-
www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety
Search All Impact Case Studies
July 2015
Description
New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
-
psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
June 22, 2017 - Study
Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department.
Citation Text:
Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergen…
-
psnet.ahrq.gov/issue/understanding-causes-medication-errors-and-adverse-drug-events-patients-mental-illness
July 17, 2024 - Study
unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for pa…
-
psnet.ahrq.gov/issue/smartphone-app-designed-empower-patients-contribute-toward-safer-surgical-care-community
February 12, 2020 - Study
A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach.
Citation Text:
Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Car…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Current State of Diagnosis Education
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To …
-
psnet.ahrq.gov/issue/combining-multiple-large-language-models-improves-diagnostic-accuracy
March 02, 2011 - Study
Combining multiple large language models improves diagnostic accuracy.
Citation Text:
Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502.
Copy Citation
Format:
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Feeding Tubes
Feeding Tubes
Types of Devices
■ Nasogastric (NG) tube: non-weighted, polyurethane tube for use more than 10 days.
■ Gastrostomy tube: tube protrudes from anterior abdominal wall; most common initial
gastrostomy device.
■ Button/skin-level gastrostomy: …
-
psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - Study
Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.
Citation Text:
Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…
-
psnet.ahrq.gov/issue/what-does-safe-care-mean-context-community-based-mental-health-services-qualitative
December 07, 2022 - Study
What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England.
Citation Text:
Averill P, Bowness B, Henderson C, et al. What does ‘safe care’ mean in t…
-
digital.ahrq.gov/track-4-assessing-value-and-evaluating-project-impact
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
-
psnet.ahrq.gov/node/73852/psn-pdf
October 27, 2021 - Battle Buddies: rapid deployment of a psychological
resilience intervention for health care workers during the
COVID-19 pandemic
October 27, 2021
Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience
intervention for health care workers during the COVID-19 pandem…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
June 01, 2017 - Management Practices for Sustainability - Module 1: Overview
Slide 1: Management Practices for Sustainability Module 1: Overview
Slide 2: Ensuring Safety in Ambulatory Surgery
Surgery volume in ambulatory surgery centers (ASCs) has increased rapidly 1
The complexity of procedures continues to increa…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html
June 01, 2017 - Management Practices for Sustainability - Module 2: Daily Huddles
Slide 1: Management Practices for Sustainability Module 2: Daily Huddles
Management Practices for Sustainability
Module 2: Daily Huddles
Slide 2: A Frontline Management System To Promote Safety Standard Work
Image: This image shows th…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/quiz-key.html
March 01, 2017 - Catheter Care and Maintenance Quiz Key
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
1. During catheter care, gloves only need to be worn if you are emptying the urine drainage bag.
☐ True ☒ False
ANSWER: False. Gloves should always be worn when handling an indwelling urinary ca…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/catheter-care-quiz-key.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Catheter Care and Maintenance Quiz Key
1. During catheter care, gloves only need to be worn if you are emptying the urine drainage bag.
☐ True ☒ False
ANSWER: False. Gloves should always be worn when handling an indwelling urinary catheter, accessing the drainage syst…
-
psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Commentary
Emerging Classic
Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.
Citation Text:
Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…
-
psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
October 19, 2022 - Study
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.
Citation Text:
Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a mu…
-
psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis.
Citation Text:
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
April 13, 2022 - Commentary
From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect?
Citation Text:
De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…
-
psnet.ahrq.gov/issue/patient-safety-marginalised-groups-narrative-scoping-review
August 26, 2015 - Review
Patient safety in marginalised groups: a narrative scoping review
Citation Text:
Cheraghi-Sohi S, Panagioti M, Daker-White G, et al. Patient safety in marginalised groups: a narrative scoping review. Int J Equity Health. 2020;19(1):26. doi:10.1186/s12939-019-1103-2.
Copy Citatio…