-
psnet.ahrq.gov/issue/pharmacy-driven-performance-improvement-initiative-increase-compliance-intravenous-smart-pump
September 23, 2020 - Study
Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center.
Citation Text:
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to …
-
psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
December 02, 2014 - Study
Using a network organisational architecture to support the development of Learning Healthcare Systems.
Citation Text:
Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27…
-
psnet.ahrq.gov/issue/adverse-safety-events-emergency-medical-services-care-children-out-hospital-cardiac-arrest
May 18, 2022 - Study
Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest.
Citation Text:
Eriksson CO, Bahr N, Meckler G, et al. Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. JAMA Netw Open. …
-
psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - Study
Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.
Citation Text:
Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…
-
psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022
September 23, 2020 - Organizational Policy/Guidelines
CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.
Citation Text:
Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep. 2022;71(3)…
-
psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
January 22, 2020 - Newspaper/Magazine Article
AHRQ patient safety project reduces bloodstream infections by 40 percent.
Citation Text:
AHRQ patient safety project reduces bloodstream infections by 40 percent. Schmidt B. Patient Saf Qual Hcare. September 12, 2012.
Copy Citation
Save
…
-
psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
April 11, 2011 - Study
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Citation Text:
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…
-
psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - Study
Patient safety indicators during the initial COVID-19 pandemic surge in the United States.
Citation Text:
Rodriguez JA, Samal L, Ganesan S, et al. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. J Patient Saf. 2024;20(4):247-251. doi:10.10…
-
psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual
July 27, 2022 - Study
Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators.
Citation Text:
Barbara L, Roberta DB, Vanda R, et al. Patient safety monitoring in acute care in a decentralized national health ca…
-
psnet.ahrq.gov/issue/impact-nursing-led-intervention-bundle-bedside-checklist-reduce-mortality-during-initial
May 05, 2010 - Study
The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies.
Citation Text:
Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside che…
-
psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset
July 20, 2022 - Study
Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals
Citation Text:
Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with an…
-
psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - Study
Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.
Citation Text:
Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …
-
psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - Crossed Coverage
February 1, 2007
Kayser SR. Crossed Coverage. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/crossed-coverage
The Case
A 27-year-old woman with a history of congenital heart disease was admitted for cardiac transplantation
evaluation. She had already undergone multiple surgeries, including…
-
psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
May 31, 2023
Innovation
Contact
…
-
psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - the use of a jugular vein spares peripheral veins that might be crucial for future fistulas.( 16 ) Initiatives
-
psnet.ahrq.gov/node/46956/psn-pdf
January 23, 2019 - Impact of a national QI programme on reducing electronic
health record notifications to clinicians.
January 23, 2019
Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health
record notifications to clinicians. BMJ Qual Saf. 2018;28(1):10-14. doi:10.1136/bmjqs-2017-007…
-
psnet.ahrq.gov/node/40013/psn-pdf
July 24, 2011 - Patient participation in surgical site marking: can this be
an additional tool to help avoid wrong-site surgery?
July 24, 2011
Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an
additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5.
h…
-
psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - Accessed
December 2021. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-
Instruments … trump-administration-has-issued-more-15-million-fines-nursing-homes-during-covid-19-pandemic
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments … Fact-Sheet-QIN-QIOs-Safe-Care-that-is-Person-and-Family-Centered-Reliable-and-Accessible.pdf
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments … Fact-Sheet-QIN-QIOs-Safe-Care-that-is-Person-and-Family-Centered-Reliable-and-Accessible.pdf
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments
-
psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - What little is known suggests that hospital market share has been
largely unaffected by these initiatives
-
psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - Proposed System Changes
Initiatives to reduce expenses in hospitals have caused rehabilitation departments