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psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
January 02, 2017 - Study
Decisions about critical events in device-related scenarios as a function of expertise.
Citation Text:
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential
ways facility teams may choose to integrate the pressure ulcer healing reports into clinical
practice. A menu of…
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit.
Citation Text:
Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
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digital.ahrq.gov/ahrq-funded-projects/maintaining-activity-and-nutrition-through-technology-assisted-innovation-prim/annual-summary/2012
January 01, 2012 - Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care - 2012
Project Name
Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care
Principal Investigator
Conroy, Margaret
Organization
University of Pittsburg…
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psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
June 23, 2021 - Study
Experience of learning from everyday work in daily safety huddles: a multi-method study.
Citation Text:
Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-…
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www.ahrq.gov/talkingquality/index.html
Talking Quality: Reporting to Consumers on Health Care Quality
Health Care Quality Report Objectives
Be clear on the aims of your report, whether consumer choice, education, or improvement.
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www.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List
MAR
12
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Stephen Raab, M.D.
As we celebrate Patient Safety Awareness Week 2024 , AHRQ again places particular em…
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psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
May 02, 2012 - Study
Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety.
Citation Text:
Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08…
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psnet.ahrq.gov/issue/you-can-campaign-teamwork-training-patients-and-families-ambulatory-oncology
September 01, 2016 - Study
The You CAN campaign: teamwork training for patients and families in ambulatory oncology.
Citation Text:
Weingart SN, Simchowitz B, Eng TK, et al. The You CAN campaign: teamwork training for patients and families in ambulatory oncology. Jt Comm J Qual Patient Saf. 2009;35(2):63-71.…
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psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals
April 20, 2011 - Study
A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals.
Citation Text:
Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93.
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For…
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psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors
April 08, 2020 - Study
Views of children, parents, and health-care providers on pediatric disclosure of medical errors.
Citation Text:
Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Discussion
Previous Page Next Page
Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Da…
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psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and
July 02, 2014 - Study
US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety.
Citation Text:
Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
August 05, 2020 - Study
Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.
Citation Text:
Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…
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psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
October 02, 2019 - Study
Struggling to invent high-reliability organizations in health care settings: insights from the field.
Citation Text:
Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.…
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psnet.ahrq.gov/issue/impact-crisis-resource-management-simulation-based-training-interprofessional-and
November 13, 2019 - Review
Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review.
Citation Text:
Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…
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psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
July 07, 2010 - Study
Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling.
Citation Text:
Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…
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psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency
September 21, 2022 - Review
Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review.
Citation Text:
Jala S, Fry M, Elliott R. Cognitive bias during clinical decision‐making and its influence on patient outcomes in the emergency depart…
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psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care
May 11, 2019 - Commentary
A hospital is not just a factory, but a complex adaptive system—implications for perioperative care.
Citation Text:
Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit4.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Chapter 4. Linking With the Patient
Previous Page Next Page
Table of Contents
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Chapter 1.…