-
psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
June 12, 2019 - Review
Leveraging the electronic health record to improve quality and safety in rheumatology.
Citation Text:
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …
-
psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
September 20, 2023 - Study
Perioperative patient safety: a multisite qualitative analysis.
Citation Text:
Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNot…
-
psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
March 20, 2013 - Study
Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols.
Citation Text:
Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…
-
psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency
November 12, 2014 - Organizational Policy/Guidelines
Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.
Citation Text:
Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recom…
-
www.ahrq.gov/news/newsroom/case-studies/202502.html
February 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS®
Search All Impact Case Studies
February 2025
Kaiser Permanente (KP) School of Anesthesia in Pasadena, California, uses AHRQ’s Surveys on Patient Safety Culture (SOPS®) to improve ambulatory care and expand d…
-
psnet.ahrq.gov/issue/impact-adverse-events-prescribing-warfarin-patients-atrial-fibrillation-matched-pair-analysis
August 15, 2018 - Study
Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis.
Citation Text:
Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. B…
-
www.ahrq.gov/news/blog/ahrqviews/burnout-in-primary-care-guide.html
April 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
New Guide Offers Strategies To Reduce Clinician Burdens
APR
24
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
In recent years, primary care physicians have struggled with burnout brought on …
-
psnet.ahrq.gov/issue/health-care-associated-invasive-mrsa-infections-2005-2008
February 17, 2011 - Study
Health care-associated invasive MRSA infections, 2005-2008.
Citation Text:
Kallen AJ, Mu Y, Bulens S, et al. Health care-associated invasive MRSA infections, 2005-2008. JAMA. 2010;304(6):641-8. doi:10.1001/jama.2010.1115.
Copy Citation
Format:
DOI Google Scholar PubMe…
-
psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
October 28, 2020 - Commentary
Why patients need leaders: introducing a ward safety checklist.
Citation Text:
Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/acute-care-patients-discuss-patient-role-patient-safety
October 12, 2011 - Study
Acute care patients discuss the patient role in patient safety.
Citation Text:
Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31.
Copy Citation
Format:…
-
psnet.ahrq.gov/issue/implementation-safety-huddle
November 03, 2021 - Commentary
Implementation of the safety huddle.
Citation Text:
Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-82.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
-
psnet.ahrq.gov/issue/patient-safety-adoption-framework-practical-framework-bridge-know-do-gap
May 26, 2021 - Commentary
The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap.
Citation Text:
The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Moyal-Smith R, Margo J, Maloney FL, et al. J Patient Saf. 2023;19(4):243-248.
Copy…
-
psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
August 02, 2015 - Commentary
Cutting-edge efforts in surgical patient safety.
Citation Text:
Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNot…
-
psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
October 02, 2019 - Commentary
State sepsis mandates—a new era for regulation of hospital quality.
Citation Text:
Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928.
Copy Citation
Format:
DOI…
-
psnet.ahrq.gov/issue/chemotherapy-patients-perceptions-drug-administration-safety
April 14, 2010 - Study
Chemotherapy patients' perceptions of drug administration safety.
Citation Text:
Schwappach DLB, Wernli M. Chemotherapy patients' perceptions of drug administration safety. J Clin Oncol. 2010;28(17):2896-901. doi:10.1200/JCO.2009.27.6626.
Copy Citation
Format:
DOI G…
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/FL25LOINCMaintenance.pdf
September 22, 2010 - LOINC Maintenance
LOINC® Maintenance
Checklist of Database changes / When to Re-Evaluate LOINC® mapping
Share this checklist with the site staff holding security privileges to make LIS database
changes. This particular staff doesn’t necessarily need to know how to map to LOINC®,
but is now informed to route t…
-
psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
September 24, 2018 - Commentary
Safety analysis over time: seven major changes to adverse event investigation.
Citation Text:
Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…
-
psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
May 22, 2015 - Commentary
Creating an oversight infrastructure for electronic health record–related patient safety hazards.
Citation Text:
Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …
-
psnet.ahrq.gov/issue/electronic-health-record-programs-participation-has-increased-action-needed-achieve-goals
September 07, 2016 - Book/Report
Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care.
Citation Text:
Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quali…
-
www.ahrq.gov/es/programs/index.html?page=2
Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …