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4361. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
      June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real. Did you know... Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissi…

4362. Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. | PSNet
      psnet.ahrq.gov/issue/feasibility-first-developing-public-performance-indicators-patient-safety-and-clinical
      February 27, 2014 - Study Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Citation Text: Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectivenes…

4363. 037-Ss-Bed-Bathing-Chg-Cloths-Protocol (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Pre-Op Surgical Decolonization Protocol for Staff: Bathing With 2 Percent Chlorhexidine No-Rinse Cloths Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries The following protocol details the process for performing skin decol…

4364. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
      June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real. Did you know... Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissi…

4365. Strategy 3: Nurse Bedside Shift Report (Tool 1) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
      June 02, 2025 - Strategy 3: Nurse Bedside Shift Report (Tool 1) Nurse Bedside Shift Report What is it? How can you get involved? Being a partner in your care helps you get the best care possible in the hospital. Taking part in nurse bedside shift report is one way you can be a partner. This brochure explains …

4366. Urinary Tract Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
      September 01, 2022 - Urinary Tract Infections Urinary Tract Infections Diagnosis • First, ask about symptoms o Acute cystitis: dysuria, frequency, urgency, suprapubic pain o Pyelonephritis: fever, flank pain o Sending a urine culture in the absence of symptoms is indicated …

4367. Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
      March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident’s chart for a suspected catheter-associated urinary tract infection (CAUTI). The form combines the resident’s health asses…

4368. 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. | PSNet
      psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
      May 19, 2021 - Commentary 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. Citation Text: Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…

4369. controlling high blood pressure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/blood-pressure-flowchart.pdf
      June 02, 2025 - controlling high blood pressure Controlling High Blood Pressure Was the patient aged 18 years or older on the first day of the measurement period? Yes Was the patient aged 85 years or younger on the last day of the measurement period? Yes No Did the patient have at least one face to face visit with an e…

4370. Suppl-Access Items Cg-Cahps-Child-Survey 2358-1A (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl-access_items_cg-cahps-child-survey_2358-1a.docx
      June 02, 2025 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Access Population Version: Child Supplemental Access Items for the CAHPS® Clinician & Group Survey 3.0 Population Version: Child Language: English Users of the CAHPS® Clinician & Group Survey are free to incorporate supplemental items in order to meet the n…

4371. St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201709.html
      June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety Search All Impact Case Studies June 2017 St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…

4372. Medication errors resulting from computer entry by nonprescribers.   | PSNet
      psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
      January 02, 2017 - Study Medication errors resulting from computer entry by nonprescribers.   Citation Text: Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208. Copy Citation …

4373. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet
      psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
      April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. …

4374. Communicating with patients about medical errors: a review of the literature. | PSNet
      psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
      December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…

4375. Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet
      psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
      December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. Citation Text: Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…

4376. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet
      psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
      June 11, 2010 - Study Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. Citation Text: O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…

4377. Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
      March 27, 2024 - Study Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. Citation Text: Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…

4378. Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
      January 01, 2019 - Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments The research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors, improve decision making, and improve continuity of care for poisonings, including drug ove…

4379. Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
      September 01, 2024 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Project Description Using a mixed method approach including machine learning (ML) to improve early detection of venous thromboembolism (VT…

4380. Crossing the Global Quality Chasm: Improving Health Care Worldwide. | PSNet
      psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
      June 15, 2011 - Book/Report Classic Crossing the Global Quality Chasm: Improving Health Care Worldwide. Citation Text: Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…