-
psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital
Citation Text:
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
-
psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple
Health System Vulnerabilities
May 26, 2021
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health
System Vulnerabilities. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - (e.g., Ibuprofen)
Note: if patient requires narcotics at discharge, reduce the quantity of opioids prescribed … then by using a standardized discharge quantity of prescribed opioids, based on patient and procedure-specific … Opioids prescribed at discharge
Quantity of opioid pills prescribed
Abbreviations: ISCR = Improving … Opioid prescribed at discharge
Abbreviations: ISCR = Improving Surgical Care and Recovery
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/dementia-databases-methods_research.pdf
May 01, 2008 - Haloperidol also is rarely prescribed to residents
with dementia in LTC facilities. … utilization rates are not adjusted for potential
confounding factors, we cannot conclude the drugs were prescribed
-
effectivehealthcare.ahrq.gov/sites/default/files/pulmonary-horizon-scan-high-impact-1406.pdf
June 01, 2014 - PULMONARY with "Discussions" in Exec Summary
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 13: Pulmonary Disease, Including Asthma
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-computerized-cds-protocol.pdf
May 08, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
1
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: Computerized
Clinical Decision Support to Prevent Medication Errors and
Adverse Drug Events
Review …
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Health Information Technology
and Health Information Exchange
Overview
Resear…
-
psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
December 15, 2008 - Commentary
Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.
Citation Text:
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
January 01, 2014 - Improving Antipsychotic Appropriateness in Dementia Patients
…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-acronyms.pdf
June 02, 2025 - Acronyms and Terms
Acronyms and Terms
The following acronyms and terms are used throughout the Six Building Blocks How-To-Implement
Toolkit.
• 42 CFR: 42 Code of Federal Regulations Part 2 regulations have been put in place to protect
patient confidentiality related to treatment for substance use di…
-
psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
June 17, 2015 - Commentary
Simulation for ward processes of surgical care.
Citation Text:
Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013.
Copy Citation
Format:
DOI Google Scholar PubMed BibT…
-
psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
November 21, 2021 - Commentary
Changing our culture: adopting the military aviation safety system.
Citation Text:
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
Copy Citation
Format:
DOI …
-
psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
October 09, 2013 - Book/Report
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare.
Citation Text:
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…
-
digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program
Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…
-
psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Book/Report
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.
Citation Text:
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
-
psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
October 12, 2022 - Book/Report
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints.
Citation Text:
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Washington, DC: United States Government Accountability Office; N…
-
psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
January 08, 2014 - Book/Report
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care.
Citation Text:
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…
-
psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Review
The incidence of diagnostic error in medicine.
Citation Text:
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML End…
-
psnet.ahrq.gov/issue/behind-human-error-second-edition
April 13, 2018 - Book/Report
Classic
Behind Human Error, Second Edition.
Citation Text:
Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537.
Copy Citation
Save
Save to your lib…
-
psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions
September 28, 2022 - Clinical Guideline
American College of Radiology White Paper on MR Safety: 2004 Update and Revisions.
Citation Text:
doi:10.2214/ajr.182.5.182111.
Copy Citation
Format:
DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
…