-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - PowerPoint Presentation
Spotlight
The Risks of Absent Interoperability:
Medication-Induced Hemolysis in a Patient With a Known Allergy
1
This presentation is based on the October 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/
CME credit is available
Commentary by: Jacob Reider,…
-
psnet.ahrq.gov/node/60653/psn-pdf
April 25, 2020 - Health Care Delivery and Pharmacists During the COVID-
19 Pandemic
June 29, 2020
Dopp AL, Fitall E, Hall KK, et al. Health Care Delivery and Pharmacists During the COVID-19 Pandemic.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
Medication…
-
psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Walking Patient, Missing Drain
April 1, 2018
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain
The Case
A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective
…
-
psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - Hemolysis Holdup
Citation Text:
Lehman CM. Hemolysis Holdup. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - Can Research Help Us Improve the Medical Liability
System?
March 1, 2012
Kachalia A. Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
Perspective
The United States medical malpractice liabili…
-
psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - Are We Pushing Graduate Nurses Too Fast?
March 1, 2011
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
-
www.ahrq.gov/sites/default/files/wysiwyg/NQS_overview_slides-2017.pdf
January 01, 2017 - National Quality Strategy
National Quality Strategy
Overview
January 2017
Each slide includes notes that you can access by selecting “View”
and then “Notes Page” in PowerPoint. Please delete this text box
before using or presenting.
Background on the National Quality Strategy
• Established to improve the deliv…
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
March Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ t…
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
January 01, 2012 - The study protocol was approved by the Institutional Review Boards of Brandeis University,
Berkshire … eRx Forum, Waltham, MA, September 27, 2007, Grant Carrow
Massachusetts Department of Public Health, Institutional
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/chart-abstraction-template-hypertension.html
March 01, 2021 - EvidenceNOW: Chart Abstraction Template - Hypertension
Oklahoma Cooperative
Resource: Chart Abstraction Template—Hypertension Controlling Blood Pressure (Excel, 20.33 KB, 2 pages)
This template was used by an EvidenceNOW Cooperative to conduct chart abstractions for hypertension.
Institution of origin:…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/chart-abstraction-instructions-hypertension.html
March 01, 2021 - EvidenceNOW: Chart Abstraction Instructions - Hypertension
Oklahoma Cooperative
Resource: EvidenceNOW: Chart Abstraction Instructions—Hypertension (PDF, 299.65 KB, 3 pages)
This document provides an example of how an EvidenceNOW Cooperative conducted chart abstractions for hypertension.
Institution of …
-
www.ahrq.gov/patient-safety/settings/hospital/candor/videos/disclosure.html
August 01, 2022 - Disclosure Conversation with Family: Video
AHRQ Communication and Optimal Resolution Toolkit
Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video d…
-
psnet.ahrq.gov/node/38560/psn-pdf
July 05, 2013 - Safe Surgery Saves Lives.
July 5, 2013
Canadian Patient Safety Institute; CPSI.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives
This site supports the effort to adopt the World Alliance for Patient Safety surgical checklist program in
Canada.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives
https://psn…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
August 01, 2022 - Notification of Adverse Event: Video
AHRQ Communication and Optimal Resolution Toolkit
Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video demonst…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/videos/conversation.html
August 01, 2022 - Conversation with Family: Video
AHRQ Communication and Optimal Resolution Toolkit
Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video demonstrates…
-
psnet.ahrq.gov/node/35589/psn-pdf
June 17, 2010 - Health for life. Keys to safer hospitals.
June 17, 2010
Berwick DM. Health for life. 6 keys to safer hospitals. Newsweek. 2005;146(24):76-8.
https://psnet.ahrq.gov/issue/health-life-keys-safer-hospitals
Institute for Healthcare Improvement President Don Berwick summarizes the six improvement measures of
the 100K L…
-
psnet.ahrq.gov/node/38342/psn-pdf
September 08, 2022 - Consumermedsafety.org
September 8, 2022
Institute for Safe Medication Practices; 5200 Butler Pike, Plymouth Meeting, PA 19462.
https://psnet.ahrq.gov/issue/consumermedsafetyorg
This redesigned Web site provides information about drug safety alerts and allows consumers to help
report and prevent medication errors.
…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/survey-codebook-demographics.html
March 01, 2021 - EvidenceNOW: Practice Survey Codebook, Demographics
Oregon Cooperative
Resource: Practice Survey Code Book: Practice Demographics (PDF, 452 KB, 10 pages)
This code book was used by the national evaluators to code each cooperative's baseline practice survey.
Institution of origin: Oregon Health & Scienc…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/implementation-tracking-sw.html
March 01, 2021 - EvidenceNOW: Implementation Tracking Form
Southwest Cooperative
Resource: Implementation Tracking Note—Southwest Cooperative (PDF, 363.33 KB, 2 pages)
This intervention tracking form used by an EvidenceNOW Cooperative's staff quarterly to document the implementation of the initiative.
Institution of or…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-flyer-generic-ny.html
March 01, 2021 - EvidenceNOW: Recruitment Flyer
Northwest Cooperative
Resource: Recruitment Flyer—Northwest Cooperative (PDF, 494.7 KB, 1 page)
This document provides an example of an EvidenceNOW Cooperative's recruitment flyer.
Institution of Origin: New York University School of Medicine
Permissions: Used with th…