-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
-
psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - Hypoxic Gas Supply from Cross-Connected Pipelines
Citation Text:
Bohringer C, Guemidjian A, Utter G. Hypoxic Gas Supply from Cross-Connected Pipelines. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google S…
-
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…
-
digital.ahrq.gov/sites/default/files/docs/citation/p50hs019917-gustafson-final-report-2017.pdf
January 01, 2017 - Bringing Communities and Technology Together for Healthy Aging - Final Report
Final Progress Report
Title: Bringing Communities and Technology Together for Healthy Aging
Principal Investigator: David H. Gustafson, Ph…
-
psnet.ahrq.gov/node/46343/psn-pdf
March 21, 2018 - Outpatient CPOE orders discontinued due to 'erroneous
entry': prospective survey of prescribers' explanations for
errors.
March 21, 2018
Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry':
prospective survey of prescribers' explanations for errors. BMJ Qual Saf.…
-
www.ahrq.gov/action-alliance/commitment/index.html
September 01, 2025 - Commitment To Advance Patient and Workforce Safety
The National Action Alliance is a community of healthcare provider organizations and federal, private, and community partners, including patients and their families, who share a commitment to forging innovative pathways toward safer healthcare for patients and …
-
psnet.ahrq.gov/node/42396/psn-pdf
July 31, 2013 - Developing and implementing a standardized process for
Global Trigger Tool application across a large health
system.
July 31, 2013
Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global
trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
-
psnet.ahrq.gov/node/44096/psn-pdf
November 03, 2015 - Incidence of "never events" among weekend admissions
versus weekday admissions to US hospitals: national
analysis.
November 3, 2015
Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus
weekday admissions to US hospitals: national analysis. BMJ. 2015;350:h1460. doi:10.1136…
-
psnet.ahrq.gov/node/43547/psn-pdf
July 03, 2016 - Health care-associated infections among critically ill
children in the US, 2007-2012.
July 3, 2016
Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in
the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014-0613.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/44635/psn-pdf
June 21, 2016 - Evaluation of perioperative medication errors and adverse
drug events.
June 21, 2016
Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events.
Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000000000000904.
https://psnet.ahrq.gov/issue/evaluation-perioperative-…
-
psnet.ahrq.gov/node/42548/psn-pdf
December 29, 2014 - What is known about adverse events in older medical
hospital inpatients? A systematic review of the literature.
December 29, 2014
Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital
inpatients? A systematic review of the literature. Int J Health Care Qual. 2013;25(5):542-5…
-
psnet.ahrq.gov/node/37831/psn-pdf
December 23, 2012 - Charges and lengths of stay attributable to adverse
patient-care events using pediatric-specific quality
indicators: a multicenter study of freestanding children's
hospitals.
December 23, 2012
Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse patient-care
events using pediat…
-
psnet.ahrq.gov/node/41266/psn-pdf
January 03, 2017 - Surfacing safety hazards using standardized operating
room briefings and debriefings at a large regional medical
center.
January 3, 2017
Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room
briefings and debriefings at a large regional medical center. Jt Comm J Qual P…
-
psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
December 13, 2023 - Study
How experiencing preventable medical problems changed patients' interactions with primary health care.
Citation Text:
Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…
-
psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
June 12, 2018 - Commentary
ASPEN parenteral nutrition safety consensus recommendations.
Citation Text:
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992.
Copy Citation
…
-
psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
March 30, 2016 - Commentary
Classic
No shortcuts to safer opioid prescribing.
Citation Text:
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
Copy Citation
Format:
DOI Google Sc…
-
psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
June 01, 2021 - Commentary
Reducing the incidence of retained surgical instrument fragments.
Citation Text:
Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014.
Copy Citation
Format: …
-
psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
February 18, 2011 - Study
Weekend versus weekday admission and mortality from myocardial infarction.
Citation Text:
Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…
-
psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
February 19, 2020 - Review
High fidelity simulation as a research tool.
Citation Text:
Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNot…
-
psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel
July 16, 2019 - Study
Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel.
Citation Text:
Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-…