-
psnet.ahrq.gov/node/72511/psn-pdf
November 25, 2020 - Hospital Preparedness for a COVID-19 Surge:
Assessment Tool.
November 25, 2020
Boston, MA: Institute for Healthcare Improvement; 2020.
https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool
Hospital crisis management, preparation, and planning are of heightened interest due to the …
-
psnet.ahrq.gov/node/47766/psn-pdf
March 27, 2019 - Advancing the Safety of Acute Pain Management.
March 27, 2019
Boston, MA: Institute for Healthcare Improvement; 2019.
https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
Pain management has emerged as a complex safety concern. This report discusses four organizational
prerequisites to improve pain …
-
psnet.ahrq.gov/node/46240/psn-pdf
June 21, 2017 - Implementation of a modified bedside handoff for a
postpartum unit.
June 21, 2017
Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a
Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487.
https://psnet.ahrq.gov/issue/implementation-modif…
-
psnet.ahrq.gov/node/853251/psn-pdf
July 19, 2024 - Annual Speak Up Data Reports.
July 19, 2024
Stratford, London; The National Guardian.
https://psnet.ahrq.gov/issue/annual-speak-data-reports
Organizational efforts to collect and respond to the concerns of staff and patients are a cornerstone to
patient safety improvement despite challenges to implement them. This…
-
psnet.ahrq.gov/node/865818/psn-pdf
May 08, 2024 - The role for policy in AI-assisted medical diagnosis.
May 8, 2024
Newman-Toker DE, Sharfstein JM. The role for policy in AI-assisted medical diagnosis. JAMA Health
Forum. 2024;5(4):e241339. doi:10.1001/jamahealthforum.2024.1339.
https://psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis
Artificial inte…
-
psnet.ahrq.gov/node/60975/psn-pdf
September 30, 2020 - Evidence on Use of Clinical Reasoning Checklists for
Diagnostic Error Reduction.
September 30, 2020
Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
AHRQ Publication No. 20-0040-3-EF.
https://psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic…
-
psnet.ahrq.gov/node/47067/psn-pdf
May 16, 2018 - Senior staff safety rounds: a commitment to ensure safety
is the top priority.
May 16, 2018
O'Connell RT, Ivy ME. NEJM Catalyst. May 1, 2018.
https://psnet.ahrq.gov/issue/senior-staff-safety-rounds-commitment-ensure-safety-top-priority
Leadership participation at the front lines can drive safety improvement work. …
-
psnet.ahrq.gov/node/45025/psn-pdf
May 04, 2016 - Reducing prognostic errors: a new imperative in quality
healthcare.
May 4, 2016
Khullar D, Jena AB. Reducing prognostic errors: a new imperative in quality healthcare. BMJ.
2016;352:i1417. doi:10.1136/bmj.i1417.
https://psnet.ahrq.gov/issue/reducing-prognostic-errors-new-imperative-quality-healthcare
This comment…
-
psnet.ahrq.gov/node/46199/psn-pdf
September 27, 2017 - The development and implementation of checklists in
obstetrics.
September 27, 2017
Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in
obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032.
https://psnet.ahrq.gov/issue/development-and-i…
-
psnet.ahrq.gov/node/45560/psn-pdf
October 19, 2016 - Learning from excellence in healthcare: a new approach
to incident reporting.
October 19, 2016
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting.
Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
https://psnet.ahrq.gov/issue/learning…
-
psnet.ahrq.gov/node/74749/psn-pdf
February 09, 2022 - A safety maturity model for technology-induced errors.
February 9, 2022
Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol
Inform. 2022;289:447-451. doi:10.3233/shti210954.
https://psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
Although health…
-
psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Beyond medication reconciliation: the correct medication
list.
July 11, 2017
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List.
JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
https://psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medicati…
-
psnet.ahrq.gov/node/45612/psn-pdf
November 09, 2016 - Pharmacist work stress and learning from quality related
events.
November 9, 2016
Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res
Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003.
https://psnet.ahrq.gov/issue/pharmacist-work-stress-a…
-
psnet.ahrq.gov/node/45531/psn-pdf
December 14, 2016 - The role of safety culture in influencing provider
perceptions of patient safety.
December 14, 2016
Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J
Patient Saf. 2016;12(4):204-209.
https://psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-percepti…
-
psnet.ahrq.gov/node/44871/psn-pdf
April 22, 2016 - Making checklists work: South Carolina's statewide
experiment.
April 22, 2016
Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6.
https://psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
Although checklist implementation as a safety strategy has achieved some success…
-
psnet.ahrq.gov/node/45567/psn-pdf
October 12, 2016 - Insulin Pens Devices.
October 12, 2016
Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47.
https://psnet.ahrq.gov/issue/insulin-pens-devices
As a high-alert medication, insulin has the potential to result in serious patient harm if administered
incorrectly. Articles in this special issue discuss recommendations de…
-
psnet.ahrq.gov/node/38131/psn-pdf
January 02, 2017 - The Team Checkup Tool: evaluating QI team activities and
giving feedback to senior leaders.
January 2, 2017
Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving
feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;34(10):619-23, 561.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/42467/psn-pdf
August 08, 2013 - Changes in language services use by US pediatricians.
August 8, 2013
DeCamp LR, Kuo DZ, Flores G, et al. Changes in language services use by US pediatricians. Pediatrics.
2013;132(2):e396-406. doi:10.1542/peds.2012-2909.
https://psnet.ahrq.gov/issue/changes-language-services-use-us-pediatricians
Limited English pr…
-
psnet.ahrq.gov/node/48169/psn-pdf
July 24, 2019 - 50 Years of Inquiries in the National Health Service.
July 24, 2019
Polit Q. 2019;90:177-342.
https://psnet.ahrq.gov/issue/50-years-inquiries-national-health-service
The National Health Service strategy of publishing their inquiries into systematic poor care in the health
service is a model of transparency. Articl…
-
psnet.ahrq.gov/node/44420/psn-pdf
August 26, 2015 - Obstetric safety and quality.
August 26, 2015
Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206.
doi:10.1097/AOG.0000000000000918.
https://psnet.ahrq.gov/issue/obstetric-safety-and-quality
Obstetric hospital admission has substantial potential for harm should something go wr…