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  1. Unintended Consequences: New Problems and New Solutions. | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
    June 27, 2018 - Book/Report Unintended Consequences: New Problems and New Solutions. Citation Text: Unintended Consequences: New Problems and New Solutions. Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271. Copy Citation Save Save to your library Pri…

  2. Adaptive expertise in medical decision making. | PSNet

    psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
    September 18, 2024 - Commentary Emerging Classic Adaptive expertise in medical decision making. Citation Text: Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898. Copy Citation Format: DOI Google…

  3. Patient Safety in Ambulatory Settings: Technical Brief. | PSNet

    psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief
    September 29, 2017 - Book/Report Patient Safety in Ambulatory Settings: Technical Brief. Citation Text: Patient Safety in Ambulatory Settings: Technical Brief. Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19, 2016. Copy Citation Save …

  4. Hazards tied to medical records rush. | PSNet

    psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
    July 26, 2011 - Newspaper/Magazine Article Hazards tied to medical records rush. Citation Text: Hazards tied to medical records rush. Rowland C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

  5. Naval aviation safety and its application to medicine. | PSNet

    psnet.ahrq.gov/issue/naval-aviation-safety-and-its-application-medicine
    June 01, 2016 - Newspaper/Magazine Article Naval aviation safety and its application to medicine. Citation Text: Naval aviation safety and its application to medicine. Harmon KT. Patient Saf Qual Healthc. March/April 2006. Copy Citation Save Save to your library Print…

  6. National Confidential Enquiry into Patient Outcome and Death. | PSNet

    psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
    November 25, 2009 - Multi-use Website National Confidential Enquiry into Patient Outcome and Death. Citation Text: National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD Copy Citation Save Save to your libr…

  7. Safety still compromised by computer weaknesses. | PSNet

    psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
    September 14, 2016 - Newspaper/Magazine Article Safety still compromised by computer weaknesses. Citation Text: Safety still compromised by computer weaknesses. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3. Copy Citation Save Save to your library Prin…

  8. A comprehensive grassroots model for statewide safety improvement. | PSNet

    psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safety-improvement
    February 25, 2009 - Commentary A comprehensive grassroots model for statewide safety improvement. Citation Text: Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677. Copy Citation Format: G…

  9. Why hospitals still make serious medical errors—and how they are trying to reduce them. | PSNet

    psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying-reduce-them
    October 04, 2023 - Newspaper/Magazine Article Why hospitals still make serious medical errors—and how they are trying to reduce them. Citation Text: Why hospitals still make serious medical errors—and how they are trying to reduce them. Landro L. Wall Street Journal. March 12, 2023. Copy Citation …

  10. Hospital Report Card: Ontario 2009. | PSNet

    psnet.ahrq.gov/issue/hospital-report-card-ontario-2009
    December 17, 2014 - Book/Report Hospital Report Card: Ontario 2009. Citation Text: Hospital Report Card: Ontario 2009. Esmail N, Hazel M. Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. ISSN: 1918-2082. Copy Citation Save Save to your library …

  11. Serious Reportable Events. | PSNet

    psnet.ahrq.gov/issue/serious-reportable-events
    March 21, 2018 - Government Resource Serious Reportable Events. Citation Text: Serious Reportable Events. Nova Scotia Department of Health and Wellness. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  12. Indiana Medical Error Reporting System. | PSNet

    psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
    July 15, 2009 - Multi-use Website Indiana Medical Error Reporting System. Citation Text: Indiana Medical Error Reporting System. Indianapolis, IN: Indiana State Department of Health. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  13. Commitment Poster (Spanish) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/commitment-poster-spanish.docx
    September 01, 2022 - Commitment Poster (Spanish) NOS COMPROMETEMOS A RECETARLE ANTIBIÓTICOS ÚNICAMENTE CUANDO LE VAN A SERVIR Los antibióticos solamente combaten las infecciones ocasionadas por bacterias. Tomar antibióticos cuando no los necesita NO lo hará sentirse mejor. Seguirá sintiéndose enfermo y el antibiótico puede causarle salpu…

  14. Communicating With Patients and Families About Antibiotic Decisions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-one-pager.pdf
    September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions Communicating With Patients and Families About Antibiotic Decisions Patients want to feel HEARD1-3 • Say: “What I am hearing you say is [repeat the main concerns].” • Sit at eye level with the patient. • Nod your head to…

  15. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
    June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action What Can Leaders Achieve by Prioritizing Diagnostic Safety? Previous Page Next Page Table of Contents Leadership To Improve Diagnosis: A Call to Action Diagnostic Safety as a Challenge for Healthcare Leadership Why Are Leaders Essential to Diagno…

  16. Major Physician Measurement Sets | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
    January 01, 2023 - Major Physician Measurement Sets Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …

  17. Sickle Cell Anemia Preventive Care Key Driver Diagram (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sca-key-drive-diagram.pdf
    June 02, 2025 - Sickle Cell Anemia Preventive Care Key Driver Diagram Establish contact and messaging system with SCA patients, families, providers, and health plans. Customizable messaging types depending on patient preference. Develop care coordinator programs for SCA. Community outreach to homes of noncompliant patients to as…

  18. The State of the Science on Safe Medication Administration. | PSNet

    psnet.ahrq.gov/issue/state-science-safe-medication-administration
    June 22, 2009 - Special or Theme Issue The State of the Science on Safe Medication Administration. Citation Text: The State of the Science on Safe Medication Administration. Am J Nurs. 2005;105;(supp 5):2-55. Copy Citation Save Save to your library Print Download P…

  19. National Quality Strategy Priority: Care Coordination | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs4.html
    October 01, 2015 - Chartbook for Hispanic Health Care National Quality Strategy Priority: Care Coordination Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Quality Strategy Prior…

  20. Safety of anesthetic and perioperative medication practices. | PSNet

    psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
    January 14, 2019 - Newspaper/Magazine Article Safety of anesthetic and perioperative medication practices. Citation Text: Safety of anesthetic and perioperative medication practices. Meyer TA. Anesthesiology News. October 31, 2022. Copy Citation Save Save to your library Pri…
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