-
psnet.ahrq.gov/node/44038/psn-pdf
May 06, 2015 - Engineering Patient Safety in Radiation Oncology:
University of North Carolina's Pursuit for High Reliability
and Value Creation.
May 6, 2015
Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643.
https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…
-
psnet.ahrq.gov/node/45836/psn-pdf
July 02, 2017 - Improving patient safety: avoiding unread imaging exams
in the National VA enterprise electronic health record.
July 2, 2017
Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA
Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278…
-
psnet.ahrq.gov/node/44886/psn-pdf
September 27, 2016 - Direct oral anticoagulants: new drugs with practical
problems. How can nurses help prevent patient harm?
September 27, 2016
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can
nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226…
-
psnet.ahrq.gov/sites/default/files/2021-09/Battle%20buddies%20tip%20sheet%20(1).pdf
January 01, 2021 - I have a Battle Buddy – Now What?
Battle Buddies are not just for battle.
It’s critical to start connecting with your Battle Buddy now - before
things get really stressful.
It’s like training prior to a marathon.
Brief conversations now will strengthen your individual and team
resilience and ensure o…
-
psnet.ahrq.gov/node/867040/psn-pdf
October 30, 2024 - Preoperative multidisciplinary team huddle improves
communication and safety for unscheduled cesarean
deliveries: a system redesign using improvement science.
October 30, 2024
Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication
and safety for unscheduled cesarean…
-
psnet.ahrq.gov/node/72545/psn-pdf
December 09, 2020 - Comparing the evolution of risk culture in radiation
oncology, aviation, and nuclear power.
December 9, 2020
Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation,
and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/pts.0000000000000560.
https://ps…
-
psnet.ahrq.gov/node/855098/psn-pdf
November 08, 2023 - Innovative approaches to analysing aged care falls
incident data: International Classification for Patient
Safety and correspondence analysis.
November 8, 2023
Seaman K, Meulenbroeks I, Nguyen A, et al. Innovative approaches to analysing aged care falls incident
data: international classification for patient safet…
-
psnet.ahrq.gov/node/852276/psn-pdf
August 09, 2023 - Parent experiences with the process of sharing inpatient
safety concerns for children with medical complexity: a
qualitative analysis.
August 9, 2023
Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety
concerns for children with medical complexity: a qualitative a…
-
psnet.ahrq.gov/node/72476/psn-pdf
November 18, 2020 - Maintaining perioperative safety in uncertain times:
COVID-19 pandemic response strategies.
November 18, 2020
Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response
strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195.
https://psnet.ahrq.gov/issue/maintainin…
-
psnet.ahrq.gov/node/43550/psn-pdf
October 15, 2014 - Contingency planning for electronic health record–based
care continuity: a survey of recommended practices.
October 15, 2014
Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a
survey of recommended practices. Int J Med Inform. 2014;83(11):797-804.
doi:10.1016…
-
psnet.ahrq.gov/node/48019/psn-pdf
June 26, 2019 - Please reconcile, not wait a while.
June 26, 2019
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed.
2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while
Medication reconciliation to ensure ac…
-
psnet.ahrq.gov/node/45490/psn-pdf
September 01, 2018 - Collaboration with regulators to support quality and
accountability following medical errors: the
communication and resolution program certification pilot.
September 1, 2018
Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and
Accountability Following Medical Errors: The …
-
psnet.ahrq.gov/node/46903/psn-pdf
December 04, 2018 - Salzburg Global Seminar Session 565—Better Health
Care: How Do We Learn About Improvement?
December 4, 2018
Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41.
https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-
about-improvement
…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.14. Major Factors that Facilitated Lean Success at Central
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Hea…
-
psnet.ahrq.gov/node/852285/psn-pdf
August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs
and Medication Safety: Parts I and II.
August 9, 2023
ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5.
https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-
part…
-
psnet.ahrq.gov/node/45805/psn-pdf
April 12, 2017 - 2016 Updated American Society of Clinical
Oncology/Oncology Nursing Society Chemotherapy
Administration Safety Standards, including standards for
pediatric oncology.
April 12, 2017
Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.
2017;64(6):e26484. doi:10.1002/pbc.2…
-
psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
-
psnet.ahrq.gov/node/851448/psn-pdf
July 19, 2023 - Medication reconciliation for patients after their discharge
from intensive care unit to the hospital ward.
July 19, 2023
Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from
intensive care unit to the hospital ward. Farm Hosp. 2023;47(3):121-126. doi:10.1016/…
-
psnet.ahrq.gov/node/836919/psn-pdf
April 13, 2022 - Psychological intervention to improve communication
and patient safety in obstetrics: examination of the health
action process approach.
April 13, 2022
Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient
safety in obstetrics: examination of the health action proc…
-
digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research
January 01, 2018 - Emerging and Innovative Newly Funded Research
The Health IT Program at AHRQ continues to fund foundational research to identify solutions to ensure that health IT is designed and implemented in ways that improve quality and safety without placing excessive burden on users, including pa…