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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36346/psn-pdfApril 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. April 11, 2011 Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37849/psn-pdfMarch 23, 2011 - The incidence and nature of in-hospital adverse events: a systematic review. March 23, 2011 de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37091/psn-pdfMarch 02, 2016 - The tension between needing to improve care and knowing how to do it. March 2, 2016 Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. https://psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34087/psn-pdfJune 16, 2011 - Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. June 16, 2011 Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care. 2003;12(6):405-10. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36455/psn-pdfDecember 22, 2010 - Changing the work environment in ICUs to achieve patient-focused care: the time has come. December 22, 2010 McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8. https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866078/psn-pdfJune 05, 2024 - Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. June 5, 2024 Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. Mayo Clin Proc Inno… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60017/psn-pdfMarch 04, 2020 - Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study. March 4, 2020 Kim H-E, Kim HH, Han B-K, et al. Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader stu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42980/psn-pdfFebruary 17, 2017 - Disclosing adverse events to patients: international norms and trends. February 17, 2017 Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. https://psnet.ahrq.gov/issue/disclosing-adverse-event… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45651/psn-pdfNovember 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35623/psn-pdfAugust 05, 2009 - Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. August 5, 2009 Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Acad Med. 2006… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35032/psn-pdfFebruary 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the patient safety movement, Lucian … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44321/psn-pdfJuly 08, 2015 - Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. July 8, 2015 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. June 30, 2015. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38470/psn-pdfMarch 11, 2009 - Quality and strength of patient safety climate on medical–surgical units. March 11, 2009 Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. https://psnet.ahrq.gov/issue/quality-and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35969/psn-pdfAugust 10, 2010 - Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. August 10, 2010 Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52. https://… -
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdfJanuary 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Brady 6 Overview of AHRQ’s Patient Safety Priorities and Programs Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Ser…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdfJune 02, 2025 - Action Planning for the SOPS Surveys-Overview 6 Overview of AHRQ’s Patient Safety Priorities Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Service AHRQ’s Core Compet…
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5 Tk2 P3T1-Sample Policy Phase 3 (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdfMay 01, 2014 - Sample Vignettes Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit: Phase 3 Sample Policy [NAME OF NURSING HOME] RE: Antibiogram Program [DATE] Antibiotics are among the most commonly… -
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T1-Sample_Letter_of_Agreement_Phase_2.docMay 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2 Sample Letter of Agreement Date Name Address of Laboratory RE: Developing an Antibiogram for [NURSING HOME NAME] Dear [insert name]: For several years, antibiogram reports have been used in hospitals to address the issue of appropriate antibiotic use; nursing homes are …
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HHCEB Presentation (ppt file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.pptMay 20, 2012 - HHCEB Presentation * VTE Prevention: An Institution-wide Initiative University of Michigan Caprini VTE risk assessment May 20, 2012 Marc Moote, PA-C Chief Physician Assistant University of Michigan Health System * * Key Strategies Scope: ALL adult inpatients Standardized VTE Protocol – Caprini model Mandato… -
www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/standards-guideline-developmentJune 01, 2018 - Standards for Guideline Development Share to Facebook Share to X Share to WhatsApp Share to Email Print The U.S. Preventive Services Task Force (Task Force) is committed to making its recommendation development process as clear and transparen…
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