-
psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - In Conversation With… Jack Needleman, PhD
September 1, 2012
In Conversation With… Jack Needleman, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
Editor's note: Jack Needleman, PhD, is a Professor in the Department of Health Policy and Management
at UCLA School of P…
-
psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - May I Have Another?—Medication Error
June 1, 2014
Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
The Case
A 40-year-old man was admitted to the hospital after having a seizure. Upon admission, the patient, a
pharmacology-tra…
-
psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens
February 26, 2020
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
The Case
Case #1:
A 56-year-old man was admitted to…
-
psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - In Conversation with…Albert Wu, MD, MPH
May 1, 2011
In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
Editor's note: Albert Wu, MD, MPH, is Professor of Health Policy and Management at the Johns Hopkins
School of Public Health. A…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
December 15, 2016 - Implementation Quick Start Guide: Medication Management (Half-Page)
Implementation
Quick Start Guide
Medication
Management
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is the Medication Management Strategy? ...................1
W…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
PSI 07: Central Venous Catheter (CVC)-Related Bloodstream Infections (BSIs)
Why Focus on Ce…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role-references.html
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
References
Previous Page
Table of Contents
The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Introduction
The History of Patient Roles
Impact of Dis…
-
psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - Eptifibatide Epilogue
Citation Text:
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
October Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to co…
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
January 01, 2007 - model for
evaluating the quality of healthcare services.13
Evaluation plans were reviewed by the Institutional
-
effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1312.pdf
December 01, 2013 - Obesity
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 10: Obesity
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
Contract No. HHSA290…
-
psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - and orders by attending physician Lack of physician and nurse training on Glucommander use Lack of an institutional
-
digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-qa-012518.pdf
January 25, 2018 - www.ncbi.nlm.nih.gov/pubmed/24882086
https://www.nap.edu/read/21794/chapter/1
on providers to meet institutional
-
psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - Alarm safety is a National Patient Safety Goal, highlighting the importance of developing institutional
-
digital.ahrq.gov/sites/default/files/docs/publication/KSchultzetal2006HFES_JobTaskAnalysis.pdf
January 01, 2005 - Funding provided by Agency for Healthcare Research
and Quality - AHRQ (1 R01 HS015274-01) and AHRQ
Institutional
-
www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
April 01, 2019 - be in place to ensure that knowledge dissemination doesn’t
happen in one-off initiatives and that institutional
-
psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - RW: What do you think about the general issue of the business case for institutional and individual
-
psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - Physicians should seek help from institutional risk managers or others skilled in disclosure before discussing
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
June 30, 2025 - issues
► Patient, team, task, caregiver factors
► Training, education, technology factors
► Local or institutional
-
psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - The results of these reviews should be provided to
clinicians and could easily be incorporated into institutional