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5581. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - errors, these areas include clarifying responsibilities for follow-up of abnormal clinical findings, identifying … with further refinement, a single clinician could use the recently developed Safer Dx instrument for identifying

5582. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - errors, these areas include clarifying responsibilities for follow-up of abnormal clinical findings, identifying … with further refinement, a single clinician could use the recently developed Safer Dx instrument for identifying

5583. Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - Sharing sexual and gender history and personal health information is important in identifying, treating … There are other challenges in accessing healthcare and identifying providers.

5584. EMS Patient Safety in the Field | PSNet
      psnet.ahrq.gov/perspective/ems-patient-safety-field
      July 28, 2021 - compliance with medical protocols. 9 The process can also serve to support quality improvement efforts by identifying … And then, how does the service itself perform in identifying critical patients and moving them to the

5585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39703/psn-pdf
      March 18, 2016 - Patient Safety Culture Report: Focusing on Indicators. March 18, 2016 Utrecht, Netherlands: European Network for Patient Safety; 2010. https://psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators This report identifies care process and outcome indicators in the European Union and describes how the…

5586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37341/psn-pdf
      January 20, 2010 - Patient-Centered Care: What Does It Take? January 20, 2010 Shaller D. The Commonwealth Fund. October 2007. https://psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take By sharing the insights of health care leaders, this report identifies important factors for integrating patient- centered care into organi…

5587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38438/psn-pdf
      February 25, 2009 - Minimising medication errors in children. February 25, 2009 Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child. 2009;94(2):161-4. doi:10.1136/adc.2007.116442. https://psnet.ahrq.gov/issue/minimising-medication-errors-children This review identifies factors that contribute to…

5588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40437/psn-pdf
      May 18, 2011 - Health Policy Brief: Improving Quality and Safety. May 18, 2011 Bethesda, MD: Health Affairs. April 15, 2011:1-7.   https://psnet.ahrq.gov/issue/health-policy-brief-improving-quality-and-safety This publication explores health care quality and identifies the primary challenges affecting US quality and safety …

5589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38793/psn-pdf
      August 12, 2016 - Pediatric Quality Indicators Overview. August 12, 2016 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/pediatric-quality-indicators-overview The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available ad…

5590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35004/psn-pdf
      May 18, 2005 - Lean Six Sigma reduces medication errors. May 18, 2005 Esimai G. Quality Progress; 2005;38(4):51-57. https://psnet.ahrq.gov/issue/lean-six-sigma-reduces-medication-errors The authors analyze one hospital’s quality management program. Using a Six Sigma methodology, the program identified policy and practice changes…

5591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35346/psn-pdf
      September 21, 2005 - Guide to Healthcare Quality: How to Know It When You See It. September 21, 2005 Rockville, MD: Agency for Healthcare Research and Quality; 2005. https://psnet.ahrq.gov/issue/guide-healthcare-quality-how-know-it-when-you-see-it Part of the Agency for Healthcare Research and Quality's (AHRQ) consumer education campa…

5592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41939/psn-pdf
      February 11, 2014 - The role of the electronic health record in patient safety events. February 11, 2014 Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21. https://psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events This piece analyzes data submitted to the Pennsylvania Patient Safety Reporting Sys…

5593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33913/psn-pdf
      December 22, 2014 - HCUPnet. December 22, 2014 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/hcupnet This interactive tool identifies, tracks, analyzes, and compares statistics on hospital care. It is part of the Healthcare Cost and Utilization Project (HCUP). With HCUPnet, users gain easy access to all nati…

5594. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40915/psn-pdf
      January 04, 2012 - Simulation in obstetric anesthesia. January 4, 2012 Pratt SD. Focused review: simulation in obstetric anesthesia. Anesth Analg. 2012;114(1):186-90. doi:10.1213/ANE.0b013e3182377bbc. https://psnet.ahrq.gov/issue/simulation-obstetric-anesthesia This review examines how simulation training can improve performance, id…

5595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42411/psn-pdf
      July 24, 2013 - Surgical checklists: the human factor. July 24, 2013 O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14. https://psnet.ahrq.gov/issue/surgical-checklists-human-factor This qualitative study identified several barriers to the …

5596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42845/psn-pdf
      December 18, 2014 - Breakdowns in the medication reconciliation process. December 18, 2014 Gao T, Gaunt MJ. PA-PSRS Patient Saf Advis. December 2013;10:125-136. https://psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies …

5597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36287/psn-pdf
      September 20, 2006 - Nursing Home Complaint Investigations.  September 20, 2006 Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340. https://psnet.ahrq.gov/issue/nursing-home-complaint-investigations This report shares findings from an assessment of Centers for Medicaid and Medicare Services response…

5598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35953/psn-pdf
      May 24, 2006 - Too exhausted to act safely? May 24, 2006 Spath P. Hosp Peer Rev. 2006;31(4):56-59. https://psnet.ahrq.gov/issue/too-exhausted-act-safely The author discusses how to identify and evaluate worker fatigue. Part II of this article outlines specific techniques for reducing health care worker fatigue. https://psnet.ah…

5599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41441/psn-pdf
      July 08, 2021 - National Diabetes Inpatient Audit -- Harms. July 8, 2021 Leeds, UK: Health and Social Care Information Centre. https://psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017 This annual report identified a significant number of medication errors associated with diabetes care in acute hospitals in England and …

5600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41505/psn-pdf
      May 07, 2014 - Health IT Hazard Manager. May 7, 2014 Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0058-EF May 2012. https://psnet.ahrq.gov/issue/health-it-hazard-manager This Web site provides information associated with a software tool to identify and prevent hazards from health information…