-
psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
The Case
Two male patients of similar age arrived at the same …
-
psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Many of the steps and techniques described above fall under the field of medication safety engineering
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - PowerPoint Presentation
Spotlight
The Hazards of Distraction: Ticking All the EHR Boxes
*
Source and Credits
This presentation is based on the February 2017
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Anthony C. Easty, PhD, Adjunct Pr…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
-
psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety
Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Ci…
-
psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety
Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Vogus T, Lee M, Mos…
-
psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - the Same Author(s)
A randomized trial of a multifactorial strategy to prevent serious fall … December 1, 2010
Perspective
How Does Infection Prevention
-
psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - team members to the task at hand and enable them to "speak up" or challenge something that
seems to fall … Prevention of similar events may depend on our ability to adopt more effective human-factors-oriented
-
psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
October 30, 2024 - Behavioral health may not fall within traditional funding and reimbursement mechanisms within your facility … July 23, 2024
Patient Safety Innovations
Suicide Prevention
-
psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - addressed through a
thorough understanding of the barriers to adherence.(16) Sometimes a process will fall … Perioperative management of antithrombotic therapy:
Antithrombotic Therapy and Prevention of Thrombosis
-
psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - After the fall of Saigon in 1975, many refugees—estimated at more than 500,000—came to the United States … 2022
Shared understanding of resilient practices in the context of inpatient suicide prevention
-
psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - . [2] Important services delivered by primary care clinicians include health promotion and disease prevention … referrals to ensure they are carried out in a timely way will likely minimize the number of patients who “fall
-
psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - disease.[2] Important
services delivered by primary care clinicians include health promotion and disease prevention … referrals to ensure they are carried out in a timely way will likely minimize the number of patients who “fall
-
psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - measures, it's pretty hard to measure diagnostic errors for example, and some of the other issues that fall … from Medicare's Inpatient Quality Reporting (IQR) program, including process measures focused on the prevention … In 2014, the program will expand to include the prevention of catheter-associated urinary tract infection … The impact of computerized physician order entry on medication error prevention.
-
psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - These protocols should include assessment and prevention procedures to reduce the risk of harm for patients … Miscarriage
June 1, 2003
WebM&M Cases
Another Fall
-
psnet.ahrq.gov/issue/incidence-and-causes-critical-incidents-emergency-departments-comparison-and-root-cause
January 18, 2023 - January 4, 2012
A randomized trial of a multifactorial strategy to prevent serious fall
-
psnet.ahrq.gov/periodic-issue/periodic-issue-457
September 25, 2024 - Fall F, Hu YY, Walker S, et al.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-349
July 08, 2022 - commonly reported events, followed by Medication Error, Complication of Procedure/Treatment/Test, and Fall
-
psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
September 07, 2019 - Improving Patient Safety and Team Communication through Daily Huddles
Citation Text:
Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citatio…
-
psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Lane-Fall MB, Beidas RS, Pascual JL, et al.