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psnet.ahrq.gov/node/47855/psn-pdf
June 19, 2019 - Medication Overload: America's Other Drug Problem.
June 19, 2019
Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019.
https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
Overprescribing is a common problem that contributes to patient harm. This report examines financial,
clinical, an…
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psnet.ahrq.gov/node/38326/psn-pdf
January 14, 2009 - Results of a medication reconciliation survey from the
2006 Society of Hospital Medicine national meeting.
January 14, 2009
Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006
Society of Hospital Medicine national meeting. J Hosp Med. 2008;3(6). doi:10.1002/jhm.370.…
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psnet.ahrq.gov/node/45565/psn-pdf
May 24, 2017 - Leading a Culture of Safety: a Blueprint for Success.
May 24, 2017
Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian
Leape Institute; 2017.
https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
Health care leadership plays an undeniable role in sust…
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psnet.ahrq.gov/node/46286/psn-pdf
September 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…
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psnet.ahrq.gov/node/37809/psn-pdf
November 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…
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psnet.ahrq.gov/node/837042/psn-pdf
April 04, 2022 - Leadership Response to a Sentinel Event: Respectful,
Effective Crisis Management.
April 4, 2022
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management
Crisis management skills are valuable at both the organizational and clinical …
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psnet.ahrq.gov/node/44041/psn-pdf
April 01, 2015 - Potentially dangerous confusion between Bloxiverz
(neostigmine) injection and Vazculep (phenylephrine)
injection.
April 1, 2015
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American
Society of Health-System Pharmacists. March 23, 2015
https://psnet.ahrq.gov/issue/pot…
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psnet.ahrq.gov/node/74762/psn-pdf
February 09, 2022 - Start the year off right by addressing these top 10
medication safety concerns from 2021.
February 9, 2022
ISMP Medication Safety Alert! Acute care edition. January 27, 2022;27(2):1-6.
https://psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
Medication errors are a cons…
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psnet.ahrq.gov/node/50867/psn-pdf
February 05, 2020 - Cognitive testing of older clinicians prior to
recredentialing.
February 5, 2020
Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA.
2020;323(2):179-180. doi:10.1001/jama.2019.18665.
https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
In an…
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www.ahrq.gov/evidencenow/tools/oars-model.html
November 01, 2018 - Building Rapport with Patients: OARS Communication Skills
Resource: The OARS Model: Essential Communication Skills
This short tool describes OARS—a set of verbal and non-verbal communication skills that helps clinicians and educators in primary care practices to engage and build rapport with patients and a…
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digital.ahrq.gov/ahrq-funded-projects/designing-demographics-optimizing-usability-patient-portals/final-report
January 01, 2023 - Designing for Demographics-Optimizing the Usability of Patient Portals - Final Report
Citation
Naheed A. Designing for Demographics-Optimizing the Usability of Patient Portals - Final Report. (Prepared by MedStar Health Research Institute under Grant No. R03 HS026298). Rockville, MD: Agency for Health…
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psnet.ahrq.gov/node/73144/psn-pdf
April 14, 2021 - Addressing systemic racism in nursing homes: a time for
action.
April 14, 2021
Sloane PD, Yearby R, Konetzka RT, et al. Addressing systemic racism in nursing homes: a time for action.
J Am Med Dir Assoc. 2021;22(4):886-892. doi:10.1016/j.jamda.2021.02.023.
https://psnet.ahrq.gov/issue/addressing-systemic-racism-nu…
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psnet.ahrq.gov/node/38938/psn-pdf
July 26, 2023 - ISMP's List of Confused Drug Names.
July 26, 2023
Horsham, PA; Institute for Safe Medication Practices: July 2023.
https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names
Drawing on information gathered from the ISMP Medication Errors Reporting Program, this fact sheet
provides a comprehensive list of commonly…
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www.ahrq.gov/patient-safety/about/national-steering-committee.html
June 01, 2021 - National Steering Committee for Patient Safety
YouTube embedded video: https://www.youtube-nocookie.com/embed/QUxyRDRTyLA
AHRQ is co-leading the National Steering Committee for Patient Safety, which includes members from two dozen organizations that are joining together to create a national action plan to ac…
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digital.ahrq.gov/ahrq-funded-projects/empowering-cancer-patients-through-innovations-information-technology-based/final-report
January 01, 2023 - Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report
Citation
Gray S. Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report. (Prepared by Beckman Research In…
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-oh
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Ohio
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-020
Funding Mechanism(s)
Health Information Security and Privacy Collabo…
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www.ahrq.gov/talkingquality/resources/initiatives.html
November 01, 2018 - Key Initiatives in Measuring and Reporting Health Care Quality
Several individual organizations and collaborative initiatives have helped to shape the national health care agenda with respect to transparency, accountability, improvement, and informed choice. Within their respective areas of focus, they have spu…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/qualitative-interview-questions-electronic
January 01, 2023 - Qualitative Interview Questions for Electronic Health Record Implementation
This is an interview guide designed to be conducted with administrators, clinical staff, implementers, and office staff across a health care system. The tool includes questions to assess user's perceptions of electronic health rec…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-interactive-social-media-web-site-parents-who-are-concerned-about/final-report
January 01, 2023 - An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children - Final Report
Citation
Glanz J. An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children - Final Report. (Prepared by Kaiser F…
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-clinical-care/final-report
January 01, 2023 - Impact of Health Information Technology on Clinical Care - Final Report
Citation
Hsu, J. Impact of Health Information Technology on Clinical Care - Final Report. (Prepared by Kaiser Foundation Research Institute under Grant No. R01 HS015280). Rockville, MD: Agency for Healthcare Research and Quality…