-
psnet.ahrq.gov/node/41272/psn-pdf
April 06, 2012 - Closed medical negligence claims can drive patient safety
and reduce litigation.
April 6, 2012
Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin
Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5.
https://psnet.ahrq.gov/issue/closed-medical-…
-
psnet.ahrq.gov/node/60961/psn-pdf
September 30, 2020 - Identifying psychiatric diagnostic errors with the Safer Dx
Instrument.
September 30, 2020
Fletcher TL, Helm A, Vaghani V, et al. Identifying psychiatric diagnostic errors with the Safer Dx Instrument.
Int J Qual Health Care. 2020;32(6):405-411. doi:10.1093/intqhc/mzaa066.
https://psnet.ahrq.gov/issue/identifying-…
-
psnet.ahrq.gov/node/48025/psn-pdf
June 19, 2019 - Accuracy of a popular online symptom checker for
ophthalmic diagnoses.
June 19, 2019
Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic
Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571.
https://psnet.ahrq.gov/issue/accuracy-popular-on…
-
psnet.ahrq.gov/node/38630/psn-pdf
May 13, 2009 - Seasoned surgeons assessed in a laparoscopic surgical
crisis.
May 13, 2009
Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical
crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1.
https://psnet.ahrq.gov/issue/seasoned-surgeons-assessed-lapa…
-
psnet.ahrq.gov/node/47144/psn-pdf
June 13, 2018 - Canadian Anesthesia Incident Reporting System.
June 13, 2018
Canadian Anaesthesiologists Society.
https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. This website
provides a secure tool for submitting…
-
psnet.ahrq.gov/node/60885/psn-pdf
September 02, 2020 - Becoming a High Reliability Organization.
September 2, 2020
VHA Forum. Summer 2020;1-12.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
High reliability attainment is a stated goal for health care organizations. This special issue covers
established initiatives at the United States Veterans He…
-
psnet.ahrq.gov/node/42273/psn-pdf
December 29, 2014 - Assessing patient safety culture in hospitals across
countries.
December 29, 2014
Wagner C, Smits M, Sorra J, et al. Assessing patient safety culture in hospitals across countries. Int J Qual
Health Care. 2013;25(3):213-21. doi:10.1093/intqhc/mzt024.
https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-ho…
-
psnet.ahrq.gov/node/45006/psn-pdf
April 06, 2016 - Quality and Patient Safety.
April 6, 2016
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/quality-and-patient-safety
The Agency for Healthcare Research and Quality has provided access to patient safety research,
information, and tools for nearly two decades. This website offers a wide rang…
-
psnet.ahrq.gov/node/43489/psn-pdf
September 03, 2014 - Did hospital engagement networks actually improve care?
September 3, 2014
Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med.
2014;371(8):691-693. doi:10.1056/NEJMp1405800.
https://psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
In this commentary,…
-
psnet.ahrq.gov/node/42560/psn-pdf
September 18, 2013 - Intra-operative monitoring—many alarms with minor
impact.
September 18, 2013
de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact.
Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289.
https://psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
The…
-
psnet.ahrq.gov/node/41762/psn-pdf
May 03, 2017 - Improving the Measurement of Surgical Site Infection
Risk Stratification/Outcome Detection: Final Contract
Report.
May 3, 2017
Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ
Publication No. 12-0046-EF.
https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…
-
psnet.ahrq.gov/node/36004/psn-pdf
March 28, 2011 - Opportunities for performance improvement in relation to
medication administration during pediatric stabilization.
March 28, 2011
Morgan N. Opportunities for performance improvement in relation to medication administration during
pediatric stabilization. Quality and Safety in Health Care. 2006;15(3). doi:10.1136/qs…
-
www.ahrq.gov/patient-safety/settings/hospital/match/figure-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
-
www.ahrq.gov/patient-safety/settings/hospital/match/figure-4.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
-
www.ahrq.gov/patient-safety/settings/hospital/match/figure-3.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-spread-and-scale-patienttoc-primary-care-community-pharmacy/citation/medication
January 01, 2023 - Medication therapy management delivery by community pharmacists: insights from a national sample of Medicare Part D beneficiaries.
Citation
Adeoye OA, Farley JF, Coe AB, Pestka DL, Farris KB, Zillich AJ, Snyder ME. Medication therapy management delivery by community pharmacists: insights from a nation…
-
psnet.ahrq.gov/node/39442/psn-pdf
March 23, 2011 - Adverse events in hospitals: the patient's point of view.
March 23, 2011
Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf
Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
…
-
psnet.ahrq.gov/node/45169/psn-pdf
June 08, 2016 - High Reliability in Health Care.
June 8, 2016
Joint Commission Center for Transforming Healthcare.
https://psnet.ahrq.gov/issue/high-reliability-health-care
Development of high reliability remains an elusive goal for health care organizations. The Joint Commission
has also advocated for achieving high reliability …
-
www.ahrq.gov/pqmp/measures/mri-tomography-atraumatic-seizure.html
August 01, 2021 - Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children With Atraumatic Seizure
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Overuse of Imaging
PQMP COE: Q-METRIC
Associated NQF # and Name: None.
Products:
Fact Sheet: None
Full R…
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…