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psnet.ahrq.gov/issue/improving-communication-emergency-department
September 09, 2009 - Study
Improving communication in the emergency department.
Citation Text:
Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623.
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psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case
April 22, 2020 - Study
Pediatric medical errors part 1: the case. A pediatric drug overdose case.
Citation Text:
Dowdell EB. Pediatric medical errors part 1: the case. A pediatric drug overdose case. Pediatr Nurs. 2004;30(4):328-30.
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psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
August 14, 2013 - Newspaper/Magazine Article
Learning safe prescribing during post-take ward rounds.
Citation Text:
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
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psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
July 02, 2019 - Commentary
Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.
Citation Text:
Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…
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psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
January 21, 2015 - Study
Toward safer practice in otology: a report on 15 years of clinical negligence claims.
Citation Text:
Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…
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psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-draft-report-congress-public
June 16, 2021 - Press Release/Announcement
Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine.
Citation Text:
Public comment period extended for strategies to improve patient safety: Draft Re…
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psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
September 29, 2017 - Commentary
Weaving a healthcare tapestry of safety and communication.
Citation Text:
Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d.
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psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
July 10, 2024 - Commentary
Creating a just culture: the Ottawa Hospital's experience.
Citation Text:
Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303.
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psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
May 04, 2010 - Study
The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry.
Citation Text:
Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…
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psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics
June 16, 2021 - Review
Epidemiology of malpractice lawsuits in paediatrics.
Citation Text:
Najaf-Zadeh A, Dubos F, Aurel M, et al. Epidemiology of malpractice lawsuits in paediatrics. Acta Paediatr. 2008;97(11):1486-91. doi:10.1111/j.1651-2227.2008.00898.x.
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psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
August 01, 2018 - Review
Core principles of quality improvement and patient safety.
Citation Text:
Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417.
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psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
March 20, 2019 - Review
New solutions to reduce wrong route medication errors.
Citation Text:
Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Module 4: Sustainability
Sustainability Tool
Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts.
How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…
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psnet.ahrq.gov/issue/navigating-towards-improved-surgical-safety-using-aviation-based-strategies
January 04, 2011 - Review
Navigating towards improved surgical safety using aviation-based strategies.
Citation Text:
Kao LS, Thomas EJ. Navigating towards improved surgical safety using aviation-based strategies. J Surg Res. 2008;145(2):327-35.
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psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
May 07, 2008 - Study
Enhancing medication use safety: benefits of learning from your peers.
Citation Text:
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
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psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
June 05, 2024 - Review
Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety.
Citation Text:
Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…
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www.ahrq.gov/policymakers/chipra/snac_members.html
November 01, 2013 - Subcommittee on Quality Measures for Children's Healthcare for Medicaid and CHIP
Members List: 2013
List of 2013 members of the Subcommittee on Quality Measures for Children's Healthcare (SNAC).
Mary S. Applegate, MD, FAAP, FACP
Medicaid Medical Director for Ohio
Office of Medical Assistance
Columbus, OH…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Fundamental Concepts for Understanding Probability
Previous Page Next Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probabi…
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psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
June 22, 2011 - Press Release/Announcement
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.
Citation Text:
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…
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psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
June 30, 2011 - Study
Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre.
Citation Text:
Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…