-
psnet.ahrq.gov/issue/wisdom-medicine-what-helps-physicians-after-medical-error
April 09, 2013 - July 12, 2017
A piece of my mind. I'm sorry.
-
psnet.ahrq.gov/issue/factors-influencing-diagnostic-accuracy-among-intensive-care-unit-clinicians-observational
October 24, 2018 - April 12, 2023
A piece of my mind. Writing the wrong.
-
psnet.ahrq.gov/issue/assumptions-quality-medicine-role-uncertainty
October 31, 2014 - November 15, 2018
A piece of my mind. The art of constructive worrying.
-
psnet.ahrq.gov/issue/health-care-professionals-views-implementing-policy-open-disclosure-errors
September 29, 2017 - February 15, 2023
Mind the Implementation Gap.
-
psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
June 24, 2010 - December 18, 2017
Deep learning is a black box, but health care won't mind.
-
psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
November 21, 2018 - December 14, 2022
Piece of my mind. Stories doctors tell.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-ptI.pdf
January 01, 2024 - Keep in mind that a negative answer to a negatively worded item indicates a positive
response. … Keep in mind that DISAGREEING with a
negatively worded item indicates a POSITIVE response.
2024 … When comparing your data with the minimum and maximum scores, keep in mind that these
scores may represent … Keep in mind that statistically significant differences are not always important, and
nonsignificant
-
psnet.ahrq.gov/node/45922/psn-pdf
April 19, 2017 - Two sides to every story: the Dual Perspectives Method
for examining interruptions in healthcare.
April 19, 2017
McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for
examining interruptions in healthcare. Appl Ergon. 2017;58:102-109. doi:10.1016/j.apergo.2016.05.012.…
-
www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Identify Defects Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…
-
psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
February 26, 2025 - In Conversation With… Lorri Zipperer, MA
November 1, 2015
Citation Text:
In Conversation With… Lorri Zipperer, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
For…
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/impact-opioid-final.pdf
November 01, 2018 - Opioids AHRQ Works: Building Bridges Between Research and Practice
Opioids
Deaths from drug overdoses have risen steadily over the
past 2 decades. The misuse of opioids, such as
prescription pain medications and heroin, has become
widespread across the United States. In response to
dramatic increa…
-
www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Special Considerations for Measurement of Diagnostic Safety (continued)
Previous Page Next Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurem…
-
psnet.ahrq.gov/node/49832/psn-pdf
June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error
June 1, 2018
Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
The Case
A 33-year-old woman with recently diagnosed acute …
-
psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Electrocardiogram Results: ***READ ME***
Citation Text:
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
-
effectivehealthcare.ahrq.gov/products/ped-mindfulness/protocol
-
digital.ahrq.gov/ahrq-funded-projects/midcoast-maine-patient-safety-it-integration
January 01, 2023 - Midcoast Maine Patient Safety With IT Integration
Project Description
Project Details -
Completed
Grant Number
P20 HS015170
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants
…
-
digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/kentucky
January 01, 2023 - Kentucky
Team Description
Governor Ernie Fletcher designated the Cabinet for Health and Family Services (CHFS) as Kentucky's lead organization for the Health Information Security and Privacy Collaboration (HISPC) contract. Governor Fletcher directed CHFS to work collaboratively with the Ke…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/anxiety-children_research-protocol.pdf
September 12, 2016 - Anxiety in Children
Evidence-based Practice Center Systematic Review Protocol
Project Title: Anxiety in Children
I. Background and Objectives for the Systematic Review
Childhood anxiety disorders are very common, affecting one in eight children1. The
National Institute of Mental Health (NIMH) estimates a li…
-
psnet.ahrq.gov/node/44545/psn-pdf
December 20, 2017 - Work conditions, mental workload and patient care
quality: a multisource study in the emergency
department.
December 20, 2017
Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a
multisource study in the emergency department. BMJ Qual Saf. 2016;25(7):499-508. doi:10.113…
-
cds.ahrq.gov/sites/default/files/cds/artifact/136331/Opioid%20Patient%20Handout.pdf
July 18, 2023 - Microsoft PowerPoint - Updated Handouts - Read-Only
Gradually lowering your opioid use
Do not lower your dose without your health care
provider’s supervision.
Medication: _____________________________
Current dose: ____________________________
How will my health care provider lower the dose of my medication?
• …