-
psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters
October 05, 2011 - Book/Report
Foundations of Safety Science: a century of understanding accidents and disasters.
Citation Text:
Foundations of Safety Science: a century of understanding accidents and disasters. Dekker S. Taylor & Francis Group, Boca Raton, FL: CRC Press; 2019. ISBN: 978113848178…
-
effectivehealthcare.ahrq.gov/sites/default/files/module-i-ahrqs-vision-for-theory-and-principles-of-stakeholder-engagement.pdf
August 10, 2017 - Home | AHRQ Effective Health Care Program
Skip Navigation
U.S. Department of Health & Human Services
About Us
Careers
Contact Us
Español
FAQ
Email Updates
Search ahrq.gov
…
-
psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
July 12, 2023 - Newspaper/Magazine Article
Independent double checks: undervalued and misused.
Citation Text:
Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.
Copy Citation
Save
Save to your lib…
-
digital.ahrq.gov/care-setting/veteran-affairs-medical-center
January 01, 2023 - Veteran Affairs Medical Center
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US m…
-
psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
January 22, 2017 - Commentary
Falls prevention at Mayo Clinic Rochester: a path to quality care.
Citation Text:
Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44.
Copy Citation
Format:
Google Scholar PubMed BibTeX End…
-
psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
January 22, 2020 - Book/Report
Inadvertent Administration of an Oral Liquid Medicine into a Vein.
Citation Text:
Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
Copy Citation
Save
Save to your …
-
psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
September 05, 2012 - Book/Report
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration.
Citation Text:
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. Tuc…
-
psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
June 24, 2020 - Newspaper/Magazine Article
Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks.
Citation Text:
Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. O'Donnell J. USA Today. September 8, 2020
…
-
psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
May 25, 2022 - Book/Report
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults.
Citation Text:
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcar…
-
psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
July 15, 2015 - Book/Report
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic.
Citation Text:
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pan…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-adults-prisons_disposition-comments.pdf
August 21, 2013 - Disposition of Comments Report for Interventions for Adult Offenders With Serious Mental Illness
Comparative Effectiveness Research Review Disposition of Comments Report
Research Review Title: Interventions for Adult Offenders With Serious Mental Illness
Draft review available for public comment from Se…
-
www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
January 01, 2024 - Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care
Final Report
TIPI Systems to Reduce Errors in Emergency Cardiac Care
Principal Investigator: Harry P. Selker, MD, MSPH
Tufts-New England Medical Center, Boston, MA
Dates of Project: September 15, 2000, to August 31, 2004
Project Offi…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - Spotlight Case July 2008
Spotlight Case
Emergency Error
1
2
Source and Credits
This presentation is based on the June 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Nicholas Symons, MBChB, MSc, Imperial College London
Editor, AHRQ WebM&M: Robe…
-
digital.ahrq.gov/sites/default/files/docs/survey/engaging-diverse-patients-in-hit-use.pdf
January 01, 2004 - Engaging diverse patients in health information
technology use
University of California, San Francisco; San Francisco, California
This is a questionnaire designed to be completed by individuals with chronic care needs in
patient homes. The tool includes questions to assess the current state of patient portals,…
-
www.ahrq.gov/sites/default/files/2024-10/li-chang-report.pdf
January 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…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
How To Integrate a CUSP Approach
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
How to Integrate a CUSP Approach
SAY:
Welcome to this presentation about the Comprehensive Unit-based Safety Program, or CUSP. This presentation discusses how to integrate a CUSP…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Spotlight Case July 2008
Spotlight Case
Adolescent Diabetes:
A Routine Visit?
Source and Credits
This presentation is based on the February 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - PowerPoint Presentation
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 7: Resolution
Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process.
1
Objectives
Define the CANDOR Resolution component and its importance in the CANDOR process.
List the steps of the resolution pr…
-
psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - Preventing Complications during Aneurysm Clipping –
the Role of Neuromonitoring.
October 28, 2020
DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Monitoring for Perinatal Safety:
Electronic Fetal Monitoring
AHRQ Publication No. 17-0003-18-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Elect…