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6521. A Systems Engineering Approach: Improving Medication Safety with Clinician Use of Health IT | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health
      January 01, 2023 - A Systems Engineering Approach: Improving Medication Safety with Clinician Use of Health IT Project Final Report ( PDF , 724.69 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 ne…

6522. Improving Diagnosis in Health Care: From Concept to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/bindman-summit2016.pdf
      May 01, 2016 - Improving Diagnosis in Health Care: From Concept to Action Improving Diagnosis in Health Care: From Concept to Action Andy Bindman, M.D. Director Agency for Healthcare Research and Quality My Story • Became Director May 2016 • Primary care physician • Academic medicine background ► San Francisco General Hospit…

6523. Tip 1. In a Quality Report, Write Text That’s Easy To Understand | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/resources/writing/tip1.html
      May 01, 2015 - Tip 1. In a Quality Report, Write Text That’s Easy To Understand The ability of a reader to understand the information in a performance report depends upon many factors, including: The simplicity of words and sentence structure. The clarity and cohesiveness of explanatory text. The reader’s background…

6524. Cholesterol Management Evidence and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
      March 01, 2021 - Cholesterol Management Evidence and Resources People with elevated levels of cholesterol are at increased risk of having a heart attack or stroke. Substantial evidence shows that taking a statin medication each day to manage blood cholesterol can reduce the chance of having a heart attack for people at increase…

6525. Patient-Centered Informatics System to Enhance Health Care in Rural Communities - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patient-centered-informatics-system-enhance-health-care-rural-communities/annual-summary/2011
      January 01, 2011 - Patient-Centered Informatics System to Enhance Health Care in Rural Communities - 2011 Project Name Patient-Centered Informatics System to Enhance Health Care in Rural Communities Principal Investigator Samore, Matthew Organization University of Utah Funding Mechanism…

6526. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim4.html
      July 01, 2013 - Eliminating CAUTI: Interim Data Report Results Previous Page Next Page Table of Contents Eliminating CAUTI: Interim Data Report Executive Summary Introduction and Objectives Methods Results Outcome and Process Measures Culture Measures Conclusions Types of Hospitals Rep…

6527. Liquid medication dosing errors in children: role of provider counseling strategies. | PSNet
      psnet.ahrq.gov/issue/liquid-medication-dosing-errors-children-role-provider-counseling-strategies
      August 14, 2014 - Study Liquid medication dosing errors in children: role of provider counseling strategies. Citation Text: Yin S, Dreyer BP, Moreira HA, et al. Liquid medication dosing errors in children: role of provider counseling strategies. Acad Pediatr. 2014;14(3):262-70. doi:10.1016/j.acap.2014.01.…

6528. What is the NHS Safety Thermometer? | PSNet
      psnet.ahrq.gov/issue/what-nhs-safety-thermometer
      November 02, 2016 - Commentary What is the NHS Safety Thermometer? Citation Text: Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6529. Headline-grabbing study brings attention back to medical errors. | PSNet
      psnet.ahrq.gov/issue/headline-grabbing-study-brings-attention-back-medical-errors
      August 16, 2017 - Journal Article Headline-grabbing study brings attention back to medical errors. Citation Text: Abbasi J. Headline-Grabbing Study Brings Attention Back to Medical Errors. JAMA. 2016;316(7):698-700. doi:10.1001/jama.2016.8073. Copy Citation Format: DOI Google Scholar PubMed …

6530. Progress in patient safety: a glass fuller than it seems. | PSNet
      psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems
      March 13, 2013 - Commentary Progress in patient safety: a glass fuller than it seems. Citation Text: Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-9. doi:10.1177/1062860613495554. Copy Citation Format: DOI Google Scholar Pu…

6531. The role of patient safety culture in the causation of unintended events in hospitals. | PSNet
      psnet.ahrq.gov/issue/role-patient-safety-culture-causation-unintended-events-hospitals
      October 14, 2009 - Study The role of patient safety culture in the causation of unintended events in hospitals. Citation Text: Smits M, Wagner C, Spreeuwenberg P, et al. The role of patient safety culture in the causation of unintended events in hospitals. J Clin Nurs. 2012;21(23-24):3392-401. doi:10.1111…

6532. Human factors engineering in healthcare systems: the problem of human error and accident management. | PSNet
      psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
      June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…

6533. Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. | PSNet
      psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
      March 19, 2014 - Study Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. Citation Text: Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…

6534. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. | PSNet
      psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
      September 17, 2010 - Study Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Citation Text: Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-orie…

6535. Routinely recorded patient safety events in primary care: a literature review. | PSNet
      psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
      April 18, 2012 - Review Routinely recorded patient safety events in primary care: a literature review. Citation Text: Tsang C, Majeed A, Aylin PP. Routinely recorded patient safety events in primary care: a literature review. Fam Pract. 2012;29(1):8-15. doi:10.1093/fampra/cmr050. Copy Citation Fo…

6536. Review of the Australian Incident Monitoring System. | PSNet
      psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
      July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

6537. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. | PSNet
      psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
      May 18, 2022 - Study Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Citation Text: Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…

6538. Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). | PSNet
      psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application
      January 03, 2017 - Study Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, valid…

6539. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. | PSNet
      psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
      August 04, 2021 - Commentary Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Citation Text: Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227. Copy …

6540. Events that inspired change: the importance of sharing what happened to stop it from happening again. | PSNet
      psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
      August 07, 2024 - Commentary Events that inspired change: the importance of sharing what happened to stop it from happening again. Citation Text: Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.339…