-
psnet.ahrq.gov/issue/step-toward-high-reliability-implementation-daily-safety-brief-childrens-hospital
August 23, 2023 - Study
A step toward high reliability: implementation of a daily safety brief in a children's hospital.
Citation Text:
Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…
-
psnet.ahrq.gov/issue/adequacy-information-transferred-resident-sign-out-hospital-handover-care-prospective-survey
April 30, 2008 - Study
Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey.
Citation Text:
Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective …
-
psnet.ahrq.gov/issue/work-hours-regulations-house-staff-psychiatry-bad-or-good-residency-training
August 04, 2021 - Review
Work hours regulations for house staff in psychiatry: bad or good for residency training?
Citation Text:
Rasminsky S, Lomonaco A, Auchincloss E. Work Hours Regulations for House Staff in Psychiatry: Bad or Good for Residency Training? Academic Psychiatry. 2008;32(1). doi:10.1176/a…
-
psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
November 16, 2022 - Commentary
Clinical perspective: creating an effective practice peer review process—a primer.
Citation Text:
Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.aj…
-
psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation
February 13, 2019 - Study
A new infusion syringe label system designed to reduce task complexity during drug preparation.
Citation Text:
Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1…
-
psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
April 29, 2018 - Commentary
Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."
Citation Text:
Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…
-
www.ahrq.gov/cpi/centers/oms/index.html
January 01, 2021 - Office of Management Services (OMS)
Directs and coordinates the Agency's administrative services and operational activities, including contracts, financial management, grants, and human capital management.
The Executive Officer and Director of OMS is Jay Toven .
Specifically, OMS provides leadership, overs…
-
psnet.ahrq.gov/issue/association-between-electronic-health-record-implementations-and-hospital-acquired-conditions
September 01, 2016 - Study
Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals.
Citation Text:
Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations and hospital-acquired conditions in pediatric …
-
psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
October 19, 2022 - Study
Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.
Citation Text:
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…
-
www.ahrq.gov/practiceimprovement/delivery-initiative/index.html
December 01, 2020 - Delivery System Research Initiative
ARRA Grants Initiative
Findings from a set of 10 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery system research.
Improving the way that care is delivered is critic…
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/gamm-ld-et-al-1998-pre
January 01, 1998 - Gamm LD et al. 1998 "Pre- and post- control model research on end-users' satisfaction with an electronic medical record: preliminary results."
Reference
Gamm LD, Barsukiewicz CK, Dansky KH, et al. Pre- and post-control model research on end-users' satisfaction with an electronic medical record: prelim…
-
psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - Our hospital is also in the middle of implementing barcode scanning at the point of specimen collection … 2010
Medication dispensing errors and potential adverse drug events before and after implementing
-
digital.ahrq.gov/ahrq-funded-projects/regional-approach-transforming-healthcare-quality-through-information/annual-summary-2010
January 01, 2010 - Regional Approach for Transforming Healthcare Quality through Information Technology (THQIT) in Rural Settings - 2010
Project Name
Regional Approach for Transforming Healthcare Quality through Information Technology (THQIT) in Rural Settings
Principal Investigator
Richards, Francis
…
-
digital.ahrq.gov/ahrq-funded-projects/human-factors-considerations-design-and-implementation-telemedicine-integrated
January 01, 2023 - Human Factors Considerations in the Design and Implementation of Telemedicine-Integrated Ambulance-Based Environments for Stroke Care
Project Final Report ( PDF , 479.88 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are re…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-careassociated-infections_executive.pdf
November 01, 2012 - HAI includes the
promotion of adherence to evidence-based practices
through partnering, educating, implementing … For example, institutions with an existing
patient safety infrastructure may have fewer barriers to
implementing … De Vos and colleagues84 conducted a systematic review of
controlled studies on the impact of implementing … about the implementation
costs, cost savings from the implementation, and return
on investment from implementing … Reducing
ventilator-associated pneumonia in intensive care: impact
of implementing a care bundle.
-
digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
June 01, 2009 - Similarly, implementing a
suboptimal system, or doing so with inadequate training, can cause a
substantial … risk of errors….. it is essential to consider end-users’
workloads and expertise when implementing … events before and afer implementing bar code 42. Weingart SN, Toth M, Sands DZ, et al. … Beasley JW, Hamilton-Escoto K, Karsh B. situation awareness - Implementing a hospital
Human factors … Lorenzi NM, Riley RT, Blyth AJ, Southon G,
ramifications of implementing information Dixon BJ.
-
digital.ahrq.gov/ahrq-funded-projects/sharing-patient-record-access-rural-health-settings
January 01, 2023 - Sharing Patient Record Access in Rural Health Settings
Project Description
Project Details -
Completed
Grant Number
P20 HS015113
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gran…
-
psnet.ahrq.gov/node/36886/psn-pdf
May 27, 2011 - The extent and importance of unintended consequences
related to computerized provider order entry.
May 27, 2011
Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to
computerized provider order entry. J Am Med Inform Assoc. 2007;14(4):415-23.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/37368/psn-pdf
January 10, 2017 - Effective implementation of work-hour limits and
systemic improvements.
January 10, 2017
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic
improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29.
https://psnet.ahrq.gov/issue/effective-implementation-wo…
-
psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation
of smart pumps in a teaching hospital.
August 22, 2015
Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation of …