-
digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
October 01, 2009 - can be provided either in the community (e.g., homes, senior housing, and adult day care) or
in institutional … administrators, but also the ward clerks who
run the building and know what everyone does and have the institutional … A proactive implementation team approach fostered institutional commitment to
barcoding prior to
-
digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - care
can be provided either in the community (e.g., homes, senior housing, and adult day care) or
in institutional … administrators, but also the ward clerks who
run the building and know what everyone does and have the institutional … A proactive implementation team approach fostered institutional commitment to
barcoding prior to
-
psnet.ahrq.gov/node/45624/psn-pdf
November 02, 2016 - Addressing the Opioid Crisis in the United States.
November 2, 2016
Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April
2016.
https://psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
Misuse of opioid medications is currently a serious patient safety conce…
-
psnet.ahrq.gov/node/43328/psn-pdf
August 20, 2018 - Safety Quality and Informatics Leadership Program.
August 20, 2018
Harvard Medical School, Boston, MA
https://psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
The Institute of Medicine's learning health system concept serves as the foundation for this year-long
curriculum covering how to appl…
-
psnet.ahrq.gov/node/47966/psn-pdf
May 29, 2019 - Patient Safety Essentials Toolkit.
May 29, 2019
Boston, MA: Institute for Healthcare Improvement; 2019.
https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
This toolkit provides access to nine key tools to help organizations improve teamwork, incident analysis,
and communication as well as templates to …
-
psnet.ahrq.gov/node/44917/psn-pdf
November 30, 2016 - Canadian Incident Analysis Framework.
November 30, 2016
Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN:
9781926541440.
https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework
Performing incident analysis can help organizations understand why adverse e…
-
psnet.ahrq.gov/node/35283/psn-pdf
July 14, 2010 - Hospitalists as emerging leaders in patient safety:
targeting a few to affect many.
July 14, 2010
Flanders SA, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: targeting a few
to affect many. J Patient Saf. 2005;1(2):78-82. doi:10.1097/pts.0b013e31819751f2.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/60189/psn-pdf
April 01, 2020 - Eliminating Medication Overload: A National Action Plan.
April 1, 2020
Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020.
https://psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
Polypharmacy and medication overuse are known contributors to patient harm. This report …
-
psnet.ahrq.gov/node/42812/psn-pdf
August 02, 2016 - Healthcare Practitioner’s Vaccine Error Reporting Form.
August 2, 2016
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/healthcare-practitioners-vaccine-error-reporting-form
This form collects data on errors and concerns associated with vaccines as part of a national reporting
program tracking…
-
www.ahrq.gov/nursing-home/resources/what-matters-toolkit.html
February 01, 2021 - "What Matters" to Older Adults?
Resource: "What Matters" to Older Adults? (PDF, 2.17 MB)
The toolkit is intended to serve as a resource for multidisciplinary care teams, including, but not limited to physicians, nurses, physician assistants, medical assistants, social workers, chaplains, nurse navigators, …
-
psnet.ahrq.gov/node/34733/psn-pdf
November 19, 2015 - Out of the Crisis.
November 19, 2015
Deming WE. Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering
Study, 1986. ISBN: 9780911379013.
https://psnet.ahrq.gov/issue/out-crisis
Deming believes that American companies need to transform their method of management to engage and
compete…
-
psnet.ahrq.gov/node/863762/psn-pdf
March 14, 2024 - Diagnostic Excellence: a Patient Safety Awareness Week
Webinar.
March 6, 2024
Institute for Healthcare Improvement. March 14, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar
Diagnostic safety is core to care without harm. This webinar aligned with the 2024 Patient Saf…
-
psnet.ahrq.gov/node/44007/psn-pdf
April 01, 2015 - Time to tackle diagnostic errors. Physicians blame patient
'treadmill' for missed calls.
April 1, 2015
Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern
healthcare. 2015;45(3):18-20.
https://psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-pa…
-
psnet.ahrq.gov/node/44115/psn-pdf
June 03, 2015 - An approach to assessing patient safety in hospitals in
low-income countries.
June 3, 2015
Lindfield R, Knight A, Bwonya D. An approach to assessing patient safety in hospitals in low-income
countries. PLoS One. 2015;10(3):e0121628. doi:10.1371/journal.pone.0121628.
https://psnet.ahrq.gov/issue/approach-assessing-…
-
www.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
September 01, 2018 - Aspirin, Heart Disease, and Stroke Pamphlet: American Stroke Association
Resource title: Aspirin, Heart Disease, and Stroke .
Resource description: This patient education booklet explains how heart attack and stroke happen, and the potential risks and benefits of aspirin in prevention and treatment.
Docu…
-
psnet.ahrq.gov/node/40646/psn-pdf
July 27, 2011 - Engineering a Learning Healthcare System: A Look at the
Future: Workshop Summary.
July 27, 2011
Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of
Engineering. Washington, DC: The National Academies Press; 2011. ISBN: 9780309120647.
https://psnet.ahrq.gov/issue/engineering…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/registries-forums_research_0.pdf
May 01, 2014 - • Institutional Review Board reporting
• Ethics in designing, conducting, and
using data from patient
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - awareness education with staff 1 (2.3)
Decision before I came 1 (2.3)
Help prevent falls 1 (2.3)
Institutional
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs020846-fricton-final-report-2016.pdf
January 01, 2016 - providers.7,8,18-22 The study used privacy and security methods that were
approved by the HealthPartners institutional … The study used privacy and security methods that were approved by the
HealthPartners institutional review
-
psnet.ahrq.gov/node/73097/psn-pdf
March 31, 2011 - The Future of Nursing: Leading Change, Advancing
Health.
March 31, 2011
Institute of Medicine. Washington, DC: The National Academies Press: 2011.
https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
The effective engagement of nursing is key to patient safety and care quality improvement. T…