-
psnet.ahrq.gov/issue/resident-duty-hours-across-borders-international-perspective
February 27, 2019 - Special or Theme Issue
Resident Duty Hours Across Borders: An International Perspective.
Citation Text:
Resident Duty Hours Across Borders: An International Perspective. Imrie KR, Frank JR, Parshuram CS, eds. BMC Med Educ. 2014;14(suppl1):S1-S18.
Copy Citation
Save
…
-
psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overprescribing
May 29, 2019 - Commentary
Strategies for flipping the script on opioid overprescribing.
Citation Text:
Wright AP, Becker WC, Schiff G. Strategies for Flipping the Script on Opioid Overprescribing. JAMA Intern Med. 2016;176(1):7-8. doi:10.1001/jamainternmed.2015.5946.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
June 27, 2018 - Study
Apparent cause analysis: a safety tool.
Citation Text:
Parikh K, Hochberg E, Cheng JJ, et al. Apparent cause analysis: a safety tool. Pediatrics. 2020;145(5):e20191819. doi:10.1542/peds.2019-1819.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote …
-
psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - Study
Effect of surgical safety checklists on pediatric surgical complications in Ontario.
Citation Text:
O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333.
…
-
psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
June 19, 2019 - Commentary
Infusion medication error reduction by two-person verification: a quality improvement initiative.
Citation Text:
Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6). …
-
psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
June 11, 2008 - Review
Emerging Classic
Creating a safer operating room: groups, team dynamics and crew resource management principles.
Citation Text:
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…
-
psnet.ahrq.gov/issue/health-literacy-and-quality-physician-patient-communication-during-hospitalization
April 05, 2013 - Study
Health literacy and the quality of physician–patient communication during hospitalization.
Citation Text:
Kripalani S, Jacobson TA, Mugalla IC, et al. Health literacy and the quality of physician-patient communication during hospitalization. J Hosp Med. 2010;5(5). doi:10.1002/jhm…
-
psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
October 10, 2018 - Commentary
The dangers of ignoring the Beers criteria—the prescribing cascade.
Citation Text:
DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288.
Copy Citation
Format:
DO…
-
psnet.ahrq.gov/issue/deprescribing-simple-method-reducing-polypharmacy
September 09, 2015 - Commentary
Deprescribing: a simple method for reducing polypharmacy.
Citation Text:
McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice-management/de…
-
psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
July 14, 2009 - Commentary
The role of nursing surveillance in keeping patients safe.
Citation Text:
Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377.
Copy Citation
Format:
DOI Google Scholar PubMed B…
-
psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
October 05, 2022 - Commentary
Nearing zero...reducing grade C medication errors.
Citation Text:
Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3.
Copy Citation
Format:
DOI …
-
psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
-
psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
October 19, 2022 - Commentary
One hospital's initiatives to encourage safe opioid use.
Citation Text:
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
Copy Citation
Format:
DOI Google Scholar P…
-
psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
November 08, 2013 - Commentary
Close calls in patient safety: should we be paying closer attention?
Citation Text:
Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014.
Copy Citation
Format:
DOI Google Schol…
-
psnet.ahrq.gov/issue/resident-resident-handoffs-emergency-department-observational-study
September 28, 2022 - Study
Resident to resident handoffs in the emergency department: an observational study.
Citation Text:
Peterson SM, Gurses AP, Regan L. Resident to resident handoffs in the emergency department: an observational study. J Emerg Med. 2014;47(5):573-9. doi:10.1016/j.jemermed.2014.06.027.
…
-
psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions
April 01, 2010 - Study
Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions.
Citation Text:
Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Serv Res. 200…
-
www.ahrq.gov/news/newsroom/case-studies/201706.html
May 01, 2017 - Pennsylvania Psychiatric Institute Slashes Readmission Rates with AHRQ-based Discharge Program
Search All Impact Case Studies
May 2017
The Pennsylvania Psychiatric Institute in Harrisburg reduced its 30-day readmission rate from 20 percent in 2013 to 10.4 percent in 2015 after implementing a discharge progr…
-
psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
August 20, 2018 - Review
Emerging Classic
Postoperative opioid prescribing: Getting it RIGHTT.
Citation Text:
Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001.
Copy Citation
Format:…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.pdf
December 23, 2009 - Project Charter
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.2
Project Charter
What is the purpose of this tool? The purpose of the project charter is to describe the performance
improvement rationale, goals, barriers, and anticipated resources to which the…
-
psnet.ahrq.gov/issue/handovers-or-icu
January 03, 2017 - Commentary
Handovers from the OR to the ICU.
Citation Text:
Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote…