-
psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
September 07, 2011 - Review
Review of computerized physician handoff tools for improving the quality of patient care.
Citation Text:
Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988.
C…
-
psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and
July 06, 2022 - Study
Emerging Classic
Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists.
Citation Text:
Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted…
-
psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
May 04, 2012 - Study
Relationship between patient safety and hospital surgical volume.
Citation Text:
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
Copy Citati…
-
psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
November 29, 2023 - Book/Report
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia.
Citation Text:
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …
-
psnet.ahrq.gov/issue/pediatric-adhd-medication-exposures-reported-us-poison-control-centers
November 28, 2018 - Study
Pediatric ADHD medication exposures reported to US poison control centers.
Citation Text:
King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872.
Copy Citation
For…
-
digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q3_Welcome_Letter.ENG.pdf
April 09, 2009 - Welcome Letter
Date:
Dear (Mr. / Ms.) _________,
WELCOME to the San Francisco Health Plan Diabetes Telephone Support Project!
We are very excited that you will be participating.
In this letter you will find important information about the Diabetes Project including
how to reach us. Participati…
-
psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes
November 25, 2020 - Study
Using radiofrequency technology to prevent retained sponges and improve patient outcomes.
Citation Text:
Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…
-
www.ahrq.gov/research/publications/search.html?page=10
March 01, 2016 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 101 - 110 of 192 Publications displayed
Find Publications by Keyword or To…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Foundations of Diagnosis Education
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To Im…
-
psnet.ahrq.gov/issue/why-do-acute-healthcare-staff-behave-unprofessionally-towards-each-other-and-how-can-these
July 24, 2024 - Review
Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review.
Citation Text:
Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these b…
-
psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
September 23, 2020 - Study
Emerging Classic
Evaluation of medication errors at the transition of care from an ICU to non-ICU location.
Citation Text:
Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…
-
psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
June 25, 2014 - Study
Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals.
Citation Text:
Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…
-
psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
September 16, 2020 - Commentary
Medical error—the third leading cause of death in the US.
Citation Text:
Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 X…
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-o.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix O. CAUTI Event Report Template
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Over…
-
psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
December 19, 2018 - Study
Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs.
Citation Text:
Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Progr…
-
psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
January 17, 2012 - Study
Classic
Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
Citation Text:
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…
-
psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
August 27, 2012 - Study
Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases.
Citation Text:
Tabuchi H, Ishitobi N, Deguchi H, et al. Large-scale observational study of AI-based patient and surgical material v…
-
www.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
May 01, 2023 - Tool: Handoff
A handoff is a standardized method for transferring information, along with authority and responsibility, during transitions in patient care. Handoffs include the transfer of knowledge and information about the degree of uncertainty (uncertainty about diagnoses, etc.), response to treatment, recen…
-
www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - Tool: STEP
STEP is a mnemonic tool that can help individuals monitor critical elements of a situation and the overall environment. It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the team hopes to wean off a ventilator as quickly as possible), for teams in lon…
-
psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
October 13, 2010 - Study
Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.
Citation Text:
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis …