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9121. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
      January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Facility Action Plan Template The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…

9122. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. | PSNet
      psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
      February 03, 2021 - Study Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. Citation Text: Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in…

9123. Variation in electronic test results management and its implications for patient safety: a multisite investigation. | PSNet
      psnet.ahrq.gov/issue/variation-electronic-test-results-management-and-its-implications-patient-safety-multisite
      June 02, 2021 - Study Variation in electronic test results management and its implications for patient safety: a multisite investigation. Citation Text: Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J A…

9124. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet
      psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
      August 25, 2021 - Study Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…

9125. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet
      psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
      October 21, 2020 - Study Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. Citation Text: Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…

9126. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. | PSNet
      psnet.ahrq.gov/issue/recommendations-safety-hospitalised-patients-context-covid-19-pandemic-scoping-review
      April 14, 2021 - Review Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. Citation Text: Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic…

9127. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. | PSNet
      psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention
      June 16, 2011 - Study Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-3…

9128. Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). | PSNet
      psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
      September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…

9129. Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. | PSNet
      psnet.ahrq.gov/issue/changes-weekend-and-weekday-care-quality-emergency-medical-admissions-20-hospitals-england
      August 20, 2018 - Study Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. Citation Text: Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency…

9130. Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
      May 18, 2022 - Review Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. Citation Text: Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…

9131. Implementation of electronic triggers to identify diagnostic errors in emergency departments. | PSNet
      psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
      September 25, 2024 - Study Implementation of electronic triggers to identify diagnostic errors in emergency departments. Citation Text: Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…

9132. Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
      January 01, 2023 - Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Optimizing Patient Safety Using Digital Healthcare Solutions Patient photos displayed in the electronic health record significantly red…

9133. Psychological safety and infection prevention practices: results from a national survey. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-and-infection-prevention-practices-results-national-survey
      September 27, 2023 - Study Psychological safety and infection prevention practices: results from a national survey. Citation Text: Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic…

9134. Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. | PSNet
      psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
      April 12, 2017 - Study Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. Citation Text: Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …

9135. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. | PSNet
      psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
      September 01, 2021 - Review Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. Citation Text: Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…

9136. "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. | PSNet
      psnet.ahrq.gov/issue/change-what-can-actually-make-tough-times-better-patient-centred-patient-safety-intervention
      September 24, 2017 - Study "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. Citation Text: Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A patient-c…

9137. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
      March 01, 2013 - Re-Engineered Discharge (RED) Toolkit How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation a…

9138. The Anesthesiology Control Tower: Like Air Traffic Control for Operating Rooms | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/anesthesiology-control-tower-air-traffic-control-operating-rooms
      January 01, 2020 - The Anesthesiology Control Tower: Like Air Traffic Control for Operating Rooms Using algorithms for real-time monitoring during surgery can predict and prevent adverse outcomes, leading to better outcomes for patients. Principal Investigator: Avidan, Michael Organization: Washington University…

9139. Implementer | Digital Healthcare Research
      digital.ahrq.gov/population/implementer
      August 01, 2024 - Implementer Clinical Decision Support for Chronic Pain Management - Final Report Citation Clinical Decision Support for Chronic Pain Management. Prepared under Contract No. 75P00119F37003. AHRQ Publication No.24-0074. Rockville, MD: Agency for Healthcare Research and Quality; …

9140. Patient-Reported Outcomes | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/patient-reported-outcomes
      January 01, 2023 - Patient-Reported Outcomes Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect Description This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work explores the potential of…