-
psnet.ahrq.gov/node/38725/psn-pdf
November 23, 2016 - A new structure of attention? Open disclosure of adverse
events to patients and their families.
November 23, 2016
Iedema R, Jorm C, Wakefield JG, et al. A New Structure of Attention? J Lang Soc Psychol. 2009;28(2).
doi:10.1177/0261927x08330614.
https://psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-a…
-
psnet.ahrq.gov/node/43417/psn-pdf
March 09, 2016 - Operating room clinicians' attitudes and perceptions of a
pediatric surgical safety checklist at 1 institution.
March 9, 2016
Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric
Surgical Safety Checklist at 1 Institution. J Patient Saf. 2016;12(1):44-50.
doi:1…
-
psnet.ahrq.gov/node/47076/psn-pdf
August 15, 2018 - Incident learning in radiation oncology: a review.
August 15, 2018
Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119.
doi:10.1002/mp.12800.
https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
Learning from adverse events is a core component of …
-
psnet.ahrq.gov/node/44640/psn-pdf
February 20, 2016 - The problem with Plan-Do-Study-Act cycles.
February 20, 2016
Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52.
doi:10.1136/bmjqs-2015-005076.
https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
Rapid-cycle improvement methods have been embraced as an approach t…
-
psnet.ahrq.gov/node/43554/psn-pdf
June 21, 2015 - Back to basics: checklists in aviation and healthcare.
June 21, 2015
Clay-Williams R, Colligan L. Back to basics: checklists in aviation and healthcare. BMJ Qual Saf.
2015;24(7):428-31. doi:10.1136/bmjqs-2015-003957.
https://psnet.ahrq.gov/issue/back-basics-checklists-aviation-and-healthcare
Checklists have been e…
-
psnet.ahrq.gov/node/34676/psn-pdf
December 23, 2008 - Driving improvement in patient care: lessons from
Toyota.
December 23, 2008
Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm.
2003;33(11):585-595.
https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
Representatives from University of Pit…
-
digital.ahrq.gov/research-method/case-series
January 01, 2023 - Case Series
Pharmacy e-prescription dispensing before and after CancelRx implementation.
Citation
Pitts SI, Olson S, Yanek LR, Wang NY, Woodroof T, Chen AR. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023 Oct 1;183(10):1120-11…
-
psnet.ahrq.gov/node/867042/psn-pdf
October 30, 2024 - The foundational science of learning health systems.
October 30, 2024
Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health
Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374.
https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems
Learning …
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/primary-care-information-project-pcip-post
January 01, 2023 - Primary Care Information Project (PCIP) Post-Electronic Health Record Implementation: Survey of Providers
This is a questionnaire designed to be completed by physicians in an ambulatory setting. The tool includes questions to assess user's satisfaction of electronic health records.
Survey Document
…
-
digital.ahrq.gov/location/usa-ne-lincoln
January 01, 2023 - USA, NE, Lincoln
Sharing Electronic Behavior Health Records: A Nebraska Perspective
Description
This is a questionnaire designed to be completed by physicians, implementers, and nurses across a health care system setting. The tool includes questions to assess benefit, the curr…
-
digital.ahrq.gov/organization/primary-care-coalition-montgomery-county
January 01, 2023 - Primary Care Coalition of Montgomery County
Metro DC Health Information Exchange - 2009
Principal Investigator
Lewis, Thomas
Project Name
Metro DC Health Information Exchange (MeDHIX)
Metro DC Health Information Exchange (MeDHIX)
D…
-
digital.ahrq.gov/principal-investigator/richards-francis
January 01, 2023 - Richards, Francis
Regional Approach for THQIT in Rural Settings: Implementation - Final Report
Citation
Richards, F. Regional Approach for THQIT in Rural Settings: Implementation - Final Report. (Prepared by Geisinger Health System under Grant No. UC1 HS016162). Rockville, MD:…
-
psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
July 13, 2010 - Commentary
Time for prefilled syringes - everywhere.
Citation Text:
Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…
-
psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems
July 12, 2010 - Commentary
Internally-developed online adverse drug reaction and medication error reporting systems.
Citation Text:
Smith KM, Trapskin PJ, Empey PE, et al. Internally-Developed Online Adverse Drug Reaction and Medication Error Reporting Systems. Hosp Pharm. 2010;41(5):428-436. doi:10.131…
-
psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medication-safety-programs
October 31, 2017 - Commentary
Using contemporary leadership skills in medication safety programs.
Citation Text:
Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338.
Copy Citation
Format:
…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/026-assessing-evc-essential-one-pager.docx
October 01, 2024 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
June 01, 2017 - Sustainability Tool - Sustainability Module
Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts.
How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist.
Us…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
January 01, 2007 - AHRQ Safety Program for MRSA Prevention
Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment
ICU & Non-ICU
Projects often fail, and many factors may contribute to this failure. Understanding potential implementation barriers and challenges before launching a project can help the team mitigate the…
-
www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html
November 01, 2024 - Clinical Decision Support
Clinical decision support provides timely information, usually at the point of care, to help inform decisions about a patient's care. Clinical decision support can effectively improve patient outcomes and lead to higher-quality health care.
Clinical decision support (CDS) provides ti…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
January 01, 2018 - Emergency Department Workflow Diagrams
Emergency Department
Workflow Diagrams
Ambulatory patient
arrives.
Provider assigns
patient to self and
evaluates patient.
Diagnostic testing
including labwork and
chest x-ray. Diagnosis
CAP?
Pursue other
diagnoses.
Inpatient treatment
warranted? Based on
clin…