-
digital.ahrq.gov/sites/default/files/docs/survey/baseline-clinician-survey-keystone-health-information-exchange-keyhie.pdf
September 26, 2011 - Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE)
Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE)
Geisinger Health System, Danville PA
This is a questionnaire designed to be completed by clinical staff across a health care system
setting. The…
-
digital.ahrq.gov/sites/default/files/docs/publication/KSchultzetal2006HFES_JobTaskAnalysis.pdf
January 01, 2005 - Development of a Job Task Analysis Tool for Assessing the Work of Physicians in the Intensive Care Unit
DEVELOPMENT OF A JOB TASK ANALYSIS TOOL FOR ASSESSING THE WORK
OF PHYSICIANS IN THE INTENSIVE CARE UNIT
Kara Schultz*~, Jason Slagle±, Roger Brown†, Steve Douglas*, Brian Frederick*, Manisha
Lakhani*, Jesse …
-
psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Diagnosing a Missed Diagnosis
Citation Text:
Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7…
-
psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - Patient and Family Roles in Safety
June 14, 2023
Johnson B, Lee M, Mossburg S. Patient and Family Roles in Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/patient-and-family-roles-safety
Moving From Engagement to Partnership
Involving patients and families in healthcare decisions about patient c…
-
psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - Spotlight
Missed Opportunities for Suicide
Risk Assessment
Source and Credits
• This presentation is based on the November 2019 AHRQ WebM&M
Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Glen Xiong, MD & Debra Kahn, MD
○ Editors in Chief, AHRQ We…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_haguide.pdf
January 14, 2016 - Health Assessment Module User Guide
Health Assessment Module User Guide
Reducing Barriers to Quality Assurance in Primary Care via
Maintenance of Certification Modules
Prepared for:
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, Maryland 20780
http://www…
-
www.ahrq.gov/prevention/resources/depression/depsum1.html
April 01, 2013 - Screening for Depression in Adults
Summary of the Evidence
The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemoprevention. They summarize the more detailed Systematic Evid…
-
psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Updates in the Role of Health IT in Patient Safety
February 21, 2020
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
Background
Health information technology (HIT) has the potential…
-
psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical
Record Causing an Accidental Medication Overdose
October 31, 2023
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an
Accidental Medication Overdose. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/weight-and-…
-
psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
Summar…
-
www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
PATIENT
SAFETY
e
Issue Brief 20
Learning from AHRQs’ Diagnostic Safety
Culture Survey at a Tertiary Care Health
System in Brazil: A Case Study
This page intentionally left blank.
e
Issue Brief 2…
-
psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - Death by PCA
February 1, 2013
Hicks RW. Death by PCA. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/death-pca
The Case
A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an
uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/sustainability-slides-spanish.pptx
January 01, 2005 - Módulo 6: Sostenibilidad
Módulo 6: Sostenibilidad
Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI
Kit de herramientas de seguridad para cuidados a largo plazo
AHRQ Pub. No. 16(17)-0003-03-EF
Marzo de 2017
Sostenibilidad | ‹#›
1
Objetivos
Definir la sostenibilidad y comprender la importanc…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - The Integration of Hospitalists into U.S. Academic Medical Centers
Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship
1
CAPT Arjun Srinivasan, MD
Associate Director for Healthcare Associated Infection Prevention Programs
Division of Healthcare Quality Promotion
Scott Flanders, MD
Professor of Med…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care
AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Guide to Sustaining a Program To Reduce
Catheter-Associated Urinary Tract
Infections in Long-Term Care
AHRQ Public…
-
www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
January 01, 2024 - Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation
Grant Number: U18 HS16634-01
Grant Period: 9-30-2006 to 10-1-2008
No-cost extension: 10-1-2008 to 9-30-2009
Reporting Period: Close-Out Report
Title of Project: Improving Resuscitation Team Response to Inpatient Cri…
-
psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - In Conversation With… Andrew Gettinger, MD
September 1, 2017
In Conversation With… Andrew Gettinger, MD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
Editor's note: Dr. Gettinger is the Chief Medical Information Officer and the Executive Director of the
Office of Cli…
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Learning From Defects through Sensemaking
Slide 2: Learning Objectives
Describe difference between first-order and second-order problem-solving.
L…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
AHRQ Safety Program for Perinatal Care
Establishing a Program of
In Situ Simulations
AHRQ Publication No. 17-0003-22-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
In Situ Simulation…
-
psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens
February 26, 2020
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
The Case
Case #1:
A 56-year-old man was admitted to…