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  1. Key Initiatives in Measuring and Reporting Health Care Quality | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/resources/initiatives.html
    November 01, 2018 - Key Initiatives in Measuring and Reporting Health Care Quality Several individual organizations and collaborative initiatives have helped to shape the national health care agenda with respect to transparency, accountability, improvement, and informed choice. Within their respective areas of focus, they have spu…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853249/psn-pdf
    September 06, 2023 - How does robotic-assisted surgery change OR safety culture? September 6, 2023 How does robotic-assisted surgery change OR safety culture? AMA J Ethics. 2023;25(8):E615-E623. doi:10.1001/amajethics.2023.615. https://psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture The safety culture …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838191/psn-pdf
    September 28, 2022 - Improved Diagnostic Accuracy Through Probability- Based Diagnosis. September 28, 2022 Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22- 0026-3-EF. https://psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis Correct consideration o…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45531/psn-pdf
    December 14, 2016 - The role of safety culture in influencing provider perceptions of patient safety. December 14, 2016 Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209. https://psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-percepti…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837641/psn-pdf
    July 06, 2022 - Ambulatory medication safety in primary care: a systematic review. July 6, 2022 Young RA, Fulda KG, Espinoza A, et al. Ambulatory medication safety in primary care: a systematic review. J Am Board Fam Med. 2022;35(3):610-628. doi:10.3122/jabfm.2022.03.210334. https://psnet.ahrq.gov/issue/ambulatory-medication-safe…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74846/psn-pdf
    February 16, 2022 - Weight-based Medication Errors in Children. February 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/weight-based-medication-errors-children Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing, dispensing…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40237/psn-pdf
    February 23, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses. February 23, 2011 Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876. ht…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43832/psn-pdf
    January 14, 2015 - What about doctors? The impact of medical errors. January 14, 2015 Abd Elwahab S, Doherty E. What about doctors? The impact of medical errors. The Surgeon. 2014;12(6). doi:10.1016/j.surge.2014.06.004. https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors-0 Medical errors affect not only the patient…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45514/psn-pdf
    November 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74128/psn-pdf
    December 01, 2021 - Call to action: addressing pediatric fall safety in ambulatory environments. December 1, 2021 Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. https://psnet.ahrq.gov/issue/call-action-ad…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44913/psn-pdf
    September 27, 2017 - Nursing staff's perceptions of patient safety in psychiatric inpatient care. September 27, 2017 Kanerva A, Lammintakanen J, Kivinen T. Nursing Staff's Perceptions of Patient Safety in Psychiatric Inpatient Care. Perspect Psych Care. 2016;52(1):25-31. doi:10.1111/ppc.12098. https://psnet.ahrq.gov/issue/nursing-staf…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43461/psn-pdf
    April 22, 2015 - Optimizing the patient handoff between EMS and the emergency department. April 22, 2015 Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1. doi:10.1016/j.annemergmed.2014.07.003. https://psnet.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45545/psn-pdf
    October 05, 2016 - How to Improve Electronic Health Record Usability and Patient Safety. October 5, 2016 Philadelphia, PA: Pew Charitable Trusts; September 6, 2016. https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety The usability of electronic health record (EHR) systems can affect clinici…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46976/psn-pdf
    June 25, 2018 - 2017 update on pediatric medical overuse: a review. June 25, 2018 Coon ER, Young PC, Quinonez RA, et al. 2017 Update on Pediatric Medical Overuse. JAMA Pediatr. 2018;172(5). doi:10.1001/jamapediatrics.2017.5752. https://psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review Overuse of medical care has b…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60999/psn-pdf
    October 07, 2020 - Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. October 7, 2020 Geneva, Switzerland; World Health Organization: September 2020. ISBN 9789240010789. https://psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying…

  16. Exhibit 5.11. Project Organizational Structure and Roles | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-11.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.11. Project Organizational Structure and Roles Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Ca…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74860/psn-pdf
    February 23, 2022 - Is electronic health record safety a paradox? February 23, 2022 Harrington L. Is electronic health record safety a paradox? AACN Adv Crit Care. 2021;32(4):375-380. doi:10.4037/aacnacc2021406. https://psnet.ahrq.gov/issue/electronic-health-record-safety-paradox The usability of health information technology, such a…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50666/psn-pdf
    November 13, 2019 - Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019. https://psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use- non-profile…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50382/psn-pdf
    September 25, 2019 - The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment. September 25, 2019 Best JA, Kim S. The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment. J Contin Educ Nurs. 2019;50(8):355-361. doi:10.3928/00220124-20190717-06. https://psnet.ahrq…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848827/psn-pdf
    May 10, 2023 - TQIP Mortality Reporting System Case Reports. May 10, 2023 ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. https://psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports Anonymous case reporting provides opportunities to examine unexpected patient harm instances to pin…
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