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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/7.htmlDecember 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 3. Specifications for Each Pressure Ulcer Prevention Report (continued) 3.7. Resident Clinical, Functional, and Intervention Profile Report 3.7.1. Report Description This report displays 4 weeks of clini…
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-awayJuly 01, 2011 - Getting the (Right) Doctor, Right Away Citation Text: Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X…
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www.ahrq.gov/sites/default/files/2024-10/li-chang-report.pdfJanuary 01, 2024 - Final Progress Report: Systematic Evaluation of Operating Room Scheduling Across the Perioperative Process Systematic Evaluation of Operating Room Scheduling Across the Perioperative Process Principal Investigator: Wei Li, PhD, PE University of Kentucky Co-Investigators: Phillip K. Chang, MD UK Healthcare Team Membe…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docxSeptember 01, 2022 - Sustaining Antibiotic Stewardship Efforts – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Sustaining Antibiotic Stewardship Efforts Ambulatory Care Slide Title and Commentary Slide Number and Slide Sustaining Antibiotic Stewardship Efforts SAY: Welcome to the presentation titled, “Sust…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8c.htmlOctober 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 8: The Care Management Evidence Base (continued) Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management …
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.htmlJune 01, 2023 - Implementation Change Management The change management process must be carefully and strategically organized to attain widespread acceptance. To achieve an environment truly committed to patient safety, a successful TeamSTEPPS implementation requires a change in unit and organizational culture. This culture mus…
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-openJanuary 01, 2023 - Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open Project Final Report ( PDF , 451.19 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily re…
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patientMarch 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport Citation Text: MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864868/psn-pdfMarch 27, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices March 27, 2024 Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices Background Transitions of care occur … -
Arthritis and Nontraumatic Joint Disease (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1506.pdfJune 01, 2015 - AHRQ did not directly participate in horizon scanning, assessing the leads for topics, or providing … Since that implementation, review of more than 21,000 leads about potential topics has resulted in -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43265/psn-pdfFebruary 15, 2024 - Five Medication Safety Tips for Older Adults. February 15, 2024 FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15, 2024. https://psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults Highlighting how aging affects medication absorption that may lead to complic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72665/psn-pdfJanuary 20, 2021 - The hard talk: dealing with the disruptive physician. January 20, 2021 Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. https://psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician Disruptive behav… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44288/psn-pdfMarch 21, 2024 - Prevention of adverse drug events in hospitals. March 21, 2024 Zhu J, Weingart SN. UpToDate. February 29, 2024. https://psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals Unsafe medication systems in hospitals can lead to adverse drug events (ADEs). This review discusses patient care and organizational … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42975/psn-pdfFebruary 26, 2014 - State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics. February 26, 2014 Michigan Pharmacists Association; MPA. https://psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics Children are often prescribed oral liquid medications due to difficulty swa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40149/psn-pdfJanuary 19, 2011 - Tablet-splitting: a common yet not so innocent practice. January 19, 2011 Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x. https://psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-pract… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47280/psn-pdfOctober 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40382/psn-pdfMay 25, 2011 - What has change management in industry got to do with improving patient safety? May 25, 2011 Noble DJ, Lemer C, Stanton E. What has change management in industry got to do with improving patient safety? Postgrad Med J. 2011;87(1027):345-348. doi:10.1136/pgmj.2010.097923. https://psnet.ahrq.gov/issue/what-has-chang… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35099/psn-pdfJune 09, 2009 - McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release]. June 9, 2009 McNeil Consumer & Specialty Pharmaceuticals. June 3, 2005. https://psnet.ahrq.gov/issue/mcneil-cons… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73099/psn-pdfMarch 31, 2021 - Supporting nurses as essential partners in diagnosis. March 31, 2021 Carr S. ImproveDx. March 2021:8(2) https://psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis Effective diagnosis is enhanced through multidisciplinary team-based efforts. This newsletter article outlines opportunities inhe… -
Changing-System-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docxJune 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Changing the System To Improve Patient Safety Long-Term Care Slide Title and Commentary Slide Number and Slide Changing the System To Improve Patient Safety SAY: Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.” Sl…
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