-
psnet.ahrq.gov/node/45968/psn-pdf
October 24, 2024 - State of Care.
October 24, 2024
Newcastle Upon Tyne, UK: Care Quality Commission; October 2024.
https://psnet.ahrq.gov/issue/state-care
This website provides access to an annual report that summarizes National Health Service hospital and
social care performance across a range of care quality metrics at both the tr…
-
psnet.ahrq.gov/node/853445/psn-pdf
December 15, 2022 - Jake Tapper shares harrowing story of daughter's near-
fatal misdiagnosis.
December 15, 2022
CNN. December 15, 2022.
https://psnet.ahrq.gov/issue/jake-tapper-shares-harrowing-story-daughters-near-fatal-misdiagnosis
Diagnostic errors are a recognized cause of preventable patient harm. This video highlights a teen’…
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapf.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Appendix F. Team Checkup Tools
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outcomes
Adul…
-
psnet.ahrq.gov/node/60538/psn-pdf
May 27, 2020 - Diagnostic Safety Toolkit.
May 27, 2020
Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital
Association. May 2020.
https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit
Effective communication is an important component of diagnostic accuracy. Shaped with data co…
-
psnet.ahrq.gov/node/43734/psn-pdf
January 21, 2015 - Explicit and Standardized Prescription Medicine
Instructions.
January 21, 2015
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions
Standardization has been embraced as a strategy to improve health litera…
-
psnet.ahrq.gov/node/38635/psn-pdf
May 13, 2009 - Consensus-based recommendations for standardizing
terminology and reporting adverse events for emergency
department procedural sedation and analgesia in
children.
May 13, 2009
Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing
Terminology and Reporting Adverse Events for Emer…
-
psnet.ahrq.gov/node/48152/psn-pdf
July 17, 2019 - Safety incident reports associated with blood
transfusions.
July 17, 2019
Vossoughi S, Perez G, Whitaker BI, et al. Safety incident reports associated with blood transfusions.
Transfusion (Paris). 2019;59(9):2827-2832. doi:10.1111/trf.15429.
https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-tra…
-
psnet.ahrq.gov/node/42702/psn-pdf
January 09, 2014 - Developing a quality and safety curriculum for fellows:
lessons learned from a neonatology fellowship program.
January 9, 2014
Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned
from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…
-
psnet.ahrq.gov/node/40808/psn-pdf
January 12, 2012 - Prevalence of polypharmacy exposure among
hospitalized children in the United States.
January 12, 2012
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in
the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/archpediatrics.2011.161.
https://p…
-
psnet.ahrq.gov/node/50807/psn-pdf
January 15, 2020 - Artificial intelligence is rushing into patient care - and
could raise risks.
January 15, 2020
Szabo L. Scientific American and Kaiser Health News. December 24, 2019.
https://psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
Artificial intelligence (AI) has the potential to im…
-
psnet.ahrq.gov/node/38129/psn-pdf
January 02, 2017 - The Daily Goals Communication Sheet: a simple and
novel tool for improved communication and care.
January 2, 2017
Schwartz JM, Nelson KL, Saliski M, et al. The daily goals communication sheet: a simple and novel tool for
improved communication and care. Jt Comm J Qual Patient Saf. 2008;34(10):608-13, 561.
https://…
-
psnet.ahrq.gov/node/38503/psn-pdf
June 16, 2009 - Antimicrobial prescription errors in hospitalized children:
role of antimicrobial stewardship program in detection
and intervention.
June 16, 2009
Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of
antimicrobial stewardship program in detection and interventi…
-
psnet.ahrq.gov/node/73886/psn-pdf
September 29, 2021 - When less is more: the role of overdiagnosis and
overtreatment in patient safety.
September 29, 2021
Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv
Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013.
https://psnet.ahrq.gov/issue/when-less-more-role-overdi…
-
psnet.ahrq.gov/node/47821/psn-pdf
May 22, 2019 - Patient Safety.
May 22, 2019
National Pharmacy Association; NPA.
https://psnet.ahrq.gov/issue/patient-safety-15
This website for independent community pharmacy owners across the United Kingdom features both free
and members-only guidance, reporting platforms, and document templates to support patient safety. It
i…
-
psnet.ahrq.gov/node/866531/psn-pdf
August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of
Patients.
August 14, 2024
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
Artificial intelligence (AI) is rapidly …
-
psnet.ahrq.gov/node/42631/psn-pdf
November 08, 2013 - "That was a close call": endorsing a broad definition of
near misses in health care.
November 8, 2013
Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in
health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479.
https://psnet.ahrq.gov/issue/was-close-call…
-
psnet.ahrq.gov/node/839328/psn-pdf
November 02, 2022 - Quality and Safety.
November 2, 2022
Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272.
https://psnet.ahrq.gov/issue/quality-and-safety-1
Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to
lower-income countries around the world support safe pedia…
-
psnet.ahrq.gov/node/46863/psn-pdf
December 05, 2024 - Safer Together Annual Report.
December 5, 2024
Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
https://psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
This annual publication provides common cause analyses of incidents submitted to a pediatric patient
…
-
digital.ahrq.gov/ahrq-funded-projects/inform-shared-decision-making-advanced-bayesian-causal-inference-improve/citation/application
January 01, 2023 - An application programming interface implementing Bayesian approaches for evaluating effect of time-varying treatment with R and Python.
Citation
Chen C, Huang B, Kouril M, Liu J, Kim H, Sivaganisan S, Welge JA and DelBello MP (2023) An application programming interface implementing Bayesian approache…
-
psnet.ahrq.gov/node/74145/psn-pdf
January 01, 2022 - Diagnostic Excellence in the ICU: Thinking Critically and
Masterfully.
December 1, 2021
Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158.
https://psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully
Critical care diagnosis is complicated by factors such as stress, patient a…