-
psnet.ahrq.gov/issue/hret-patient-safety-leadership-fellowship-role-community-patient-safety
July 14, 2010 - Commentary
HRET Patient Safety Leadership Fellowship: The role of "community" in patient safety.
Citation Text:
Leonhardt KK. HRET Patient Safety Leadership Fellowship. Am J Med Qual. 2010;25(3):192-196. doi:10.1177/1062860609357469.
Copy Citation
Format:
DOI Google Schol…
-
psnet.ahrq.gov/issue/nhs-sticking-fingers-its-ears-humming-loudly
January 01, 2000 - Study
The NHS: sticking fingers in its ears, humming loudly.
Citation Text:
Pope R. The NHS: Sticking Fingers in Its Ears, Humming Loudly. J Bus Ethics. 2015;145(3):577-598. doi:10.1007/s10551-015-2861-4.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNot…
-
psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
August 31, 2016 - Review
Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review.
Citation Text:
Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
January 15, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance
CAHPS Sponsor Report
The ACAP Experience
Deborah Kilstein
ACAP Vice President, Quality Management and
Operational Support
January 15, 2014
29
Agenda
30
Who is ACAP?
Growing role of health plans
What …
-
psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
May 26, 2021 - Commentary
Implementing smart infusion pumps with dose-error reduction software: real-world experiences.
Citation Text:
Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13.
…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D.
5
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and sci…
-
psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
January 15, 2025 - Commentary
Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams.
Citation Text:
Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…
-
psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections
December 11, 2024 - Commentary
Impact of organizations on healthcare-associated infections.
Citation Text:
Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012.
Copy Citation
Format:
DOI Googl…
-
psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors
November 16, 2022 - Study
Frequency of pediatric medication administration errors and contributing factors.
Citation Text:
Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e31820…
-
psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety-program
June 21, 2006 - Commentary
Development and implementation of a hospital-based patient safety program.
Citation Text:
Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8.
Copy Citation
Format:
Google Schol…
-
psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - Review
Classic
Teamwork in healthcare: key discoveries enabling safer, high-quality care.
Citation Text:
Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…
-
psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Commentary
Emerging Classic
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.
Citation Text:
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…
-
www.ahrq.gov/ncepcr/about/index.html
December 01, 2024 - About AHRQ's National Center for Excellence in Primary Care Research
Sign Up: NCEPCR and Primary Care Email Updates
The National Center for Excellence in Primary Care Research (NCEPCR) is the home for primary care research at AHRQ. NCEPCR is focused on strengthening the Nation's primary care system, provi…
-
www.ahrq.gov/ncepcr/tools/case-studies/index.html
August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Next Page
Table of Contents
Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
Training Program Summary: HealthTeamWorks’ Coach University
Training Program Summary: Millard Fillmor…
-
psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
May 30, 2019 - Book/Report
Classic
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition.
Citation Text:
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…
-
psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - Commentary
Classic
Error in medicine.
Citation Text:
Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
…
-
digital.ahrq.gov/program-overview/research-stories/virtual-pharmacy-improves-medication-use-and-patient-safety-palliative-care
January 01, 2023 - Virtual Pharmacy Improves Medication Use and Patient Safety in Palliative Care
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Leveraging Telehealth to Improve Health Systems
Including virtual pharmacists in palliative care teams can reduce adverse drug interactions a…
-
psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
January 25, 2023 - Sentinel Event Alerts
Preventing unintended retained foreign objects.
Citation Text:
Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
-
psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
April 15, 2016 - Study
Understanding and preventing vaccination errors.
Citation Text:
Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001.
Copy Citation
Format:
DOI Google Scholar BibTeX…
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/brownbridge-g-et-al
January 01, 2023 - Brownbridge G et al. 1986 "An interactive computerized protocol for the management of hypertension: effects on the general-practitioner's clinical behavior."
Reference
Brownbridge G, Evans A, Fitter M, et al. An interactive computerized protocol for the management of hypertension: effects on the gener…