-
psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - present within the workplace, more nurses are likely to self-report missed nursing care. 11 When evaluating
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-map-hcbs-protocol.pdf
July 27, 2023 - The aging population has diverse and unique complexities that pose a challenge to evaluating
HCBS care
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - measure of average blood sugar over 3 months24
No randomized controlled trials or systematic reviews evaluating
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - measure of average blood sugar over 3 months24
No randomized controlled trials or systematic reviews evaluating
-
digital.ahrq.gov/principal-investigator/stuen-cynthia
January 01, 2023 - Stuen, Cynthia
Creating an Evidence Base for Vision Rehabilitation - Final Report
Citation
Stuen, C. Creating an Evidence Base for Vision Rehabilitation - Final Report. (Prepared by Lighthouse International under Grant No. UC1 HS015052). Rockville, MD: Agency for Healthcare Re…
-
digital.ahrq.gov/organization/cloquet-community-memorial-hospital
January 01, 2023 - Cloquet Community Memorial Hospital
HIT-Based Regional Medication Management Pharmacy System - 2009
Principal Investigator
Schmidt, Mark
Project Name
HIT-Based Regional Medication Management Pharmacy System
HIT-Based Regional Medication M…
-
digital.ahrq.gov/organization/st-vincent-healthcare
January 01, 2023 - St. Vincent Healthcare
Home Heart Failure (HF) Care: Comparing Patient-Driven Technology Models - 2008
Principal Investigator
Goldberg, Lee
Project Name
Home Heart Failure (HF) Care: Comparing Patient-Driven Technology Models
Home Heart Fa…
-
psnet.ahrq.gov/node/50727/psn-pdf
December 11, 2019 - Your diagnosis was wrong. Could doctor bias have been
a factor?
December 11, 2019
Glicksman E. Washington Post. November 17, 2019.
https://psnet.ahrq.gov/issue/your-diagnosis-was-wrong-could-doctor-bias-have-been-factor
Unconscious assumptions and biases are known contributors to poor decision-making. This news st…
-
digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-sociotechnical-metrics-inform-health-it-adaptation/citation/system
January 01, 2023 - System-wide inpatient portal implementation: survey of health care team perceptions.
Citation
Hefner JL, Sieck CJ, Walker DM, et al. System-wide inpatient portal implementation: survey of health care team perceptions. JMIR Med Inform 2017 Sep 14;5(3):e31. PMID: 28912115.
Link
https://www.ncbi.…
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/citation/smart
January 01, 2023 - Smart rehabilitation for the 21st century: The Tampa Smart Home for veterans with traumatic brain injury.
Citation
Jasiewicz J, Kearns W, Craighead J, et al. Smart rehabilitation for the 21st century: The Tampa Smart Home for veterans with traumatic brain injury. J Rehabil Res Dev 2011;48(8):vii-xviii…
-
psnet.ahrq.gov/node/37786/psn-pdf
March 23, 2011 - A theoretical framework and competency-based approach
to improving handoffs.
March 23, 2011
Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to
improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.018952.
https://psnet.ahrq.gov/issue/theoret…
-
psnet.ahrq.gov/node/40660/psn-pdf
October 04, 2011 - Incidence, nature and impact of error in surgery.
October 4, 2011
Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg.
2011;98(11):1654-1659. doi:10.1002/bjs.7594.
https://psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
This study noted a 6% error rate for patie…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/Excel_Tool_Slides_2020-3-Closing.pdf
January 01, 2020 - Tutorial on the SOPS Data Entry and Analysis Tools Webcast-Closing
Questions & Answers
17
How to Ask a Question
• Question and Answer
► Select Q&A
► Type question in the
box that opens
► Make sure “All
Panelists” is selected
18
Type Question
Here
Upcoming SOPS 101 Webcast
• December 15, 2020, 1:00 – 1…
-
psnet.ahrq.gov/node/39724/psn-pdf
July 28, 2010 - Prone to error: earliest steps to find cancer.
July 28, 2010
Saul S. New York Times. July 19, 2010;A1.
https://psnet.ahrq.gov/issue/prone-error-earliest-steps-find-cancer
This newspaper article investigates diagnostic errors in breast cancer through the story of a patient who
was misdiagnosed. Concern about the ac…
-
psnet.ahrq.gov/node/35734/psn-pdf
May 04, 2015 - Benzocaine sprays marketed under different names,
including Hurricaine, Topex, and Cetacaine.
May 4, 2015
Food and Drug Administration; FDA; CDER; Center for Drug Evaluation and Research.
https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-
topex-and-cetacaine
This F…
-
www.ahrq.gov/research/shuttered/toolkitchecklist/medadvcare.html
July 01, 2018 - Medical/Advanced Patient Care
Layout and potential use of former advanced care areas for potential general surge use. Evaluation for general surge capacity, not for original purposes.
Date: ____________ Location: _______________________ Team member: __________________________
Operating Rooms
Observation…
-
psnet.ahrq.gov/node/36883/psn-pdf
August 31, 2011 - Voluntary review of quality of care peer review for patient
safety.
August 31, 2011
Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet
Gynaecol. 2007;21(4):557-64.
https://psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
The autho…
-
digital.ahrq.gov/organization/vanderbilt-university-medical-center
January 01, 2023 - Vanderbilt University Medical Center
COMputerized PAtient-centered Collaborative Technology (COMPACT) to Support Personalized Decision Making in Breast Cancer
Description
This research will develop and evaluate a COMputerized PAtient-centered Collaborative Technology (COMPACT)…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-closing.pdf
June 02, 2025 - Lessons From Healthcare Organizations on Improving Patient Experience webcast - Closing
Using the Webcast Console to
Submit Questions
• Question and Answer
► Select Q&A
► Type question in the box
that opens
► Make sure “All Panelists”
is selected
Type Question
Here
42
CAHPS Improvement Resources
• CAHPS…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-new-sops-workplace-safety-closing.pdf
June 02, 2025 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Closing
QUESTIONS & ANSWERS
How to Ask a Question
• Question and Answer
► Select Q&A
► Type question in the box
that opens
► Make sure “All Panelists”
is selected
60
SOPS Technical Assistance (TA)
General TA:
SafetyCultureSurveys@westat.c…