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  1. Measures of Impact for BLUES project (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/Karen_Fox_IQHIT_Q4_Measures_of_Impact_for_BLUES_Project.pdf
    June 16, 2021 - Measures of Impact for BLUES project Measures of Impact for BLUES project Lead Agency: Delta Health Alliance There has been significant discussion about how to effectively measure the BLUES project’s impact during the past quarter. Although no baseline data is available at this time, the table below solidifie…

  2. Falling through the cracks: the invisible hospital cleaning workforce. | PSNet

    psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
    June 19, 2013 - Commentary Falling through the cracks: the invisible hospital cleaning workforce. Citation Text: Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. Copy…

  3. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
    January 19, 2022 - Commentary Clinical progress note: situation awareness for clinical deterioration in hospitalized children. Citation Text: Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…

  4. Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

    psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
    January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

  5. Evaluation of a computerized clinical decision support system and EHR-linked registry to improve management of hypertension in community-based health centers - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluation-computerized-clinical-decision-support-system-and-electronic-health/annual-summary/2010
    January 01, 2010 - Evaluation of a computerized clinical decision support system and EHR-linked registry to improve management of hypertension in community-based health centers - 2010 Project Name Evaluation of a Computerized Clinical Decision Support System and Electronic Health Record (EHR)-linked Registry to Improv…

  6. Resident work hour limits and patient safety. | PSNet

    psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety
    July 03, 2014 - Study Classic Resident work hour limits and patient safety. Citation Text: Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. Copy Citation Format: Google Scholar…

  7. Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. | PSNet

    psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
    March 02, 2012 - Study Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. Citation Text: Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…

  8. Characterization of prescribing errors in an internal medicine clinic. | PSNet

    psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
    March 04, 2011 - Study Characterization of prescribing errors in an internal medicine clinic. Citation Text: Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. Copy Citation Format: …

  9. Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

    psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
    July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

  10. The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet

    psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
    May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

  11. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. | PSNet

    psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward
    September 24, 2016 - Study Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. Citation Text: Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. J Pat…

  12. Development of patient safety measures to identify inappropriate diagnosis of common infections. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
    April 10, 2024 - Study Development of patient safety measures to identify inappropriate diagnosis of common infections. Citation Text: White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-14…

  13. Improving adverse drug event reporting by healthcare professionals. | PSNet

    psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals
    April 12, 2019 - Review Improving adverse drug event reporting by healthcare professionals. Citation Text: Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2. …

  14. An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet

    psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
    June 01, 2019 - Study An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. Citation Text: Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…

  15. TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. | PSNet

    psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
    November 18, 2009 - Review TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. Citation Text: Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatie…

  16. Nurse–patient ratios as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
    March 20, 2013 - Review Nurse–patient ratios as a patient safety strategy: a systematic review. Citation Text: Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. Copy Citation F…

  17. A multidisciplinary team approach to retained foreign objects. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
    June 10, 2010 - Study A multidisciplinary team approach to retained foreign objects. Citation Text: Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. Copy Citation Format: Google Scholar PubMed…

  18. Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/prospective-observational-study-incidence-medication-errors-during-simulated-resuscitation
    April 22, 2011 - Study Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. Citation Text: Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…

  19. Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
    January 26, 2022 - Commentary Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. Citation Text: John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…

  20. Hospital medication errors: a cross sectional study. | PSNet

    psnet.ahrq.gov/issue/hospital-medication-errors-cross-sectional-study
    September 30, 2020 - Study Hospital medication errors: a cross sectional study. Citation Text: ISAACS AN, Ch'ng K, DELHIWALE N, et al. Hospital medication errors: a cross-sectional study. Int J Qual Health Care. 2021;33(1):mzaa136. doi:10.1093/intqhc/mzaa136. Copy Citation Format: DOI Google Sc…
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