-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/medication-therapy-management-1_research.pdf
July 01, 2012 - largely decentralized in multiple independent practices, and as such, pharmacotherapy
quality and safety initiatives … directing MTM provider training,
streamlining program practices, and other continuous improvement initiatives
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/rapid-response-chemotherapy-dental.pdf
July 01, 2023 - If the evidence base is judged to be sufficient, this information potentially can inform
policy initiatives
-
psnet.ahrq.gov/node/46972/psn-pdf
March 28, 2018 - SOPS Health Information Technology Patient Safety
Supplemental Item Set for the Hospital Survey.
March 28, 2018
Rockville, MD: Agency for Healthcare Research and Quality; March 2018.
https://psnet.ahrq.gov/issue/sops-health-information-technology-patient-safety-supplemental-item-set-
hospital-survey
Organizationa…
-
psnet.ahrq.gov/node/46314/psn-pdf
November 01, 2020 - AHRQ Safety Program for Improving Antibiotic Use.
July 9, 2019
Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient
Safety and Quality, and University of Chicago.
https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
Improving antibiotic use is a st…
-
psnet.ahrq.gov/node/837152/psn-pdf
May 18, 2022 - AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI: Final Report.
May 18, 2022
Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and Quality; 2022. AHRQ
Publication No. 17(22)-0019.
https://psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-…
-
psnet.ahrq.gov/node/845300/psn-pdf
March 01, 2023 - The impact of medication reconciliation and review in
patients using oral chemotherapy.
March 1, 2023
Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using
oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.1177/10781552211066959.
https://psnet…
-
psnet.ahrq.gov/node/50910/psn-pdf
February 19, 2020 - SEIPS 3.0: human-centered design of the patient journey
for patient safety.
February 19, 2020
Carayon P, Wooldridge AR, Hoonakker P, et al. SEIPS 3.0: human-centered design of the patient journey
for patient safety. App Ergon. 2020;84:103033. doi:10.1016/j.apergo.2019.103033.
https://psnet.ahrq.gov/issue/seips-30-…
-
psnet.ahrq.gov/node/847043/psn-pdf
April 05, 2023 - An evidence synthesis on perioperative handoffs: a call
for balanced sociotechnical solutions.
April 5, 2023
Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for
balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. doi:10.1016/j.ijmedinf.2023.105038.
…
-
psnet.ahrq.gov/node/47553/psn-pdf
July 10, 2019 - Delivering high reliability in maternity care: in situ
simulation as a source of organisational resilience.
July 10, 2019
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of
organisational resilience. Safety Sci. 2019;117:490-500. doi:10.1016/j.ssci.2016.10.019.
h…
-
psnet.ahrq.gov/node/61029/psn-pdf
October 14, 2020 - A doctor gave me an inept diagnosis for a neurological
problem. I should know: I’m a neurologist.
October 14, 2020
Horowitz SH. Washington Post. October 4, 2020.
https://psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-
neurologist
The harm of misdiagnosis can be exte…
-
psnet.ahrq.gov/node/74845/psn-pdf
February 16, 2022 - Care transition of trauma patients: processes with
articulation work before and after handoff.
February 16, 2022
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with
articulation work before and after handoff. Appl Ergon. 2022;98:103606.
doi:10.1016/j.apergo.2021.10360…
-
www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab16.html
December 01, 2017 - Table 16. Adult non-obstetric inpatient admissions at Indian Health Service and Tribal hospitals by health status and project site. Fiscal year 2010
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recomme…
-
psnet.ahrq.gov/node/43368/psn-pdf
October 01, 2014 - Improving safety and quality of care with enhanced
teamwork through operating room briefings.
October 1, 2014
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork
through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10.1001/jamasurg.2014.172.
https://psne…
-
psnet.ahrq.gov/node/39277/psn-pdf
August 22, 2018 - Preventing maternal death.
August 22, 2018
Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4.
https://psnet.ahrq.gov/issue/preventing-maternal-death
The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid
adoption of risk reduction strategies. Adher…
-
psnet.ahrq.gov/node/72570/psn-pdf
January 01, 2021 - Provider-patient communication and hospital ratings:
perceived gaps and forward thinking about the effects of
COVID-19.
December 16, 2020
Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings:
perceived gaps and forward thinking about the effects of COVID-19. Int J Qual …
-
psnet.ahrq.gov/node/44935/psn-pdf
April 15, 2016 - Pharmacy-led medication reconciliation programmes at
hospital transitions: a systematic review and meta-
analysis.
April 15, 2016
Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital
transitions: a systematic review and meta-analysis. J Clin Pharm Ther. 2016;41(2):12…
-
psnet.ahrq.gov/node/40049/psn-pdf
April 12, 2011 - Field test results of a new ambulatory care Medication
Error and Adverse Drug Event Reporting
System—MEADERS.
April 12, 2011
Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and
Adverse Drug Event Reporting System--MEADERS. Ann Fam Med. 2010;8(6):517-25.
doi:10.1370/…
-
psnet.ahrq.gov/node/46965/psn-pdf
March 28, 2018 - The other opioid crisis: hospital shortages lead to patient
pain, medical errors.
March 28, 2018
Bartolone P. Kaiser Health News. March 16, 2018.
https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
Drug shortages may require clinicians, pharmacists, and hospitals to…
-
psnet.ahrq.gov/node/36680/psn-pdf
July 10, 2008 - Identifying diagnostic errors in primary care using an
electronic screening algorithm.
July 10, 2008
Singh H, Thomas EJ, Khan MM, et al. Identifying diagnostic errors in primary care using an electronic
screening algorithm. Arch Intern Med. 2007;167(3):302-308.
https://psnet.ahrq.gov/issue/identifying-diagnostic-e…
-
www.ahrq.gov/teamstepps-program/resources/patient/index.html
June 01, 2023 - TeamSTEPPS Patient Videos
In these three videos, patients describe their interactions with their doctors and medical teams and how their interactions relate to tools used as a part of TeamSTEPPS.
YouTube embedded video: https://www.youtube-nocookie.com/embed/qkJqcrLf8rM
TeamSTEPPS Patient Video: Tara (7:1…