-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
January 01, 2023 - Murphy Diagram
Description
Murphy diagrams are based on the premise that "if something can go wrong, it will go wrong." They are similar to other analysis methods such as fault trees as they analyze errors based on the potential causes of those errors. The diagrams utilize eight categories of behav…
-
psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
July 18, 2024 - Press Release/Announcement
Preventing accidents and injuries in the MRI suite.
Citation Text:
Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
-
www.ahrq.gov/hai/cusp/toolkit/infection-checklist.html
December 01, 2012 - Infection Checklist
CUSP Toolkit
Who should use this tool? Infection preventionists.
Checklist items
Leader Responsible
Date Started
1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles.
2. Introduce …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/infectionprevchcklst.doc
June 02, 2025 - Infection Preventionist Checklist
Who should use this tool? Infection preventionists.
Checklist Items
Leader Responsible
Date
Started
1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles.
2. Introduce the project to all IP s…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introduction
Previous Page Next Page
Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introduction
Initia…
-
psnet.ahrq.gov/node/48139/psn-pdf
July 17, 2019 - 'Poking the skunk': ethical and medico-legal concerns in
research about patients' experiences of medical injury.
July 17, 2019
Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about
patients' experiences of medical injury. Bioethics. 2019;33(8):948-957. doi:10.1111/bi…
-
psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
-
psnet.ahrq.gov/issue/lessons-event-reports
January 16, 2025 - Multi-use Website
Lessons from Event Reports.
Citation Text:
Lessons from Event Reports. Patient Safety Authority.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
Save
Sav…
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/genital-herpes-screening-november-2016
August 06, 2015 - What is the estimated incidence rate of neonatal HSV infection in the United States?
-
psnet.ahrq.gov/node/49488/psn-pdf
August 21, 2005 - Incidence of adverse drug events and potential adverse drug
events. Implications for prevention.
-
www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - Notably, our data on the high incidence of intercepted near misses in ICU
settings indicate that the
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/diabetes-mellitus-type-2-in-adults-screening-2003
February 03, 2003 - have a higher prevalence of diabetes than white persons. 137 Many of these groups also have a higher incidence … Coronary heart disease incidence in NIDDM patients in the Helsinki Heart Study. … Safety of treatment, changes in risk factors, and incidence of coronary heart disease. … Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. … Noninsulin-dependent diabetes
Prevalence, incidence
Fasting glucose
Random glucose
Postload
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-careassociated-infections_executive.pdf
November 01, 2012 - Implementation of the “FASTHUG” concept decreases the
incidence of ventilator-associated pneumonia in … (CLABSI) in
intensive care units with low baseline incidence of CLABSI. … Use of corporate
Six Sigma performance-improvement strategies to reduce
incidence of catheter-related … Incidence of ventilator-associated pneumonia
(VAP) after the institution of an educational program on … Effect
of optimized antibiotic prophylaxis on the incidence of
surgical site infection.
-
psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - Penicillin allergy: a study of incidence as reported by patients. Br J Clin Pract. 1994;48:5-7.
-
psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - There are no data on the incidence of this phenomenon.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
April 01, 2022 - Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Engaging Physicians in Preventing CLABSI and CAUTI
This “Making It Work” tip sheet provides additio…
-
psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - Disruptive and Unprofessional Behavior
Citation Text:
Disruptive and Unprofessional Behavior. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
-
psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - adverse events, health systems can develop opportunities to
sustain a team environment and decrease the incidence
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c-screening_executive.pdf
November 01, 2012 - prevalence of chronic HCV infection
is thought to have peaked in 2001 at
3.6 million people.2 The yearly incidence … 1990 and 2000.6,7
Studies suggest that about half of the recently observed
threefold increase in incidence … liver enzymes reduce
mortality and morbidity due to HCV infection, affect
quality of life, or reduce incidence … Incidence of bleeding after
15,181 percutaneous biopsies and the role of aspirin. … The incidence and risks of liver
biopsy in non-cirrhotic patients: An evaluation of 3806 biopsies.
-
www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - of the Research
Our approach to AE detection provides a more complete and accurate assessment of the incidence … that led to an
incident”; prevention and mitigation are “the measures taken or proposed to reduce incidence … describe the patient: 1) number of office visits in the audit period (validation of administrative data
incidence … These data likely underestimate the incidence of adverse events that result from ambulatory primary care … Incidence of adverse events and negligence in hospitalized
patients.