-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-supported-process-preventing-and-managing-venous-thromboembolism/citation/role
January 01, 2023 - Role network measures to assess healthcare team adaptation to complex situations: the case of venous thromboembolism prophylaxis.
Citation
Salwei ME, Carayon P, Hundt AS, Hoonakker P, Agrawal V, Kleinschmidt P, Stamm J, Wiegmann D, Patterson BW. Role network measures to assess healthcare team adaptati…
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-effectiveness-health-information-technology-self-management-program/citation/using
January 01, 2023 - Using a patient portal to transmit patient reported health information into the electronic record: workflow implications and user experience.
Citation
Sorondo B, Allen A, Bayleran J, et al. Using a patient portal to transmit patient reported health information into the electronic record: workflow imp…
-
psnet.ahrq.gov/node/50586/psn-pdf
October 23, 2019 - AHRQ Health Information Technology Research: 2018
Year in Review.
October 23, 2019
AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc.
Under Contract No. HHSN316201200068W.) AHRQ Publication No. 19-0082-EF. Rockville, MD: Agency
for Healthcare Research and Quality. Septem…
-
psnet.ahrq.gov/node/48106/psn-pdf
July 24, 2019 - Teamwork Toolkit.
July 24, 2019
Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019.
https://psnet.ahrq.gov/issue/teamwork-toolkit
Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed
to help organizations create a culture that embeds teamwork…
-
psnet.ahrq.gov/node/844055/psn-pdf
February 08, 2023 - National patient safety goal to improve health care equity.
February 8, 2023
R3 Report. December 20, 2022;38:1-8.
https://psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity
Health care inequities persist despite increasing awareness they negatively affect quality, safety, and
patient cent…
-
psnet.ahrq.gov/node/33916/psn-pdf
December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty
Incident. Summary, Evidence Report/Technology
Assessment.
December 22, 2014
Hsu EB, Jenckes MW, Catlett CL, et al. In: AHRQ Evidence Report Summaries. Rockville, MD: Agency for
Healthcare Research and Quality; 1998-2005. 95. AHRQ Publication No. 04-E015-1
h…
-
psnet.ahrq.gov/node/39023/psn-pdf
November 19, 2018 - Pediatric Readiness in the Emergency Department.
November 19, 2018
Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department.
Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459.
https://psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
This revised set of gu…
-
psnet.ahrq.gov/node/41957/psn-pdf
May 04, 2016 - Safety Considerations for Product Design to Minimize
Medication Errors: Guidance for Industry.
May 4, 2016
Rockville, MD: Center for Drug Evaluation and Research, US Food and Drug Administration; April 2016.
https://psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-
indu…
-
psnet.ahrq.gov/node/48170/psn-pdf
July 31, 2019 - Developing resilience to combat nurse burnout.
July 31, 2019
Quick Safety. July 15, 2019;(50):1-4.
https://psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem
. Recommendations focus on the role …
-
digital.ahrq.gov/organization/fairview-health-services
January 01, 2023 - Fairview Health Services
A Community-Shared Clinical Abstract to Improve Care - 2010
Principal Investigator
Connelly, Donald
Project Name
A Community-Shared Clinical Abstract to Improve Care
A Community-Shared Clinical Abstract to Improve …
-
psnet.ahrq.gov/node/35535/psn-pdf
July 13, 2010 - American College of Endocrinology and American
Association of Clinical Endocrinologists position
statement on patient safety and medical system errors in
diabetes and endocrinology.
July 13, 2010
Bates DW, Clark NG, Cook RI, et al. American College of Endocrinology and American Association of
Clinical Endocrinolo…
-
psnet.ahrq.gov/node/73926/psn-pdf
October 06, 2021 - Good for You, Good for Us, Good for Everybody.
October 6, 2021
Ridge K. London, England: Crown Copyright; 2021. September 22, 2021.
https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody
Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has
long reduced medi…
-
psnet.ahrq.gov/node/37261/psn-pdf
December 19, 2011 - Creating complex health improvement programs as
mindful organizations: from theory to action.
December 19, 2011
Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from
theory to action. J Health Organ Manag. 2007;21(2):166-83.
https://psnet.ahrq.gov/issue/creating-complex…
-
psnet.ahrq.gov/node/43795/psn-pdf
December 17, 2014 - Systematic Systems Analysis: A Practical Approach to
Patient Safety Reviews.
December 17, 2014
Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.
https://psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
Drawing from human factors a…
-
psnet.ahrq.gov/node/42387/psn-pdf
December 30, 2014 - 'Bad apples': time to redefine as a type of systems
problem?
December 30, 2014
Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf.
2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138.
https://psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
While …
-
psnet.ahrq.gov/node/47050/psn-pdf
April 18, 2018 - Improving Physician Well-Being, Restoring Meaning in
Medicine.
April 18, 2018
Accreditation Council for Graduate Medical Education.
https://psnet.ahrq.gov/issue/physician-well-being
Physician and resident well-being is receiving increased attention as an area of focus of the clinical
learning environment. This we…
-
psnet.ahrq.gov/node/45931/psn-pdf
July 05, 2017 - The CARE approach to reducing diagnostic errors.
July 5, 2017
Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol.
2017;56(6):669-673. doi:10.1111/ijd.13532.
https://psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
Cognitive aids such as checklists and mnemoni…
-
psnet.ahrq.gov/node/43646/psn-pdf
January 01, 2021 - Patient Safety Systems Chapter.
January 1, 2021
In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint
Commission; January 2021:PS1-PS46.
https://psnet.ahrq.gov/issue/patient-safety-systems-chapter
This chapter provides information about how organizations can re-design existin…
-
psnet.ahrq.gov/node/41901/psn-pdf
December 05, 2012 - Patient safety culture in home care: experiences of home-
care nurses.
December 5, 2012
Berland A, Holm AL, Gundersen D, et al. Patient safety culture in home care: experiences of home-care
nurses. J Nurs Manag. 2012;20(6):794-801. doi:10.1111/j.1365-2834.2012.01461.x.
https://psnet.ahrq.gov/issue/patient-safety-c…
-
psnet.ahrq.gov/node/45808/psn-pdf
December 19, 2017 - A concept analysis of systems thinking.
December 19, 2017
Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum.
2017;52(4):323-330. doi:10.1111/nuf.12196.
https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
Systems thinking focuses on enabling an organization t…