-
digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-sociotechnical-metrics-inform-health-it-adaptation/citation/hit
January 01, 2023 - Health information technology (HIT) adaptation: refocusing on the journey to successful HIT implementation.
Citation
Yen PY, McAlearney AS, Sieck CJ, et al. Health information technology (HIT) adaptation: refocusing on the journey to successful HIT implementation. JMIR Med Inform 2017 Sep 7;5(3):e28.…
-
psnet.ahrq.gov/node/38393/psn-pdf
October 03, 2017 - Adverse Health Care Events Reporting System: What
Have We Learned?
October 3, 2017
St. Paul, MN: Minnesota Department of Health; January 2009.
https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
Through a qualitative evaluation of the Minnesota statewide reporting initiati…
-
psnet.ahrq.gov/node/44652/psn-pdf
November 11, 2015 - Developing a principle-based approach to safe
medication practices.
November 11, 2015
Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
This commentary describes the development, implementation, and evaluation of n…
-
psnet.ahrq.gov/node/35952/psn-pdf
August 02, 2010 - Manage staff fatigue to improve patient safety.
August 2, 2010
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
https://psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
The author discusses three steps for reducing staff fatigue. Part I of …
-
psnet.ahrq.gov/node/39137/psn-pdf
June 07, 2016 - The rise of patient safety organizations.
June 7, 2016
Ivill DS, Kearbey AH. New York Law J. November 2, 2009.
https://psnet.ahrq.gov/issue/rise-patient-safety-organizations
This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection
and evaluation, work product designa…
-
psnet.ahrq.gov/node/42244/psn-pdf
June 27, 2018 - Medical simulation: a holistic approach to highly reliable
healthcare.
June 27, 2018
Fanning RM.
https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare
This magazine article describes various ways simulation can be used to augment safety in health care,
including evaluating w…
-
psnet.ahrq.gov/node/38074/psn-pdf
June 04, 2018 - Questions and Answers on FDA's Adverse Event
Reporting System (FAERS).
October 3, 2017
Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018.
https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers
This FAQ provides information on and access to …
-
psnet.ahrq.gov/node/42241/psn-pdf
May 01, 2013 - Special Issue on Teamwork.
May 1, 2013
Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
https://psnet.ahrq.gov/issue/special-issue-teamwork
Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork
in health care.
https://psnet.ahrq.gov/issue/special-…
-
psnet.ahrq.gov/node/42650/psn-pdf
October 16, 2013 - The cost of disruptive and unprofessional behaviors in
health care.
October 16, 2013
Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health
care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009.
https://psnet.ahrq.gov/issue/cost-disruptive-and-unprofessi…
-
psnet.ahrq.gov/node/36482/psn-pdf
February 17, 2011 - Dangerous deception--hiding the evidence of adverse
drug events.
February 17, 2011
Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med.
2006;355(21):2169-71.
https://psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
This commentary discusses the recen…
-
psnet.ahrq.gov/node/40981/psn-pdf
December 18, 2014 - Improving reporting of outpatient pediatric medical
errors.
December 18, 2014
Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors.
PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477.
https://psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
This…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-four-moments-single.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
AHRQ Pub. No. 17(21)-0029
June 2021
Does the resident have symptoms that
suggest an infection?
What type of infection is it? Have we
collected appropriate cultures before
starting antibiotics? What empiric therapy
should be initiated?
What duration …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/5-unc-webcast-closing.pdf
June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Closing
Questions & Answers
49
Submitting Questions
• Question and Answer
► Select Q&A
► Type question in the box that opens
Type question here
50
Sign up for SOPS Email Updates
51…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/04-listening-voice-of-patient-webcast-closing.pdf
June 02, 2025 - Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Webcast - Q&A
Q&A - How to Ask a Question
• Question and Answer
► Select Q&A
► Type a question in the
box that opens
18
CAHPS Updates
• Sign up for email updates
19
Questions or Comments?
E-mail: cahps…
-
www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
June 01, 2021 - Changing the System To Improve Antibiotic Safety
After viewing or presenting this presentation viewers will be able to—
Use barriers as opportunities to improve systems and prevent problems from recurring.
List factors that may compromise patient safety.
Develop an intervention to reduce barriers and…
-
www.ahrq.gov/research/shuttered/toolkitchecklist/secint.html
July 01, 2018 - Security/General Interior
Evaluate securing fixed assets and maintaining safety of patients and staff by inspecting access control and monitoring issues and equipment such as alarm systems, door locks, card readers, and security camera systems.
Date: ____________ Location: _______________________ Team membe…
-
digital.ahrq.gov/principal-investigator/iyer-kishore-r
January 01, 2023 - Iyer, Kishore R.
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (mult…
-
digital.ahrq.gov/principal-investigator/mcculloch-michael
January 01, 2023 - McCulloch, Michael
Improving Pediatric Donor Heart Utilization with Predictive Analytics
Description
This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the potential…
-
digital.ahrq.gov/principal-investigator/porter-michael
January 01, 2023 - Porter, Michael
Improving Pediatric Donor Heart Utilization with Predictive Analytics
Description
This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the potential fo…
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-prediction-tool-and-decision-aid-patients-crohns-disease/citation/beware-of-the-swinging-pendulum-anti-tumor-necrosis-factor-monotherapy-vs-combination-therapy-for-inflammatory-bowel-disease
January 01, 2023 - Beware of the swinging pendulum: anti-tumor necrosis factor monotherapy vs combination therapy for inflammatory bowel disease.
Citation
Bressler B, Siegel CA. Beware of the swinging pendulum: anti-tumor necrosis factor monotherapy vs combination therapy for inflammatory bowel disease. Gastroenterology…