-
psnet.ahrq.gov/node/847546/psn-pdf
March 25, 2021 - Patient safety culture improves during an in situ
simulation intervention: a repeated cross-sectional
intervention study at two hospital sites.
March 25, 2021
Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation
intervention: a repeated cross-sectional interventi…
-
psnet.ahrq.gov/node/38515/psn-pdf
March 03, 2011 - Errors in administration of parenteral drugs in intensive
care units: multinational prospective study.
March 3, 2011
Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units:
multinational prospective study. BMJ. 2009;338:b814. doi:10.1136/bmj.b814.
https://psnet…
-
psnet.ahrq.gov/node/37701/psn-pdf
February 22, 2011 - Use of a handheld computer application for voluntary
medication event reporting by inpatient nurses and
physicians.
February 22, 2011
Dollarhide AW, Rutledge T, Weinger MB, et al. Use of a handheld computer application for voluntary
medication event reporting by inpatient nurses and physicians. J Gen Intern Med. 2…
-
psnet.ahrq.gov/node/47702/psn-pdf
February 22, 2019 - Quality improvement priorities for safer out-of-hours
palliative care: lessons from a mixed-methods analysis of
a national incident-reporting database.
February 22, 2019
Williams H, Donaldson SL, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative
care: Lessons from a mixed-methods ana…
-
psnet.ahrq.gov/node/842765/psn-pdf
January 18, 2023 - Patient identification of diagnostic safety blindspots and
participation in "good catches" through shared visit
notes.
January 18, 2023
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation
in "good catches" through shared visit notes. Milbank Q. 2022;100(4)…
-
psnet.ahrq.gov/node/47528/psn-pdf
January 30, 2019 - Predictors of adverse events and medical errors among
adult inpatients of psychiatric units of acute care general
hospitals.
January 30, 2019
Vermeulen JM, Doedens P, Cullen SW, et al. Predictors of Adverse Events and Medical Errors Among
Adult Inpatients of Psychiatric Units of Acute Care General Hospitals. Psych…
-
psnet.ahrq.gov/node/850158/psn-pdf
June 07, 2023 - Incidence and outcomes of non-ventilator-associated
hospital-acquired pneumonia in 284 US hospitals using
electronic surveillance criteria.
June 7, 2023
Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired
pneumonia in 284 US hospitals using electronic surveilla…
-
psnet.ahrq.gov/node/842419/psn-pdf
January 11, 2023 - Balancing safety, comfort, and fall risk: an intervention to
limit opioid and benzodiazepine prescriptions for geriatric
patients.
January 11, 2023
Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid
and benzodiazepine prescriptions for geriatric patients.…
-
psnet.ahrq.gov/node/47714/psn-pdf
March 27, 2019 - Quality improvement in ambulatory surgery centers: a
major national effort aimed at reducing infections and
other surgical complications.
March 27, 2019
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major
National Effort Aimed at Reducing Infections and Other Surgical C…
-
psnet.ahrq.gov/node/44203/psn-pdf
August 04, 2015 - Variability in antibiotic use across nursing homes and the
risk of antibiotic-related adverse outcomes for individual
residents.
August 4, 2015
Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk
of Antibiotic-Related Adverse Outcomes for Individual Residents.…
-
psnet.ahrq.gov/node/74840/psn-pdf
February 16, 2022 - Addressing mistreatment of providers by patients and
family members as a patient safety event.
February 16, 2022
Hatfield M, Ciaburri R, Shaikh H, et al. Addressing mistreatment of providers by patients and family
members as a patient safety event. Hosp Pediatr. 2022;12(2):181-190. doi:10.1542/hpeds.2021-006267.
h…
-
psnet.ahrq.gov/node/43329/psn-pdf
July 09, 2014 - Facilitating a safe transition from the pediatric emergency
department to home with a post-discharge phone call: a
quality-improvement initiative to improve patient safety.
July 9, 2014
Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to home with a
post-discharge phone ca…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/pocket-cards-4x6-skin-infections.pdf
June 01, 2021 - Skin and Soft Tissue Infections in Nursing Home Residents
Signs and Symptoms Associated
With Infection
• Sudden onset redness, warmth,
tenderness, and swelling
• Findings are unilateral
• Presence of purulent drainage or
abscess
• Fever, tachycardia present
Causes of Noninfectious Ski…
-
psnet.ahrq.gov/node/73880/psn-pdf
January 01, 2022 - Decreased incidence of cesarean surgical site infection
rate with hospital-wide perioperative bundle.
September 29, 2021
Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital?
wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10.1111/birt.12586.
https://ps…
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Policy
[NAME OF NURSING HOME]
RE: Antibiogram Program
[DATE]
Antibiotics are among the most commonly…
-
www.ahrq.gov/evidencenow/projects/urinary/resources/improvement-budget-recruitment.html
April 01, 2018 - Back to MUI Resources
Engaging Primary Care Practices in Studies of Improvement: Did You Budget Enough for Practice Recruitment?
Resource
Full Article on PubMed.
Summary
There is increased interest nationally in multicenter clinical trials to answer questions about clinical e…
-
psnet.ahrq.gov/node/43273/psn-pdf
April 25, 2016 - Cardiopulmonary arrest and mortality trends, and their
association with rapid response system expansion.
April 25, 2016
Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with
rapid response system expansion. Med J Aust. 2014;201(3):167-70.
https://psnet.ahrq.gov/is…
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZE7d5xkDtobDqsLKdvQ7jt
Clinical Summary: Interventions to Prevent Perinatal Depression
Clinical Summary: Interventions to Prevent Perinatal Depression
Population Pregnant and postpartum persons
Recommendation
Provide or refer persons at increased risk of perinatal depression to counseling interventions.
Grade: B
Ris…
-
digital.ahrq.gov/organization/seattle-childrens-hospital
January 01, 2023 - Seattle Children's Hospital
Inform Shared Decision Making with Advanced Bayesian Causal Inference to Improve Quality of Pediatric Rheumatology Care
Description
This research will design, develop, implement, and evaluate the Patient Centered Adaptive Treatment Strategies (PCATS…
-
psnet.ahrq.gov/node/73161/psn-pdf
April 21, 2021 - The randomized AMBORA trial: impact of
pharmacological/pharmaceutical care on medication
safety and patient-reported outcomes during treatment
with new oral anticancer agents.
April 21, 2021
Dürr P, Schlichtig K, Kelz C, et al. The randomized AMBORA trial: impact of
pharmacological/pharmaceutical care on medicati…