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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Third, safety improvements often require additional expenditures for purchasing and maintaining high-quality
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www.ahrq.gov/funding/training-grants/pcor/index.html
July 01, 2015 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund
The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development, and dissemination and implementation.
Public Law 111-148 established the Patient-Cente…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide209.html
October 01, 2014 - 209. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical practice
Rationale
Motivate quit attempts by providing educational messages about the impact of smoking on both maternal and…
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psnet.ahrq.gov/node/34723/psn-pdf
April 07, 2011 - Pushing the profession: how the news media turned
patient safety into a priority.
April 7, 2011
Millenson ML. Pushing the profession: how the news media turned patient safety into a priority. Qual Saf
Health Care. 2002;11(1):57-63.
https://psnet.ahrq.gov/issue/pushing-profession-how-news-media-turned-patient-safet…
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psnet.ahrq.gov/node/74032/psn-pdf
November 03, 2021 - Patient, surgeon, and health care worker safety during the
COVID-19 pandemic.
November 3, 2021
Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg.
2021;274(5):681-687. doi:10.1097/sla.0000000000005124.
https://psnet.ahrq.gov/issue/patient-surgeon-and-health-care-wor…
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psnet.ahrq.gov/node/866255/psn-pdf
July 10, 2024 - Cyberattack led to harrowing lapses at Ascension
hospitals, clinicians say.
July 10, 2024
Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.
https://psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
Cybersecurity is increasingly see…
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psnet.ahrq.gov/node/43945/psn-pdf
September 09, 2015 - Hospital and procedure incidence of pediatric retained
surgical items.
September 9, 2015
Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J
Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054.
https://psnet.ahrq.gov/issue/hospital-and-procedure-incid…
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psnet.ahrq.gov/node/47011/psn-pdf
June 20, 2018 - Standardized Competencies for Parenteral Nutrition
Administration: the ASPEN Model.
June 20, 2018
Guenter P, Worthington P, Ayers P, et al. Standardized Competencies for Parenteral Nutrition
Administration: The ASPEN Model. Nutr Clin Pract. 2018;33(2):295-304. doi:10.1002/ncp.10055.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/46137/psn-pdf
August 03, 2017 - Frequency and type of situational awareness errors
contributing to death and brain damage: a closed claims
analysis.
August 3, 2017
Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing
to Death and Brain Damage: A Closed Claims Analysis. Anesthesiology. 2017;127(2)…
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psnet.ahrq.gov/node/36769/psn-pdf
June 15, 2011 - Using incident reporting to improve patient safety: a
conceptual model.
June 15, 2011
Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J
Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05.
https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
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psnet.ahrq.gov/node/47656/psn-pdf
March 13, 2019 - Sleep and alertness in a duty-hour flexibility trial in
internal medicine.
March 13, 2019
Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:915-923.
https://psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
This cluster-randomized trial compared…
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psnet.ahrq.gov/node/44641/psn-pdf
October 26, 2016 - Resident Safety Practices in Nursing Home Settings.
October 26, 2016
Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare
Research and Quality; May 2016. AHRQ Publication No. 16-EHC022-EF.
https://psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
E…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017017-logan-final-report-2009.pdf
January 01, 2009 - Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy
Grant Final Report
Grant ID: R18HS17017
Improving Quality in Cancer Screening: The
Excellence Report for Colonoscopy
Inclusive Dates: 09/01/07 - 08/31/09
Principal Investigator:
Judith R. Logan, MD
Team…
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psnet.ahrq.gov/node/845070/psn-pdf
February 22, 2023 - Registered nurses' efforts to ensure safety for home-
dwelling older patients.
February 22, 2023
Lindberg C, Fock J, Nilsen P, et al. Registered nurses' efforts to ensure safety for home?dwelling older
patients. Scand J Caring Sci. 2022. doi:10.1111/scs.13142.
https://psnet.ahrq.gov/issue/registered-nurses-efforts…
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www.ahrq.gov/hai/tools/mvp/sustainability.html
February 01, 2017 - Sustainability Module
This module’s tools and slide sets help everyone involved in performance improvement and patient safety sustain effective safety practices in the care of mechanically ventilated patients.
Tools To Support Sustainability
Sustainability Checklist for Hospitals ( Word , 926 KB)
This t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide77.html
October 01, 2014 - 77. For the Patient Who Has Recently Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Addressing problems encountered by former smokers (Continued)
Weight gain
Recommend starting or increasing physical activity.
Reassure the patient that…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/cusp-modules.html
April 01, 2022 - CUSP Onboarding Modules
The Comprehensive Unit-based Safety Program (CUSP) modules highlight effective strategies to implement a quality improvement project including engaging the team and obtaining leadership buy-in, identifying gaps, creating an action plan, monitoring progress, and identifying defects. These…
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapd.html
April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council
Appendix D. Vision and Mission Statements
Sample vision and mission statements and objectives for patient advisory councils follow.
Vision
A safe, compassionate, innovative health care community that listens, learns, and responds colla…
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psnet.ahrq.gov/node/837506/psn-pdf
June 22, 2022 - Reducing pediatric emergency department prescription
errors.
June 22, 2022
Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors.
Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696.
https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-…
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psnet.ahrq.gov/node/38123/psn-pdf
June 10, 2010 - Patient safety incidents associated with equipment in
critical care: a review of reports to the UK National Patient
Safety Agency.
June 10, 2010
Thomas AN, Galvin I. Patient safety incidents associated with equipment in critical care: a review of reports
to the UK National Patient Safety Agency. Anaesthesia. 2008;…