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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60215/psn-pdf
    April 08, 2020 - Pain Alleviation Toolkit. April 8, 2020 American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020. https://psnet.ahrq.gov/issue/pain-alleviation-toolkit Communication and shared decision-making are fundamental tactics to guide clinical team and patient efforts to minimize the …

  2. Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference | PSNet

    psnet.ahrq.gov/training-catalog/artificial-intelligence-and-human-factors-health-care-quality-safety-conference
    Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Penn State College of Medicine…

  3. StartSmart(TM): Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/startsmarttm-health-information-technology-improve-adherence-prenatal/final-report
    January 01, 2023 - StartSmart(TM): Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report Citation Gance-Cleveland B. StartSmart(TM): Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report. (Prepared by the University of Colorado under Grant No. R21 HS0…

  4. Health Information Technology-Supported Process for Preventing and Managing Venous Thromboembolism - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-supported-process-preventing-and-managing-venous-thromboembolism/final-report
    January 01, 2023 - Health Information Technology-Supported Process for Preventing and Managing Venous Thromboembolism - Final Report Citation Carayon P. Health Information Technology-Supported Process for Preventing and Managing Venous Thromboembolism - Final Report. (Prepared by the University of Wisconsin - Madison un…

  5. Understanding the predisposing, enabling, and reinforcing factors influencing the use of a mobile-based HIV management app: A real-world usability evaluation. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/use-mhealth-technology-supporting-symptom-management-underserved-persons-living/citation/understanding
    January 01, 2023 - Understanding the predisposing, enabling, and reinforcing factors influencing the use of a mobile-based HIV management app: A real-world usability evaluation. Citation Cho H, Porras T, Baik D, et al. Understanding the predisposing, enabling, and reinforcing factors influencing the use of a mobile-base…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848384/psn-pdf
    May 03, 2023 - Roadmap to Health Care Safety for Massachusetts. May 3, 2023 Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023. https://psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts Collective engagement and focus are required to attain large sys…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50729/psn-pdf
    December 11, 2019 - Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. December 11, 2019 Washington DC; National Quality Forum: October 28, 2019. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement- considerations Efforts to track, understand…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847057/psn-pdf
    April 05, 2023 - Implement strategies to prevent persistent medication errors and hazards. April 5, 2023 ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards Medication mistakes are recognized contributors to p…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42089/psn-pdf
    March 06, 2013 - Organizational culture: an important context for addressing and improving hospital to community patient discharge. March 6, 2013 Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community patient discharge. Med Care. 2013;51(…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44629/psn-pdf
    December 09, 2015 - Toolkit for Reducing CAUTI in Hospitals. December 9, 2015 Rockville, MD: Agency for Healthcare Research and Quality; October 2015. https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals Catheter–associated urinary tract infections (CAUTIs) are common complications in hospitalized patients. This toolkit was …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44053/psn-pdf
    November 16, 2015 - ANA CAUTI Prevention Tool. November 16, 2015 Silver Spring, MD: American Nurses Association; 2015. https://psnet.ahrq.gov/issue/ana-cauti-prevention-tool Nurses play an important role in reducing catheter–associated urinary tract infections (CAUTIs). This toolkit, developed as a Partnership for Patients strategy, …

  12. Improving Sickle Cell Transitions of Care Through Health Information Technology: Recommendations for Tool Development - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/final-report
    January 01, 2023 - Improving Sickle Cell Transitions of Care Through Health Information Technology: Recommendations for Tool Development - Final Report Citation The Lewin Group. Improving Sickle Cell Transitions of Care Through Health Information Technology: Recommendations for Tool Development - Final Report. Prepared…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34655/psn-pdf
    May 21, 2019 - Organizational culture as a source of high reliability. May 21, 2019 Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243. https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability The author proposes that, as organizations a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39278/psn-pdf
    March 05, 2010 - To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. March 5, 2010 Garcia-Williams A; Brinsley-Rainisch K; Schillie S; Sinkowitz-Cochran R. https://psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-vid…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44983/psn-pdf
    April 20, 2016 - Back to basics: counting soft surgical goods. April 20, 2016 Spruce L. Back to Basics: Counting Soft Surgical Goods. AORN J. 2016;103(3):298-301; quiz 302-3. doi:10.1016/j.aorn.2015.12.021. https://psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods Despite heightened awareness of hazards associated with…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34625/psn-pdf
    July 22, 2013 - National Center for Patient Safety (NCPS). July 22, 2013 Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI 48106-0486. Phone: (734) 930-5890. https://psnet.ahrq.gov/issue/national-center-patient-safety-ncps The NCPS represents a unified and cohesive patient safe…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42907/psn-pdf
    August 02, 2015 - Innovation in safety, and safety in innovation. August 2, 2015 Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. https://psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation This commentary discusses systems-focused innovations…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43778/psn-pdf
    April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph, but call him Joe. April 22, 2015 Sun LH. https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe This newspaper article reports on a pilot program which involved redesigning intensive care unit processes to enhance staff knowled…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44612/psn-pdf
    October 28, 2015 - Transitional chaos or enduring harm? The EHR and the disruption of medicine. October 28, 2015 Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. https://psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845352/psn-pdf
    September 06, 2023 - Understanding and Improving Diagnostic Safety in Ambulatory Care. September 6, 2023 Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023. https://psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care The articulation of diagnostic error in the ambulatory setting i…
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