of Safety Cases in Health
Care.
December 4, 2015
Safety Cases Working Group. London, UK: Health Foundation; 2015.
https://psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care
This report describes a consensus-building initiative in the United Kingdom seeking to determin…
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psnet.ahrq.gov/node/42306/psn-pdf
May 29, 2013 - Do team processes really have an effect on clinical
performance? A systematic literature review.
May 29, 2013
Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic
literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.
https://psnet.ahrq.gov/issue/do-team…
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www.ahrq.gov/antibiotic-use/long-term-care/improve/tools.html
June 01, 2021 - General Implementation Tools
These tools are designed to help support implementation of your program. The Gap Analysis helps identify activities that are fundamental to an antibiotic stewardship program as well as those that can enhance established programs. The Commitment Poster is a public display of yo…
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psnet.ahrq.gov/node/42768/psn-pdf
November 27, 2013 - Findings and Lessons From the Improving Management
of Individuals With Complex Health Care Needs Through
Health IT Grant Initiative.
November 27, 2013
Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13-
0058-EF.
https://psnet.ahrq.gov/issue/findings-and-lesso…
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psnet.ahrq.gov/node/41926/psn-pdf
January 02, 2013 - As she lay dying: how I fought to stop medical errors
from killing my mom.
January 2, 2013
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood).
2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
https://psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-m…
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psnet.ahrq.gov/node/42442/psn-pdf
July 24, 2013 - Using Plan Do Study Act to transform a simulation center.
July 24, 2013
Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7).
doi:10.1016/j.ecns.2012.03.002.
https://psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center
This commentary describes the res…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-clinical-decision-support-applications-community-pharmacist-delivered/citation/alerts
January 01, 2023 - Alerts for community pharmacist-provided medication therapy management: recommendations from a heuristic evaluation.
Citation
Snyder ME, Jaynes H, Gernant SA, DiIulio J, Militello LG, Doucette WR, Adeoye OA, Russ AL. Alerts for community pharmacist-provided medication therapy management: recommendatio…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-clinical-decision-support-applications-community-pharmacist-delivered/citation/user
January 01, 2023 - A user-centered evaluation of medication therapy management alerts for community pharmacists: Recommendations to improve usability and usefulness.
Citation
Snyder ME, Adeoye-Olatunde OA, Gernant SA, DiIulio J, Jaynes HA, Doucette WR, Russ-Jara AL. A user-centered evaluation of medication therapy mana…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/new-hampshire
January 01, 2023 - New Hampshire
Team Description
This project is a public-private collaboration that seeks to examine variations in business practices, policies and state laws related to the privacy and security of health information. The goal of the project is to explore barriers to implementing the secure…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response/citation/modelling
January 01, 2023 - Modelling information needs and sources in a COVID-19 designated hospital.
Citation
Borycki EM, Kushniruk AW, Oluka H, Minshall S, Cato K, Senathirajah Y, Kaufman D. Modelling information needs and sources in a COVID-19 designated hospital. Stud Health Technol Inform. 2023 May 18;302:881-885. doi: 10.…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response/citation/comparing
January 01, 2023 - Comparing responses to COVID-19 across institutions: Conceptualization of an emergency response maturity model.
Citation
Senathirajah Y, Kaufman D, Borycki E, Kushniruk A, Cato K. Comparing Responses to COVID-19 Across Institutions: Conceptualization of an Emergency Response Maturity Model. Stud Healt…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/integrated-care-coordination-information-system-interview-guide
January 01, 2023 - Integrated Care Coordination Information System Interview Guide
This is an interview guide designed to be conducted with nurses in an ambulatory setting. The tool includes questions to assess user's perceptions of electronic health records.
Survey Document
Integrated Care Coordination Informa…
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psnet.ahrq.gov/node/50595/psn-pdf
January 01, 2020 - Clinical reasoning as a core competency.
October 30, 2019
Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med.
2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027.
https://psnet.ahrq.gov/issue/clinical-reasoning-core-competency
Enhancing clinical reasoning skill, particularly amon…