-
psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
-
psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - Study
Emerging Classic
An assessment of the impact of just culture on quality and safety in US hospitals.
Citation Text:
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…
-
psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - Review
Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.
Citation Text:
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…
-
psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting
February 21, 2018 - Study
Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting.
Citation Text:
Duke JD, Li X, Dexter P. Adherence to drug-drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. J Am Med Inform Assoc. 2013;20(3):49…
-
psnet.ahrq.gov/issue/impact-pharmacist-interventions-medication-errors-hospitalized-pediatric-patients-systematic
August 04, 2021 - Review
Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis.
Citation Text:
Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients:…
-
www.ahrq.gov/news/newsroom/case-studies/ktcoe33.html
October 01, 2014 - Iowa Medicaid Uses AHRQ Research, Data to Improve Quality
Search All Impact Case Studies
March 2010
As a result of participating in the Medicaid Medical Directors Learning Network—an AHRQ Knowledge Transfer project—the Iowa Medicaid Enterprise, in consultation with the Iowa Foundation for Medical Care, used…
-
www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - This appears to indicate that, although
performance difficulties were observed and expressed by any … This could indicate that
Team C might have difficulty coming to a consensus on the value of continued
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism_disposition-comments.pdf
November 01, 2010 - As you indicate, however, further research
is needed on how to best achieve these measures in practice … behavioral treatments
is that it conveys something about the degree of
generalization outcome measures indicate … Mere
reporting of attrition doesn't indicate whether there
was differential attrition according to … 15 a study comparing
ABA and TEACCH is described
We have revised this text to indicate … As you indicate, however, further research is needed on how to best
achieve these measures in practice
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-radiation_executive.pdf
November 01, 2009 - Layout 1
Background
Radiotherapy with charged particles can
potentially deliver maximal doses while
minimizing irradiation of surrounding
tissues. It may be more effective or less
harmful than other forms of radiotherapy
for some cancers. Currently, seven centers
in the United States have facilities for
particle (pr…
-
effectivehealthcare.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1506.pdf
December 01, 2015 - #06 Developmental Delays ADHD, and Autism
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 06: Developmental Delays, ADHD,
and Autism
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaithe…
-
hcup-us.ahrq.gov/db/nation/nis/tools/stats/FileSpecifications_NIS_2006_Core.TXT
January 01, 2006 - Data Set Name: NIS_2006_CORE
Number of Observations: 8074825
Total Record Length: 510
Total Number of Data Elements: 128
Columns Description
======= ===========
1- 3 Database name
5- 8 Discharge year of data
10- 25 File name
27- 29 Data element number
31- 59 Data element name…
-
psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - Did We Forget Something?
September 1, 2003
Gibbs VC. Did We Forget Something? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/did-we-forget-something
The Case
A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially
attributed to ventilator-associated pneumo…
-
psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - Secured But Not Always Safe
Citation Text:
Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …
-
psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - Misread Label
Citation Text:
Franklin BD. Misread Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Specimen Almost Lost
November 1, 2017
Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/specimen-almost-lost
The Case
A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen.
She was admitted to the medicine service for further evalu…
-
psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016.
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective
Alarm fatigue occurs whe…
-
meps.ahrq.gov/data_files/publications/st146/stat146.pdf
October 01, 2006 - Statistical Brief #146: Proportion and Medical Expenditures of Adults Being Treated for Diabetes, 1996 and 2003
Medical Expenditure Panel Survey
Agen
Res
6
October 2006
Proportion and Medical Expenditures of
Adults Being Treated for Diabetes, 1996
and 2003 Betw
the p
at le
for t…
-
psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - Lethal Vertigo
June 1, 2004
Furman JM. Lethal Vertigo. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-vertigo
The Case
A 64-year-old woman, with no prior medical history, complained of sudden onset of severe vertigo and
vomiting, without headache. Her initial blood pressure in the emergency departme…
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
The Science of Improving Patient Safety and Identifying Defects
Slide 2: Learning Objectives
After this session, you will be able to…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapa.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix A. References and Equipment Sources
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Ove…