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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45496/psn-pdfMay 09, 2017 - The application of the Global Trigger Tool: a systematic review. May 9, 2017 Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. https://psnet.ahrq.gov/issue/application-global-trigger-tool-… -
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-agenda-062723.pdfJune 27, 2023 - Addressing Violence in the Workplace Agenda: NAA Webinar June 2023 National Action Alliance to Advance Patient Safety Summer Webinar Series Agenda Addressing Violence in the Workplace Tuesday, June 27, 2023 2:00 – 3:00 PM ET Questions We are Running On: 1. What do we know about violence in the workplace an…
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www.ahrq.gov/evidencenow/projects/urinary/resources/outreach-script-healthy-hearts.htmlMarch 01, 2021 - Back to MUI Resources Community Health Care Association of New York State Recruitment Outreach Script Resource Document available on the AHRQ website (PDF, 169 KB). Summary This resource is an example of a recruitment phone call script for conversations with a CMO, CEO or QI …
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www.ahrq.gov/evidencenow/projects/urinary/resources/primary-care-recruitment.htmlJanuary 01, 2019 - Back to MUI Resources Heart of Virginia Healthcare Primary Care Recruitment Package Resource Document available on the AHRQ website (PDF, 7.3 MB) Summary This resource is an example of an in-depth recruitment package for primary care practices; it provides background on the r…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836759/psn-pdfApril 06, 2022 - Diversion is a Threat to Patient Safety: Adopting Best Practices. March 16, 2022 Institute for Safe Medication Practices. April 6, 2022. https://psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices Drug diversion can result in patient harm due to reduced medication availability, impai… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42625/psn-pdfNovember 08, 2013 - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. November 8, 2013 Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm J Qual Patient Saf. 2013;39(10):4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46286/psn-pdfSeptember 13, 2017 - Preventing blood transfusion failures: FMEA, an effective assessment method. September 13, 2017 Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. https://psnet.ahrq.gov/issue/pre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60285/psn-pdfApril 29, 2020 - How Collective Design Triumphed Over Competition in the Fight Against HAIs. April 29, 2020 Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020. https://psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais Health care environment design can affect safety. This report sh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60972/psn-pdfJanuary 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. January 30, 2003 Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Press: 2003. ISBN 9780309082655. https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838925/psn-pdfMarch 03, 2025 - Improving Quality and Safety in Healthcare. March 3, 2025 Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare Improvement activities are complex initiatives that require synergistic actions by organizations to be s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47220/psn-pdfSeptember 12, 2018 - Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. September 12, 2018 Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018. https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state- hospitals Hospital patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47028/psn-pdfMay 02, 2018 - Medication errors 2018: the year in review. May 2, 2018 Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018. https://psnet.ahrq.gov/issue/medication-errors-2018-year-review Despite considerable effort, medication errors continue to occur and result in patient harm. Summari… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864865/psn-pdfMarch 20, 2024 - The Top Five: A Review of Post-Pandemic Patient Safety Priorities. March 20, 2024 Sacramento, CA: Hospital Quality Institute; 2024. https://psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities The COVID pandemic posed wide-ranging challenges to both society at large as well as to the health… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764413/psn-pdfMarch 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021. https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care The emergence of telemedicine during… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41246/psn-pdfApril 06, 2012 - Utilizing improvement science methods to improve physician compliance with proper hand hygiene. April 6, 2012 White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50. doi:10.1542/peds.2011-1864. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43677/psn-pdfNovember 19, 2014 - Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. November 19, 2014 Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943. https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-err… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37809/psn-pdfNovember 21, 2016 - Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. November 21, 2016 Johnson B, Abraham M, Conway J, et al. Bethesda, MD: Institute for Family-Centered Care; April 2008. https://psnet.ahrq.gov/issue/partnering-patients-and-fam… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35786/psn-pdfMay 07, 2007 - When Things Go Wrong: Responding to Adverse Events. May 7, 2007 Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events This consensus paper of the Harvard-affiliated hospitals was prepared by clinicians, risk manage… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35766/psn-pdfMarch 02, 2011 - Unexpected hypoglycemia in a critically ill patient. March 2, 2011 Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. https://psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient This case study shares the experiences of a patient who suffered a medicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72511/psn-pdfNovember 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA: Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …
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