-
psnet.ahrq.gov/node/43090/psn-pdf
November 23, 2016 - Safety Is Personal: Partnering With Patients and Families
for the Safest Care.
November 23, 2016
NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA:
National Patient Safety Foundation; March 2014.
https://psnet.ahrq.gov/issue/safety-personal-partnering-patients-and-families…
-
psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - Improving team information sharing with a structured
call-out in anaesthetic emergencies: a randomized
controlled trial.
July 23, 2014
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in
anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…
-
psnet.ahrq.gov/node/35748/psn-pdf
February 02, 2011 - Policies and practices related to the role of board
certification and recertification of pediatricians in hospital
privileging.
February 2, 2011
Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and
recertification of pediatricians in hospital privileging. JAMA.…
-
psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - Redesigning rounds: towards a more purposeful
approach to inpatient teaching and learning.
July 3, 2016
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to
inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579.
https://psnet.ahr…
-
psnet.ahrq.gov/node/43651/psn-pdf
November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and
effective use of electronic health records.
November 18, 2016
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of
electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064.
https://psn…
-
psnet.ahrq.gov/node/848809/psn-pdf
May 10, 2023 - Improving safety during transitions of care through the
use of electronic referral loops to receive and reconcile
health information.
May 10, 2023
Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic
referral loops to receive and reconcile health information.…
-
www.ahrq.gov/talkingquality/translate/labels/index.html
March 01, 2016 - Describing Health Care Quality Measures in User-Friendly Ways
Most people are not familiar with even quite common health care quality measures. The typical “name” of most clinical measures is in medical language that many people do not understand or may actually misunderstand. At this stage in the development…
-
psnet.ahrq.gov/node/50778/psn-pdf
January 08, 2020 - A mixed methods study examining teamwork shared
mental models of interprofessional teams during hospital
discharge.
January 8, 2020
Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models
of interprofessional teams during hospital discharge. BMJ Qual Saf. 2020;29(6):499-5…
-
psnet.ahrq.gov/node/73421/psn-pdf
June 23, 2021 - Missing diagnoses during the COVID-19 pandemic: a year
in review.
June 23, 2021
Pifarré i Arolas H, Vidal-Alaball J, Gil J, et al. Missing diagnoses during the COVID-19 pandemic: a year in
review. Int J Environ Res Public Health. 2021;18(10):5335. doi:10.3390/ijerph18105335.
https://psnet.ahrq.gov/issue/missing-di…
-
psnet.ahrq.gov/node/46001/psn-pdf
July 19, 2017 - Identifying hospitalized patients at risk for harm: a
comparison of nurse perceptions vs. electronic risk
assessment tool scores.
July 19, 2017
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for
Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…
-
psnet.ahrq.gov/node/850346/psn-pdf
June 14, 2023 - The good, the bad, and the ugly: operative staff
perspectives of surgeon coping with intraoperative
errors.
June 14, 2023
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of
surgeon coping with intraoperative errors. Surgery. 2023;174(2):222-228. doi:10.1016/j…
-
www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - Comparing Quality Scores to an Independent Standard
Another approach would be to compare scores to an independent standard of what performance on this measure ideally should be . While implementing this approach is challenging, it has significant advantages.
Advantages of Comparing to an Independent Standard…
-
www.ahrq.gov/talkingquality/translate/compare/choose/benchmark.html
March 01, 2016 - Comparing Quality Scores to a Benchmark
Although the term “benchmark” is often thought to mean an “average,” the original meaning of this term in the context of quality improvement is performance that is known to be achievable because someone has achieved it. Comparing performance to a benchmark definitely sets…
-
www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-17.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 4.17. Comparison of Clinician Responses to the Pre- and Postintervention Survey Indicating That They Recommend Various CRC Screening Modalities or Believe They Are Effec
Previous Page Next Page
Table of Contents
Health Care Sys…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Brady
6
Overview of AHRQ’s Patient Safety
Priorities and Programs
Jeff Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality (AHRQ)
Rear Admiral, Assistant Surgeon General, U.S. Public Health Ser…
-
psnet.ahrq.gov/node/42351/psn-pdf
June 19, 2013 - Integrating patient safety and clinical pharmacy services
into the care of a high-risk, ambulatory population: a
collaborative approach.
June 19, 2013
Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into
the Care of a High-Risk, Ambulatory Population. J Patient …
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6txt.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B12: Fall Interventions Monitor
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overvie…
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-11.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Post-Implementation Strategies to Increase and Sustain Compliance
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconci…
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4fig4-1.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Figure 4-1: Census 2000 questions about language
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introd…
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig11txt.html
April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Figure 1-1. A Framework for Reducing Disparities in Health Care Systems (Text Description)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Imp…