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  1. Office surgery incidents: what seven years of Florida data show us. | PSNet

    psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us
    August 19, 2009 - Study Office surgery incidents: what seven years of Florida data show us. Citation Text: Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x. Copy C…

  2. Medical errors during training: how do residents cope?: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
    October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

  3. Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. | PSNet

    psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
    March 20, 2024 - Study Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. Citation Text: Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information fro…

  4. Appendix P. Evaluating and Selecting Hand Hygiene Products - Implementation Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-p.html
    May 01, 2017 - Appendix P. Evaluating and Selecting Hand Hygiene Products - Implementation Guide Slide 1: Appendix P. Evaluating and Selecting Hand Hygiene Products Timothy Landers, Ph.D., R.N., CNP, CIC Assistant Professor, The Ohio State University College of Nursing Slide 2: Disclosures Dr. Landers receives sala…

  5. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study
    May 01, 2024 - Study Emerging Classic Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. Citation Text: Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC…

  6. Surgical patient safety outcomes in critical access hospitals: how do they compare? | PSNet

    psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare
    June 05, 2019 - Study Surgical patient safety outcomes in critical access hospitals: how do they compare? Citation Text: Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. C…

  7. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. | PSNet

    psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
    May 04, 2016 - Study The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. Citation Text: Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…

  8. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet

    psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
    December 18, 2019 - Study Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. Citation Text: Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…

  9. State at a Glance: South Carolina | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
    March 01, 2019 - State at a Glance: South Carolina Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina. South Carolina is featured in the following reports from the National Evaluation: Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…

  10. Why Aren't Numbers and Graphs Sufficient for a Quality Report? | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/explain/numbers.html
    November 01, 2018 - Why Aren't Numbers and Graphs Sufficient for a Quality Report? Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary. Quality Information Is New Som…

  11. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet

    psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
    April 22, 2013 - Study Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. Citation Text: Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. Copy Citatio…

  12. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
    September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix L. Intensive Care Unit Infographic Poster …

  13. Discontinuity of chronic medications in patients discharged from the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
    November 03, 2015 - Study Discontinuity of chronic medications in patients discharged from the intensive care unit. Citation Text: Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. Copy Cita…

  14. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. | PSNet

    psnet.ahrq.gov/issue/identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-pharmacist
    July 15, 2010 - Study Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. Citation Text: Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospital…

  15. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. | PSNet

    psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
    August 19, 2020 - Study Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. Citation Text: Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of…

  16. On the CUSP: Stop BSI (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/assertion-slides/Assertion-Dec-14-2010-508.ppt
    January 01, 2010 - On the CUSP: Stop BSI On the CUSP: Stop BSI Appropriate Assertion David Thompson, DNSc, MS, RN Jill Marsteller, PhD, MPP Department of Anesthesiology and Critical Care Medicine The Johns Hopkins Quality and Safety Research Group * Communication Styles Assertive Aggressive Passive or Passive Aggressive ? © 2004…

  17. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. | PSNet

    psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
    December 09, 2020 - Study A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. Citation Text: Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical inte…

  18. Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. | PSNet

    psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey
    December 02, 2014 - Study Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. Citation Text: Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…

  19. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
    October 09, 2024 - Study What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? Citation Text: Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…

  20. Briefing and Debriefing Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
    December 01, 2017 - Briefing and Debriefing Tool AHRQ Safety Program for Surgery Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…
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