-
psnet.ahrq.gov/issue/side-errors-neurosurgery
November 17, 2010 - Study
Side errors in neurosurgery.
Citation Text:
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
-
psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
September 27, 2023 - Study
Eight-year experience with a neurosurgical checklist.
Citation Text:
Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML …
-
psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
March 09, 2022 - Study
Patient self-medication--a change in hospital practice.
Citation Text:
Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs. 2006;15(8):962-70.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML En…
-
psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-doses-correctly
March 19, 2019 - Study
Factors influencing doctors' ability to calculate drug doses correctly.
Citation Text:
Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94.
Copy Citation
Format:
Google Scho…
-
psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - Newspaper/Magazine Article
Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy.
Citation Text:
Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024.
Copy…
-
psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
January 03, 2017 - Newspaper/Magazine Article
The role of the chief executive officer in maximizing patient safety.
Citation Text:
Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26.
Copy Citation
Format:
Google Scho…
-
psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
January 03, 2017 - Commentary
Interruptions and medication errors: part I.
Citation Text:
Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 X…
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/state-snapshot-infogr.pdf
June 02, 2025 - Health Care Quality: How Does Your State Compare?
State Snapshots
Health Care Quality: How Does Your State Compare?
AHRQ’s 2017 feature more
than 250 statistical measures to provide
State-by-State summaries of health care quality.
Examples in this illustration show top-scoring States
in 2015 in three areas – …
-
psnet.ahrq.gov/node/36795/psn-pdf
August 26, 2011 - Surgical specimen identification errors: a new measure of
quality in surgical care.
August 26, 2011
Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality
in surgical care. Surgery. 2007;141(4):450-5.
https://psnet.ahrq.gov/issue/surgical-specimen-identification…
-
psnet.ahrq.gov/node/47638/psn-pdf
February 06, 2019 - Decreasing surgical site infections by developing a high
reliability culture.
February 6, 2019
Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J.
2018;108(6):644-650. doi:10.1002/aorn.12416.
https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
-
www.ahrq.gov/patient-safety/reports/national-action-plans.html
February 01, 2018 - National Action Plans
The work of AHRQ and other Federal agencies is guided by work groups, committees, investigators and expert advisors who contribute to reports on specific topics that impact health care.
National Action Plans
National Action Plans are developed with expert input to provide a framework f…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/iodophor-administration.docx
March 01, 2022 - Importance of Iodophor Administration
Decolonization of
Non-ICU Patients With Devices
Section 13-5 – Staff Huddle Reminder:
Importance of Iodophor Administration
· Staphylococcus aureus lives in the nose and can spread to other areas of the body to cause infection
· Iodophor swabs have been proven to remove these b…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/engage.html
March 01, 2017 - Engage Residents and Families
Resident and Family Engagement brochure for residents ( PDF , 132 KB)
Describes what resident and family engagement is and how to engage with long-term care facility staff as partners in infection-prevention care.
Resident and Family Engagement: What Is My Role as a Leader? …
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-commitment-statement.pdf
June 02, 2025 - National Action Alliance for Patient and Workforce Safety Commitment
National Action Alliance for
Patient and Workforce Safety
Commitment
Vision
Safe care everywhere, zero preventable harm for all.
Mission
A total systems approach to safety that is focused on culture, leadership, and governance; pa�ent a…
-
psnet.ahrq.gov/node/74150/psn-pdf
December 08, 2021 - Worldwide incidence of surgical site infections in general
surgical patients: a systematic review and meta-analysis
of 488,594 patients.
December 8, 2021
Gillespie BM, Harbeck EL, Rattray M, et al. Worldwide incidence of surgical site infections in general
surgical patients: a systematic review and meta-analysis o…
-
psnet.ahrq.gov/node/837070/psn-pdf
May 11, 2022 - Patient falls in the operating room setting: an analysis of
reported safety events.
May 11, 2022
Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported
safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503.
https://psnet.ahrq.gov/issue/pati…
-
psnet.ahrq.gov/node/47411/psn-pdf
December 12, 2018 - Patterns of disrespectful physician behavior at an
academic medical center: implications for training,
prevention, and remediation.
December 12, 2018
Hopkins J, Hedlin H, Weinacker A, et al. Patterns of Disrespectful Physician Behavior at an Academic
Medical Center: Implications for Training, Prevention, and Remed…
-
psnet.ahrq.gov/node/36045/psn-pdf
November 10, 2011 - IHI announces that hospitals participating in 100,000
Lives Campaign have saved an estimated 122,300 lives.
November 10, 2011
https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-
estimated-122300-lives
In December 2004, the Institute for Healthcare Improvement (IHI) …
-
psnet.ahrq.gov/node/43660/psn-pdf
November 12, 2014 - Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for Disease
Control and Prevention–convened meeting.
November 12, 2014
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for …
-
psnet.ahrq.gov/node/43580/psn-pdf
October 01, 2014 - Reducing medication errors in critical care: a multimodal
approach.
October 1, 2014
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin
Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…