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www.ahrq.gov/cpi/about/otherwebsites/epss.ahrq.gov/index.htmlSeptember 01, 2021 - Prevention TaskForce (formerly ePSS) Description Prevention TaskForce is a free application that clinicians can use to search and browse U.S. Preventive Services Task Force (USPSTF) recommendations on the Web or on a PDA or mobile device. The app brings information on clinical preventive services—recommendat…
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www.ahrq.gov/talkingquality/explain/communicate/index.htmlNovember 01, 2018 - Communicating Key Information Upfront in a Quality Report Whether your report is on paper or the Web, the first page that users see is critical. You have just a few seconds to engage a potential user before they decide to move on. This section describes the messages and other content that you have to get across…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-agenda-062723.pdfJune 27, 2023 - Addressing Violence in the Workplace Agenda: NAA Webinar June 2023 National Action Alliance to Advance Patient Safety Summer Webinar Series Agenda Addressing Violence in the Workplace Tuesday, June 27, 2023 2:00 – 3:00 PM ET Questions We are Running On: 1. What do we know about violence in the workplace an…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46681/psn-pdfApril 16, 2018 - Trainee autonomy and patient safety. April 16, 2018 George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety Reduced resident work hours and insufficient senior surgeon… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41427/psn-pdfOctober 19, 2012 - How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. October 19, 2012 Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Biol Phys. 2012;84(2):e131-7. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44420/psn-pdfAugust 26, 2015 - Obstetric safety and quality. August 26, 2015 Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918. https://psnet.ahrq.gov/issue/obstetric-safety-and-quality Obstetric hospital admission has substantial potential for harm should something go wr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44380/psn-pdfOctober 26, 2018 - From Safety-I to Safety-II: A White Paper. October 26, 2018 Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper To enhance patient safety, researchers must consider complexity in health care settings. This white pape… -
Patient Check Out (pdf file)
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PatientCheckOut.pdfDecember 18, 2021 - Patient Check Out Patient Check Out Fr on t D es k/ C he ck O ut P at ie nt Patient completes clinic visit and appears at checkout desk Does patient need to pick up Rx at in-clinic pharmacy? Patient obtains meds and returns to checkout counter Select patient from database … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43177/psn-pdfMay 14, 2014 - Disclosing medical errors to patients: effects of nonverbal involvement. May 14, 2014 Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007. https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838140/psn-pdfNovember 07, 2015 - Safety-I, Safety-II and resilience engineering. November 7, 2015 Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering Organiz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842779/psn-pdfJanuary 12, 2011 - Resilience Engineering in Practice: a Guidebook. January 12, 2011 Hollnagel E, Parie?s J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749 https://psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook Safety-critical industries rely on organizational aptitude to respond to disr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47534/psn-pdfNovember 21, 2018 - Resident hesitation in the operating room: does uncertainty equal incompetence? November 21, 2018 Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. https://psnet.ahrq.gov/issue/resident-hesit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47336/psn-pdfMarch 04, 2019 - "Saying sorry": some strategies for effective apology within the workplace. March 4, 2019 Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571. https://psnet.ahrq.gov/issue/saying-sorry… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837593/psn-pdfJune 29, 2022 - Adverse event reporting priorities: an integrative review. June 29, 2022 Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. https://psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43096/psn-pdfAugust 22, 2016 - Rapid learning of adverse medical event disclosure and apology. August 22, 2016 Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37221/psn-pdfDecember 15, 2011 - Simulation-based medical error disclosure training for pediatric healthcare professionals. December 15, 2011 Wayman KI, Yaeger KA, Sharek PJ, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual. 2007;29(4):12-9. https://psnet.ahrq.gov/issue/simulation-ba… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43240/psn-pdfFebruary 21, 2015 - Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. February 21, 2015 Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000000217. https://psnet.ahrq.gov/… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdfJanuary 01, 2004 - If trauma patients are going to be identified and eliminated from the PSI, the definition of a trauma
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-mepsmethods.pdfJanuary 01, 2020 - The denominator includes adults who reported going to a doctor’s office or clinic in the last 12 months
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.htmlOctober 01, 2022 - categories or "buckets" of risk that are linked to appropriate prophylaxis options for each group, without going
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