-
psnet.ahrq.gov/node/42871/psn-pdf
September 13, 2016 - Diagnosis.
September 13, 2016
Graber ML, Plebani M, eds. Berlin, Germany: Society to Improve Diagnosis in Medicine and DeGruyter.
ISSN: 2194-802X.
https://psnet.ahrq.gov/issue/diagnosis
This journal offers multidisciplinary research and commentary covering such topics as diagnostic error,
clinical reasoning, and …
-
psnet.ahrq.gov/node/39343/psn-pdf
March 03, 2010 - Maalox Total Relief and Maalox Liquid Products:
Medication Use Errors.
March 3, 2010
MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.
https://psnet.ahrq.gov/issue/maalox-total-relief-and-maalox-liquid-products-medication-use-errors
This announcement alerts consumers and hea…
-
psnet.ahrq.gov/node/40815/psn-pdf
September 28, 2011 - Program encourages reporting accidents waiting to
happen: the Good Catch Awards.
September 28, 2011
Minnesota Hospital Association.
https://psnet.ahrq.gov/issue/program-encourages-reporting-accidents-waiting-happen-good-catch-awards
This news article highlights a program at Johns Hopkins Medicine that engages clin…
-
psnet.ahrq.gov/node/37435/psn-pdf
December 18, 2017 - Patient safety in the pediatric emergency care setting.
December 18, 2017
Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric
emergency care setting. Pediatrics. 2007;120(6):1367-1375.
https://psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting
This polic…
-
psnet.ahrq.gov/node/42148/psn-pdf
March 27, 2013 - Healing the hospital hierarchy.
March 27, 2013
Brown T. New York Times. March 17, 2013:SR5.
https://psnet.ahrq.gov/issue/healing-hospital-hierarchy
This newspaper article relates a nursing perspective on how authority gradients and disruptive behavior
can influence health care delivery and patient safety.
https:/…
-
psnet.ahrq.gov/node/37766/psn-pdf
October 22, 2013 - Diagnostic Error: Is Overconfidence the Problem.
October 22, 2013
Graber ML, Berner ES, eds. Amer J Med. 2008;121(5 Suppl):S1-S46.
https://psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
This issue supplement focuses on diagnostic errors and diagnostic decision making, how physician
over…
-
www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant
Final Report
Re-engineering the Hospital Discharge for Patient Safety
Safe Practices Implementation Challenge Grant
Dates of Project: 09/30/03-09/29/04
Federal Project Officer: Deborah Que…
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/SUHq3jffCaucDobFXKewQ_
February 01, 2013 - Behavioral Interventions and Counseling to Prevent Child Abuse and Neglect: A Systematic Review to Update the USPSTF Recommendation
Behavioral Interventions and Counseling to Prevent Child Abuse and
Neglect: A Systematic Review to Update the U.S. Preventive Services
Task Force Recommendation
Shelley S. Selph, MD; Chr…
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/6L2obA88s86MoZDbWtMPTU
December 01, 2011 - Vitamin D With or Without Calcium Supplementation for Prevention of Cancer and Fractures: An Updated Meta-analysis for the U.S. Preventive Services Task Force
Vitamin D With or Without Calcium Supplementation for Prevention
of Cancer and Fractures: An Updated Meta-analysis for the
U.S. Preventive Services Task Force
…
-
effectivehealthcare.ahrq.gov/health-topics/opioid-abuse-and-addiction
-
psnet.ahrq.gov/node/35967/psn-pdf
January 02, 2017 - Physician perception of hospital safety and barriers to
incident reporting.
January 2, 2017
Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt
Comm J Qual Patient Saf. 2006;32(6):337-43.
https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-ba…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-pcip-staff-ny.html
March 01, 2021 - EvidenceNOW: Interview Protocol - Practice Staff (PCIP)
New York City Cooperative
Resource: Staff (PCIP) Qualitative Interview Guide (PDF, 114.8 KB, 3 pages)
This interview protocol was used by an EvidenceNOW Cooperative to interview staff from participating practices. Domains include: external context/e…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-staff-ny.html
March 01, 2021 - EvidenceNOW: Interview Protocol - Practice Staff (CHCANYS)
New York City Cooperative
Resource: Staff (CHCANYS) Qualitative Interview Guide (PDF, 127.6 KB, 5 pages)
This interview protocol was used by an EvidenceNOW Cooperative's staff to interview staff from participating practices. Domains include: exte…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-qi-ny.html
March 01, 2021 - EvidenceNOW: Interview Protocol - QI Lead
New York City Cooperative
Resource: Provider/Quality Improvement Team Lead (CHCANYS) Qualitative Interview Guide (PDF, 142.6 KB, 4 pages)
This interview protocol was used by an EvidenceNOW Cooperative's staff to interview participating practices’ quality improvem…
-
psnet.ahrq.gov/node/38233/psn-pdf
March 03, 2010 - The Science of Simulation in Healthcare: Defining and
Developing Clinical Expertise.
March 3, 2010
Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.
https://psnet.ahrq.gov/issue/science-simulation-healthcare-defining-and-developing-clinical-expertise
This special issue highlights an AHRQ-funded sympo…
-
psnet.ahrq.gov/node/40086/psn-pdf
December 15, 2010 - The Safe Use Initiative and Health Literacy: Workshop
Summary.
December 15, 2010
Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies
Press; 2010. ISBN-10: 0309159318.
https://psnet.ahrq.gov/issue/safe-use-initiative-and-health-literacy-workshop-summary
This publica…
-
psnet.ahrq.gov/node/42072/psn-pdf
August 03, 2016 - Innovation in Perioperative Patient Safety.
August 3, 2016
Miller DR, Merry AF, eds. Can J Anesth. 2013;60(2):7-220.
https://psnet.ahrq.gov/issue/innovation-perioperative-patient-safety
Articles in this special issue discuss strategies to improve safety in anesthesia, including simulation
training, perioperative c…
-
psnet.ahrq.gov/node/34598/psn-pdf
November 15, 2011 - Complexity and the Adoption of Innovation in Health
Care.
November 15, 2011
Plsek P. Washington DC: National Institute for Health Care Management Foundation and National
Committee for Quality Health Care; 2003.
https://psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
In discussing the complexit…
-
psnet.ahrq.gov/node/36216/psn-pdf
August 03, 2012 - Hospital Medication Errors Commonplace.
August 3, 2012
Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006.
https://psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine
(IOM) report Prev…
-
psnet.ahrq.gov/node/42756/psn-pdf
November 20, 2013 - Removing the "me" from "MD."
November 20, 2013
Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722.
https://psnet.ahrq.gov/issue/removing-me-md
Recounting what one medical student learned by shadowing a nurse, this commentary emphasizes the
importance of interprofessional commu…