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psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
April 08, 2011 - Study
Classic
A preliminary taxonomy of medical errors in family practice.
Citation Text:
Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8.
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psnet.ahrq.gov/issue/medication-errors-injured-patients
April 03, 2019 - Study
Medication errors in injured patients.
Citation Text:
Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785.
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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Study
Diffusing aviation innovations in a hospital in the Netherlands.
Citation Text:
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
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www.ahrq.gov/talkingquality/plan/your-audience/index.html
December 01, 2022 - Identify the Audience for Your Healthcare Quality Report
Before doing anything else, you need to consider your audience:
For whom are you creating this report?
What do they want to know?
What will they do with the information?
First Priority: The Primary Audience
The group you are trying to reach …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/instructor.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in a Resident's Condition
Module 3. Falls Prevention
Append…
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psnet.ahrq.gov/issue/why-july-matters
October 13, 2018 - Commentary
Why July matters.
Citation Text:
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/issue/vaccination-errors-general-practice-creation-preventive-checklist-based-multimodal-analysis
July 08, 2020 - Study
Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors.
Citation Text:
Charles R, Vallée J, Tissot C, et al. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analys…
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psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
June 03, 2020 - Study
The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery.
Citation Text:
James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…
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psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
December 21, 2022 - Review
Prescribing in 2019: what are the safety concerns?
Citation Text:
Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight13.html
June 01, 2015 - Supplement to Evaluation Highlight No. 13
How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality?
June 2015
Evaluation Highlight No. 13 is the 13th in a series that presents descriptive and analytic findings from the national evaluation of the C…
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psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
January 06, 2017 - Study
Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.
Citation Text:
Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a vo…
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www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Daily Goals Checklist
CUSP Toolkit
Effective communication is particularly important in the unit if complicated care plans are to be effectively managed by the care team
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased l…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Daily Goals Checklist
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …
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www.ahrq.gov/news/newsroom/case-studies/201709.html
June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety
Search All Impact Case Studies
June 2017
St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…
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psnet.ahrq.gov/issue/pediatric-residents-decision-making-around-disclosing-and-reporting-adverse-events-importance
January 25, 2017 - Study
Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context.
Citation Text:
Coffey M, Thomson K, Tallett S, et al. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social…
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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - Review
Team-based care: the changing face of cardiothoracic surgery.
Citation Text:
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
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psnet.ahrq.gov/issue/effects-safety-checklists-medicine-systematic-review
December 07, 2011 - Review
The effects of safety checklists in medicine: a systematic review.
Citation Text:
Thomassen Ø, Storesund A, Søfteland E, et al. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiol Scand. 2014;58(1):5-18. doi:10.1111/aas.12207.
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psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
September 20, 2017 - Commentary
Leveraging trainees to improve quality and safety at the point of care: three models for engagement.
Citation Text:
Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
May 01, 2017 - Overview
Defining Patient and Family Engagement and its Benefits
· Slides 4-7
Patient and Family Expectations in the ASC
· Slides 8-10
Barriers, Facilitators, and Motivators
· Slides 11-18
General Communication Methods for Engaging Patients and Family Members
· Slides 19-21
Opportunities for Patient and Family Engageme…