U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: over 10,000 records

Showing results for "implemented".

  1. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
    October 01, 2015 - PowerPoint Presentation Spotlight The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy 1 This presentation is based on the October 2015 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/ CME credit is available Commentary by: Jacob Reider,…

  2. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet

    psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
    December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005  View more articles from the same authors. Citation Text: Conway JB, Weingart SN. Organizational Change…

  3. Curated Article Libraries | PSNet

    psnet.ahrq.gov/curated-article-libraries
    March 18, 2025 - Curated Libraries Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field. Watch the video to learn more about how this new feature works and how it can be of benefit to you. Latest PSNet…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45553/psn-pdf
    October 13, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. October 13, 2018 Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform Assoc. 2017;24(2):316-322. doi:1…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47875/psn-pdf
    July 19, 2019 - Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. July 19, 2019 Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a syste…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42923/psn-pdf
    September 26, 2017 - Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. September 26, 2017 Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39082/psn-pdf
    January 04, 2010 - Communication practices on 4 Harvard surgical services: a surgical safety collaborative. January 4, 2010 Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.1097/SLA.0b013e3181afe0db. https:…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39921/psn-pdf
    September 01, 2016 - Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. September 1, 2016 Strom BL, Schinnar R, Aberra F, et al. Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44958/psn-pdf
    March 09, 2016 - The Sepsis Early Recognition and Response Initiative (SERRI). March 9, 2016 Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. https://psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri Early …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40073/psn-pdf
    July 01, 2011 - Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. December 8, 2010 Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.1056/NEJMp1011413. https://psnet.ahr…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47946/psn-pdf
    May 22, 2019 - Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013- 2017. May 22, 2019 Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011- 2015, and Strategies for Prevention, 13 States, 2013-2017. MMWR Morb Mortal Wkly R…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38164/psn-pdf
    July 02, 2009 - A Compendium of Strategies to Prevent Healthcare- Associated Infections in Acute Care Hospitals. July 2, 2009 Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.   https://psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care- hospi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42352/psn-pdf
    January 14, 2014 - Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital. January 14, 2014 Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstrea…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47006/psn-pdf
    October 13, 2018 - Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study. October 13, 2018 Stelfox HT, Soo A, Niven DJ, et al. Assessment of the Safety of Discharging Select Patients Directly Home From the Intensive Care Unit: A Multicenter Pop…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40013/psn-pdf
    July 24, 2011 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? July 24, 2011 Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5. h…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45057/psn-pdf
    June 22, 2017 - Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England. June 22, 2017 Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack of integration and interfacing of …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45901/psn-pdf
    April 12, 2017 - Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. April 12, 2017 Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans Health Administration's Stratifica…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44522/psn-pdf
    June 21, 2016 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. June 21, 2016 Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop com…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42039/psn-pdf
    December 31, 2014 - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. December 31, 2014 Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommen…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37166/psn-pdf
    February 03, 2011 - Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. February 3, 2011 Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055. https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-benef…
SHARE:
Facebook Twitter Print Facebook Share

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site:

View results from all sites