-
digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
January 01, 2011 - Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011
Project Name
State and Regional Demonstration in Health Information Technology: Utah
…
-
psnet.ahrq.gov/issue/creating-framework-integrate-residency-program-and-medical-center-approaches-quality
November 11, 2020 - Commentary
Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training
Citation Text:
Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and medical center approaches to qu…
-
psnet.ahrq.gov/issue/effect-contact-precautions-frequency-hospital-adverse-events
September 30, 2015 - Study
The effect of contact precautions on frequency of hospital adverse events.
Citation Text:
Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192.
C…
-
psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19
May 08, 2019 - Commentary
Classic
Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers
Citation Text:
Rangachari P, L. Woods J. Preserving organizational re…
-
psnet.ahrq.gov/issue/patient-reported-receipt-medication-instructions-warfarin-associated-reduced-risk-serious
February 03, 2011 - Study
Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events.
Citation Text:
Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of…
-
psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-lessons-public-health
November 25, 2020 - Commentary
Hospital-acquired SARS-CoV-2 infection: lessons for public health.
Citation Text:
Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study
October 13, 2018 - Study
Adverse events after transition from ICU to hospital ward: a multicenter cohort study.
Citation Text:
Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.00000…
-
psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-evidence-based-tips
February 12, 2020 - Commentary
Managing teamwork in the face of pandemic: evidence-based tips.
Citation Text:
Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
February 12, 2020 - Commentary
Developing perioperative Covid-19 testing protocols to restore surgical services.
Citation Text:
Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - Review
Crying wolf, alarm safety and management in paediatrics: a scoping review.
Citation Text:
Cole R, Roderick G, Cheema O, et al. Crying wolf, alarm safety and management in paediatrics: a scoping review. J Adv Nurs. 2024;Epub Sep 25. doi:10.1111/jan.16398.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/impact-patient-safety-climate-infection-prevention-practices-and-healthcare-worker-and
February 13, 2019 - Study
Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.
Citation Text:
Hessels AJ, Guo J, Johnson CT, et al. Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. Am J In…
-
psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
June 12, 2019 - Study
Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.
Citation Text:
Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and…
-
psnet.ahrq.gov/issue/ask-me-explain-campaign-90-day-intervention-promote-patient-and-family-involvement-care
November 16, 2022 - Study
The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department.
Citation Text:
Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family In…
-
psnet.ahrq.gov/issue/emergency-department-trigger-tool-novel-approach-screening-quality-and-safety-events
August 24, 2022 - Study
The emergency department trigger tool: a novel approach to screening for quality and safety events.
Citation Text:
Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230…
-
www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-iv-roles-and-responsibilities-uspstf-members-serving-topic-lead
July 01, 2017 - staff solicits volunteers for the position of primary lead from among assigned topic leads during work plan … The leads' role on a topic begins once they have received a draft work plan on the topic. … A call is then scheduled to discuss the draft work plan. … the research plan as final. … Reviewing every comment received from the public on the draft research plan and bringing other leads
-
digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - chart reviews
• Trigger tool developed based on IHI
methodology
7
Medication Error Assessment Plan … meds
Many forms/doses/quantities
Adding doses to food/feeds
13
Medication Error Assessment Plan … Pediatrics: Special challenges
3-pronged approach to measuring events
Medication Error Assessment Plan … Medication Error Assessment Plan (cont'd.) … Observation
Medication Error Assessment Plan
Trigger Tool Chart Reviews
Medication Error Assessment
-
effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1312.pdf
December 01, 2013 - Overall high-impact potential: vending machine dispensers for emergency oral
contraceptive (Plan B … *Vending machine dispensers for emergency oral contraceptive
(Plan B One-Step) to prevent pregnancy … Plan B One-Step pricing. [internet]. Santa Monica
(CA): GoodRx, Inc. … Available: http://www.goodrx.com/plan-b-
one-step.
7. … Obama administration
drops its appeal of Plan B ruling, will widen
access to drug. [internet].
-
psnet.ahrq.gov/node/34692/psn-pdf
February 10, 2011 - The economic consequences of medical injuries:
implications for a no-fault insurance plan. … Implications for a no-fault insurance plan. JAMA. 1992;267(18):2487-92. … https://psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan … https://psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
-
hcup-us.ahrq.gov/reports/race/annotatedslidesforR_E_report2.jsp
May 01, 2016 - Office of Minority Health: National Partnership for Action to End Health Disparities' National Plan … Racial and Ethnic Health Disparities in Colorado 2009
Colorado Health Disparities Strategic Plan … to Eliminate Minority Health Disparities Plan of Action 2010-2014
NJ
Strategic Plans … for Action
Heart Disease and Stroke Prevention Rhode Island State Plan 2009
Reducing the Burden … Ethnicity: 2010
Action Plan to Eliminate Racial/Ethnic Health Disparities in the State of Utah
-
meps.ahrq.gov/data_files/publications/st18/stat18.pdf
January 01, 2000 - than in a single coverage plan. … While almost
one-third of private-sector employees with single coverage were enrolled in a plan that … and small employers, employees
with single coverage were much less likely to contribute toward their plan … In contrast, single plan employee
contributions were greater in larger firms than smaller firms by about … If a plan
offers more than one arrangement for family coverage, premium information for a family of