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3121. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet
      psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
      March 14, 2023 - Newspaper/Magazine Article Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. Citation Text: Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …

3122. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
      psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
      March 15, 2022 - Newspaper/Magazine Article Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. Citation Text: Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…

3123. TQIP Mortality Reporting System Case Reports. | PSNet
      psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
      March 23, 2022 - Special or Theme Issue TQIP Mortality Reporting System Case Reports. Citation Text: TQIP Mortality Reporting System Case Reports. ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. Copy Citation Save Save to your library Pri…

3124. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet
      psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
      June 16, 2019 - Study Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Citation Text: Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…

3125. Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. | PSNet
      psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
      November 25, 2009 - Tools/Toolkit Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. Citation Text: Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: Univers…

3126. Preventing home medication errors. | PSNet
      psnet.ahrq.gov/issue/preventing-home-medication-errors
      September 15, 2021 - Audiovisual Presentation Preventing home medication errors. Citation Text: Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023. Copy Citation Save Save to your library Print Download PDF Shar…

3127. El Dorado County Safety Net Technology Project | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/el-dorado-county-safety-net-technology-project
      January 01, 2023 - El Dorado County Safety Net Technology Project Project Final Report ( PDF , 68.26 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stat…

3128. Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model/annual-summary/2010
      January 01, 2010 - Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2010 Project Name Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model Principal Investigator McConnochie, Kenneth Organization University of Rochester Funding M…

3129. Systemic failures in health care oversight. | PSNet
      psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
      July 05, 2006 - Commentary Systemic failures in health care oversight. Citation Text: Systemic failures in health care oversight. Campbell JL. Ga L Rev. 2024;58(2):737-802. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

3130. Communication and teamwork in patient care: how much can we learn from aviation? | PSNet
      psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation
      August 12, 2019 - Review Communication and teamwork in patient care: how much can we learn from aviation? Citation Text: Lyndon A. Communication and teamwork in patient care: how much can we learn from aviation? J Obstet Gynecol Neonatal Nurs. 2006;35(4):538-46. Copy Citation Format: Googl…

3131. Loyola University Health Sciences Division Employs TeamSTEPPS® in Curricula | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201510.html
      May 01, 2015 - Loyola University Health Sciences Division Employs TeamSTEPPS® in Curricula Search All Impact Case Studies May 2015 Loyola University Chicago now requires that all students in its schools of medicine and nursing—about 300 annually—be introduced to AHRQ's TeamSTEPPS® patient safety training program. At t…

3132. Strategies used by nurses to recover medical errors in an academic emergency department setting. | PSNet
      psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting
      September 26, 2016 - Study Strategies used by nurses to recover medical errors in an academic emergency department setting. Citation Text: Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-…

3133. Reducing Adverse Drug Events. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events
      August 09, 2017 - Book/Report Classic Reducing Adverse Drug Events. Citation Text: Reducing Adverse Drug Events. Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998. Copy Citation Save Save to your library …

3134. Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. | PSNet
      psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
      January 19, 2022 - Newspaper/Magazine Article Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Citation Text: Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Comarow A. US News & World Report. Jul…

3135. Mistakes and disclosure. | PSNet
      psnet.ahrq.gov/issue/mistakes-and-disclosure
      October 19, 2022 - Commentary Mistakes and disclosure. Citation Text: Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

3136. Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/index.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Description of Methods Chapter 4. Results an…

3137. Losing the moment: understanding interruptions to nurses' work. | PSNet
      psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
      September 19, 2012 - Study Losing the moment: understanding interruptions to nurses' work. Citation Text: Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162. Copy Citation Format: DOI …

3138. EvidenceNOW: Evaluation Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/measures.html
      August 01, 2018 - EvidenceNOW: Evaluation Measures Evaluation Measures EvidenceNOW cooperatives will collect practice-level data from participating primary care practices on the clinical quality measures that correspond to each of the ABCS of heart health. The EvidenceNOW evaluation measures were initially determined by AHRQ a…

3139. Sustainability Tool - Sustainability Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
      June 01, 2017 - Sustainability Tool - Sustainability Module Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist. Us…

3140. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …