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  1. Patient Safety Awareness Week 2023 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/news-events/psaw-2023/index.html
    March 01, 2023 - Patient Safety Awareness Week 2023 AHRQ, together with our colleagues from the U.S. Department of Health and Human Services (HHS), the Health Services Resources Administration, the Institute for Healthcare Improvement , and other dedicated patient safety advocates, are observing Patient Safety Awareness Week. …

  2. Decolonization | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/decolonization/index.html
    May 01, 2025 - Decolonization Decolonization is an infection prevention practice that removes germs from the skin. It is often used in healthcare facilities when patients carry methicillin-resistant Staphylococcus aureus (MRSA) or other dangerous germs on their bodies. It can keep them from developing an infection themselve…

  3. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet

    psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
    February 12, 2020 - Commentary Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Citation Text: Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(…

  4. AHRQ's PCORTF Strategic Priorities | Agency for Healthcare Research and Quality

    www.ahrq.gov/pcor/strategic-framework/strategic-priorities.html
    July 01, 2023 - AHRQ's PCORTF Strategic Priorities Previous Page Next Page The PCORTF strategic framework identifies four priorities for improving healthcare delivery that are aligned with AHRQ’s mission and core competencies and that have the potential to improve outcomes that are important to patients. As d…

  5. Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. | PSNet

    psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
    May 25, 2013 - Study Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. Citation Text: Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…

  6. Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. | PSNet

    psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
    April 22, 2015 - Study Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. Citation Text: Mattsson TO, Knudsen JL, Lauritsen J, et al. Assessment of the global trigger tool to measure, monitor and evaluate patient sa…

  7. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. | PSNet

    psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
    April 04, 2018 - Study Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Citation Text: Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 201…

  8. Explaining Michigan: developing an ex post theory of a quality improvement program. | PSNet

    psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
    April 04, 2011 - Study Classic Explaining Michigan: developing an ex post theory of a quality improvement program. Citation Text: Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…

  9. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. | PSNet

    psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
    June 16, 2011 - Study Classic The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. Citation Text: Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and…

  10. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
    December 18, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. Citation Text: Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …

  11. Cinco recomendaciones para recibir una mejor atención médica | Agency for Healthcare Research and Quality

    www.ahrq.gov/patients-consumers/care-planning/errors/5steps/cincorecsp.html
    September 01, 2014 - Cinco recomendaciones para recibir una mejor atención médica La seguridad de pacientes es uno de los desafíos de sanidad más grande de los Estados Unidos. Un informe del Instituto de Medicina (Institute of Medicine) declara que aproximadamente entre 44,000 a 98,000 personas mueren anualmente en hosp…

  12. Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet

    psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
    January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…

  13. Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/202001.html
    April 01, 2020 - Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools Search All Impact Case Studies April 2020 LincolnHealth, a 25-bed critical access hospital in Damariscotta, Maine, improved the timeliness of admitting patients from the emergency department into a hospital u…

  14. Hand hygiene among physicians: performance, beliefs, and perceptions. | PSNet

    psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-perceptions
    January 14, 2011 - Study Classic Hand hygiene among physicians: performance, beliefs, and perceptions. Citation Text: Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. Copy Citation …

  15. Exposure to incivility hinders clinical performance in a simulated operative crisis. | PSNet

    psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis
    June 14, 2019 - Study Emerging Classic Exposure to incivility hinders clinical performance in a simulated operative crisis. Citation Text: Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…

  16. Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
    December 14, 2022 - Study Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration s…

  17. Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
    October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…

  18. AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201420.html
    November 01, 2014 - AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals Search All Impact Case Studies November 2014 Two Texas hospitals have used AHRQ's Re-Engineered Discharge (RED) toolkit to help significantly reduce hospital readmissions and as a catalyst for additional progres…

  19. Ahrq Community Forum Webinar Branson (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/ahrq_community_forum_webinar_branson.pdf
    October 13, 2011 - <#> Significant Work. Extraordinary People. SRA. Outreach to Patient and Consumer Representatives October 13, 2011 Carolyn Branson, Manager Consumer Reviewer Administration 2 Topics • Who are they? • What characteristics do they share? • How can you identify the “right” perso…

  20. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. | PSNet

    psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
    March 17, 2021 - Study Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. Citation Text: Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…
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