-
psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy
January 05, 2017 - Study
Using an MET service to manage hemorrhage post-percutaneous liver biopsy.
Citation Text:
Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417.
Copy Citation
Format:
Go…
-
psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability
May 19, 2021 - Study
Adopting system models for multiple incident analysis: utility and usability.
Citation Text:
Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135.
Copy Citation
…
-
psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
January 07, 2015 - Study
Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital.
Citation Text:
Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…
-
psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
November 04, 2020 - Study
Making hospital care safer and better: the structure-process connection leading to adverse events.
Citation Text:
El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8.
Copy Citation …
-
psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras
August 03, 2022 - Study
Detecting clinical medication errors with AI enabled wearable cameras.
Citation Text:
Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2.
Copy Citation
Format: …
-
psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
March 11, 2020 - Commentary
The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues.
Citation Text:
Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…
-
psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - States Targeting Reduction in Infections via Engagement
(STRIVE).
November 20, 2019
Ann Intern Med. 2019;171(7_Suppl):s1-s82.
https://psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
The States Targeting Reduction in Infections via Engagement (STRIVE) initiative was 3-year hospital-
ba…
-
digital.ahrq.gov/health-care-theme/telehealth
January 01, 2023 - Telehealth
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (multi-D) s…
-
psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
January 09, 2018 - Book/Report
Classic
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.
Citation Text:
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463. …
-
psnet.ahrq.gov/issue/improving-diagnosis-health-care
September 12, 2018 - Book/Report
Classic
Improving Diagnosis in Health Care.
Citation Text:
Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISB…
-
psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - Study
Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.
Citation Text:
Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …
-
psnet.ahrq.gov/issue/teamwork-obstetric-critical-care
January 31, 2024 - Review
Teamwork in obstetric critical care.
Citation Text:
Guise J-M, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):937-51. doi:10.1016/j.bpobgyn.2008.06.010.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3…
-
www.ahrq.gov/es/programs/index.html?page=0
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
-
psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
September 23, 2017 - Commentary
Blending evidence and innovation: improving intershift handoffs in a multihospital setting.
Citation Text:
Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…
-
psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams
May 25, 2016 - Commentary
An IDEA: safety training to improve critical thinking by individuals and teams.
Citation Text:
Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/106286061882068…
-
psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
April 08, 2011 - Study
Classic
A preliminary taxonomy of medical errors in family practice.
Citation Text:
Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-summary-centers-disease
February 17, 2011 - Commentary
Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.
Citation Text:
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during p…
-
www.ahrq.gov/news/newsroom/case-studies/201709.html
June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety
Search All Impact Case Studies
June 2017
St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…
-
psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety
December 18, 2017 - Commentary
A scholarly pathway in quality improvement and patient safety.
Citation Text:
Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772.
Copy Citation
Format:
DOI Google Sch…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 3-A. Suggested Slides for Module 3
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …