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psnet.ahrq.gov/node/37712/psn-pdf
March 02, 2010 - Patient Safety Papers 3.
March 2, 2010
Baker GR, ed. Healthc Q. 2008;11:1-144.
https://psnet.ahrq.gov/issue/patient-safety-papers-3
This collection of articles shares best practices implemented in Canada to improve patient
safety through disclosure processes, teamwork development, medication safety measures…
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www.ahrq.gov/nursing-home/resources/long-term-care-facilities.html
April 01, 2022 - Long-Term Care Facilities in the Context of COVID-19
Resource: Long-Term Care Facilities in the Context of COVID-19
This infection prevention and control course for long-term care facilities consists of four training modules that address infection prevention and control measures to support long-term care f…
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psnet.ahrq.gov/node/37445/psn-pdf
May 20, 2015 - Final five: ASCs told to target patient safety.
May 20, 2015
Rollins G. Final five: ASCs told to target patient safety. Hospitals & health networks. 2007;81(12):53-4, 56,
1.
https://psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
This article discusses a National Quality Forum initiative endorsing …
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psnet.ahrq.gov/node/38985/psn-pdf
September 30, 2009 - Nurses' role in detecting deterioration in ward patients:
systematic literature review.
September 30, 2009
Odell M; Victor C; Oliver D.
https://psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
This systematic review indicates that nurses use their clinical judgmen…
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psnet.ahrq.gov/node/36139/psn-pdf
September 29, 2010 - Trends influencing the cost of care and patient safety.
September 29, 2010
Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can
improve clinical and economic performance. Health management technology. 2006;27(7):18, 20-1.
https://psnet.ahrq.gov/issue/trends-influenc…
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www.ahrq.gov/evidencenow/heart-health/aspirin/treatment.html
August 01, 2018 - Aspirin for Secondary Prevention of ASCVD: Guideline
Resource title: Aspirin Treatment for Secondary and Primary Prevention of ASCVD
Resource description: This presentation explains heart disease and the use of aspirin for primary and secondary prevention of heart disease. It also contains information on t…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
March 01, 2020 - analysis, which
provided a foundation
for effective workflow
redesign, change
management, and
measurement
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 12. Infusion Pumps
Infusion Pumps 12-1
12. Infusion Pumps
Authors: Lynn Hoffman, M.A., M.P.H., and Olivia Bacon
Introduction
In this chapter, we discuss two system-level patient safety practices that aim to reduce medication
errors associated with infusion pumps, including sma…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - Use measurement and management's attention to keep the organization focused on the goals of QI efforts
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digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/citation/time-motion
January 01, 2023 - A time-motion study of registered nurses' workflow in intensive care unit remote monitoring.
Citation
Tang Z, Mazabob L, Weavind E, et al. A time-motion study of registered nurses' workflow in intensive care unit remote monitoring. AMIA Annu Symp Proc 2006:759-63. PMID: 17238443.
Link
https://…
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digital.ahrq.gov/ahrq-funded-projects/crossing-quality-assessment-chasm-aligning-measured-and-true-quality-care-3
January 01, 2023 - Physician influences on patient care: random vs fixed effects.
Citation
Field S, Weiner M, Long J. Physician influences on patient care: random vs fixed effects. Arch Intern Med 2009 Jan 26;169(2):202-3; author reply 204.
Link
Field S, Weiner M, Long J. Physician influences on patient care: ra…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-slides-ny.html
March 01, 2021 - EvidenceNOW: Recruitment Slides
New York City Cooperative
Resource: HealthyHearts NYC: Primary Care Partnerships Advancing Heart Health (PDF, 644 KB, 20 pages)
This document provides an example of an EvidenceNOW Cooperative's recruitment slides that include a project summary, project goals and measures, e…
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psnet.ahrq.gov/node/42143/psn-pdf
October 07, 2015 - Re-Engineered Discharge (RED) Toolkit.
October 7, 2015
Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare
Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084.
https://psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
This toolkit provides infor…
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psnet.ahrq.gov/node/40111/psn-pdf
December 14, 2012 - Disruptive behavior affects hospital financial health.
December 14, 2012
Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital.
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk
Management. 2010;30(2):20-6. doi:10.1002/jhrm.20…
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psnet.ahrq.gov/node/42260/psn-pdf
August 13, 2013 - Toward the modelling of safety violations in healthcare
systems.
August 13, 2013
Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf.
2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604.
https://psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
This comm…
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psnet.ahrq.gov/node/36938/psn-pdf
June 30, 2011 - The cost of pneumonia after acute stroke.
June 30, 2011
Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology.
2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45.
https://psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
Neglecting measures to prevent pneumonia after str…
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psnet.ahrq.gov/node/40870/psn-pdf
October 19, 2011 - The Richard and Hinda Rosenthal Lecture 2011: New
Frontiers in Patient Safety.
October 19, 2011
Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030.
https://psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
This lecture features Ka…
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psnet.ahrq.gov/node/42737/psn-pdf
November 20, 2019 - HANYS' Report on Report Cards.
November 20, 2019
Rensselaer, NY: Healthcare Association of New York State; November 2019.
https://psnet.ahrq.gov/issue/hanys-report-report-cards
This publication assessed 12 widely disseminated hospital report cards by criteria including transparency of
methodology, evidence-based m…
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psnet.ahrq.gov/node/38338/psn-pdf
January 14, 2009 - Implementation of patient safety rounds in a children's
hospital.
January 14, 2009
Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs
Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41.
https://psnet.ahrq.gov/issue/implementation-patient-safety-…
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psnet.ahrq.gov/node/38382/psn-pdf
September 26, 2016 - Interruptions and blood transfusion checks: lessons from
the simulated operating room.
September 26, 2016
Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the
simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0b013e31818e841a.
https://psne…