-
psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
…
-
psnet.ahrq.gov/node/851886/psn-pdf
August 02, 2023 - Hospitalization due to adverse drug events in older adults
with cancer: a retrospective analysis.
August 2, 2023
Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with
cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101540. doi:10.1016/j.jgo.2023.101540…
-
psnet.ahrq.gov/node/45967/psn-pdf
July 05, 2017 - Root-cause analysis: swatting at mosquitoes versus
draining the swamp.
July 5, 2017
Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ
Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229.
https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-…
-
psnet.ahrq.gov/node/843417/psn-pdf
February 01, 2023 - "Do no harm": promoting anti-racist policing in pediatric
emergency departments through 20 practice change
considerations.
February 1, 2023
Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments
through 20 practice change considerations. Health Promot Pract. 2023:15248…
-
psnet.ahrq.gov/node/866078/psn-pdf
June 05, 2024 - Second victim experiences of health care learners and the
influence of the training environment on postevent
adaptation.
June 5, 2024
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the
influence of the training environment on postevent adaptation. Mayo Clin Proc Inno…
-
psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…
-
psnet.ahrq.gov/node/73497/psn-pdf
July 14, 2021 - Health care workers' experiences of workplace incidents
that posed a risk of patient and worker injury: a critical
incident technique analysis.
July 14, 2021
Strid EN, Wåhlin C, Ros A, et al. Health care workers’ experiences of workplace incidents that posed a risk
of patient and worker injury: a critical incident…
-
psnet.ahrq.gov/node/73117/psn-pdf
April 07, 2021 - Cybersecurity in health is an urgent patient safety
concern: we can learn from existing patient safety
improvement strategies to address it.
April 7, 2021
O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn
from existing patient safety improvement strategies to …
-
psnet.ahrq.gov/node/48101/psn-pdf
August 14, 2019 - Partnering with families and patient advocates: another
line of defense in adverse event surveillance.
August 14, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24.
https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-
surveillance
Having…
-
psnet.ahrq.gov/node/46627/psn-pdf
January 30, 2018 - The lost art of doctoring: reflections of a pediatric
resident.
January 30, 2018
Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10.
doi:10.1001/jamapediatrics.2017.3247.
https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
There are…
-
psnet.ahrq.gov/node/865971/psn-pdf
May 29, 2024 - Lessons learned from a national hospital antibiotic
stewardship implementation project.
May 29, 2024
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship
implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:10.1016/j.jcjq.2024.04.002.
https://…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-definitions.html
March 01, 2017 - What are the results of your efforts to prevent CAUTI? Collect outcome data monthly to find out!
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Resident Days
Every day a resident (with or without a catheter) is in your facility = one resident day.
Collect at the same time, each day of th…
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Policy
[NAME OF NURSING HOME]
RE: Antibiogram Program
[DATE]
Antibiotics are among the most commonly…
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.pdf
May 01, 2014 - Phase 3 Implementation
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 2
Checklist for Identifying Nursing Home Specific
Antibiogram Modifications
Wide variation occurs in the …
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit
TeamSTEPPS Video Debrief Guide: SBAR on Inpatient
Medical Unit
Video Objective
To demonstrate each step of SBAR and emphasize the importance of standard communication and use
of the tool.
TeamSTEPPS Tool or Concept
SBAR.
Brief Video Descriptio…
-
psnet.ahrq.gov/node/73676/psn-pdf
September 08, 2021 - Organizational readiness to change as a leverage point
for improving safety: a national nursing home survey.
September 8, 2021
Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving
safety: a national nursing home survey. BMC Health Serv Res. 2021;21(1):842. doi:10.1…
-
www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool1.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Previous Page Next Page
Table of Contents
Community Connections: Linking Primary Care Pati…
-
psnet.ahrq.gov/node/39862/psn-pdf
September 24, 2016 - Errors and electronic prescribing: a controlled laboratory
study to examine task complexity and interruption effects.
September 24, 2016
Magrabi F, Li SYW, Day R, et al. Errors and electronic prescribing: a controlled laboratory study to examine
task complexity and interruption effects. J Am Med Inform Assoc. 2010;…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/webinars/building-primary-care.html
March 01, 2021 - Tools for Building Primary Care
Date
August 22, 2018
Summary
This EvidenceNOW Webinar highlights tools and resources collected as part of AHRQ's EvidenceNOW initiative that can be used by practice facilitators and others interested in helping build primary care practices' capacity to implement the best cl…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_14_HO_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 14)
Guide to Patient and Family Engagement
Readiness to Partner With Patient and Family
Advisors
As a clinician or staff member, I am ready to work with patient and family advisors when:
I believe in the importance of patient and family part…