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  1. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
    December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Outcome Indicators for the HCBS Population Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for…

  2. Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinicians over 1000 hours. | PSNet

    psnet.ahrq.gov/issue/managing-competing-demands-through-task-switching-and-multitasking-multi-setting
    December 19, 2018 - Study Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinicians over 1000 hours. Citation Text: Walter SR, Li L, Dunsmuir WTM, et al. Managing competing demands through task-switching and multitasking: a multi-setting obser…

  3. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
    March 18, 2016 - Study Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. Citation Text: Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…

  4. Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

    psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
    January 23, 2017 - Study Understanding and responding when things go wrong: key principles for primary care educators. Citation Text: McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…

  5. Do patient safety events increase readmissions? | PSNet

    psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
    November 04, 2015 - Study Do patient safety events increase readmissions? Citation Text: Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da. Copy Citation Format: DOI Google Scholar PubMed BibT…

  6. Electronic health record–related safety concerns: a cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey
    August 03, 2016 - Study Electronic health record–related safety concerns: a cross-sectional survey. Citation Text: Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. Copy Citation…

  7. Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. | PSNet

    psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping
    October 29, 2017 - Review Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. Citation Text: Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…

  8. The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. | PSNet

    psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
    September 27, 2016 - Study The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. Citation Text: Vrklevski LP, McKechnie L, OʼConnor N. The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root …

  9. Missing clinical and behavioral health data in a large electronic health record (EHR) system. | PSNet

    psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
    July 19, 2023 - Study Missing clinical and behavioral health data in a large electronic health record (EHR) system. Citation Text: Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-114…

  10. Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. | PSNet

    psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system
    October 19, 2022 - Study Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Citation Text: Catchpole K, Bell MDD, Johnson S. Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Anaesth…

  11. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/what-known-about-adverse-events-older-medical-hospital-inpatients-systematic-review
    January 12, 2012 - Review What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Citation Text: Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J He…

  12. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
    June 29, 2022 - Study Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Citation Text: Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …

  13. Health professional networks as a vector for improving healthcare quality and safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/health-professional-networks-vector-improving-healthcare-quality-and-safety-systematic-review
    December 13, 2023 - Review Health professional networks as a vector for improving healthcare quality and safety: a systematic review. Citation Text: Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving healthcare quality and safety: a systematic review. BMJ…

  14. CHIPRA 241: Section 5, Table 2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-5-table-2.pdf
    May 01, 2010 - CHIPRA 241: Section 5, Table 2 Table 2: Evidence for Communication of Weight Classification of Children Who Are Overweight or Obese Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Expert recommendation In 2007, the AAP, AMA, and CDC collaborated to form an expert c…

  15. CHIPRA 240: Section 5, Table 2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-5-table-2.pdf
    May 01, 2010 - CHIPRA 240: Section 5, Table 2 Table 2: Evidence for Parent Report of Discussion of Weight Concerns Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Expert recommendation Once a child’s BMI is measured, clinicians must exercise judgment, first in assessing the child…

  16. The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. | PSNet

    psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
    February 13, 2019 - Study The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. Citation Text: Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…

  17. Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   | PSNet

    psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
    February 14, 2024 - Study Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   Citation Text: de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…

  18. A review of adverse event reports from emergency departments in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
    November 17, 2021 - Study A review of adverse event reports from emergency departments in the Veterans Health Administration. Citation Text: Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-…

  19. Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet

    psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans
    June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Citation Text: Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …

  20. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? | PSNet

    psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
    April 13, 2022 - Commentary From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Citation Text: De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…
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