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www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdfJanuary 01, 2024 - Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) Grant Final Report Grant ID: 5R18HS017037 Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Inclusive Dates: 09/30/07 – 09/29/10 Principal Investigator: Steven Ornst…
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Scisafetynotes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docxJune 02, 2025 - SAY: The “Understand the Science of Safety” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will provide a h… -
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.htmlJuly 01, 2023 - Labor and Delivery Unit Safety: Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the management obstetric hemorrhage. The key elements are presented within the framework of the Comprehensive Unit-base…
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-deathJuly 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdfJanuary 01, 2004 - A New Model of Tracheostomy Care: Closing the Research–Practice Gap 521 A New Model of Tracheostomy Care: Closing the Research–Practice Gap Joel St. Clair Abstract Performance improvements have brought about fundamental changes in the past year at Walter Reed Army Medical Center (WRAMC), where a concerted …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdfMarch 18, 2008 - Efficiency Gains with Computerized Provider Order Entry Efficiency Gains with Computerized Provider Order Entry Andrew M. Steele, MD, MPH, MSc; Mical DeBrow, PhD, RN Abstract Objective: The objective of this project was to measure efficiency gains in turnaround times with the implementation of a computer…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861880/psn-pdfJanuary 31, 2024 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) January 31, 2024 https://psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication- program-reduce-medical Summary Medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74022/psn-pdfMarch 01, 2021 - The Role of Community Pharmacists in Patient Safety October 25, 2021 Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety What is a community pharmacy? Community pharmacies are somet… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.pptNovember 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case November 2005 Reconciling Doses Source and Credits This presentation is based on the November 2005 Spotlight Case in Emergency Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Frank Federico, RPh,… -
054-Dec-Guide-Pre-Launch-Activities (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docxOctober 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Pre-Launch Activities ICU & Non-ICU Develop a CUSP Team The Comprehensive Unit-based Safety Program, or CUSP, is a proven patient safety and quality improvement framework that is integrated into the AHRQ Toolkit for MRSA Prevention. A core element of CUSP is the C… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdfJanuary 01, 1993 - Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool A.1 i Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How T…
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psnet.ahrq.gov/primer/high-reliabilityJanuary 29, 2020 - High Reliability Citation Text: High Reliability. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…
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Executive Summary: Person-Centered Preventive Healthcare: Prioritizing Clinical Preventive Services (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/person-centered-prevent-care-summary.pdfDecember 01, 2023 - Executive Summary: Person-Centered Preventive Healthcare: Prioritizing Clinical Preventive Services Executive Summary Person-Centered Preventive Healthcare: Prioritizing Clinical Preventive Services Prepared for Agency for Healthcare Research and Quality Center for Evidence and Practice Improvement … -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdfMay 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4k Selected Best Practices and Suggestions for Improvement PSI 14: Postoperative Wound Dehiscence Why Focus on Postoperative Wound Dehiscence? • Postop…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdfMay 31, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4l Selected Best Practices and Suggestions for Improvement PSI 15: Accidental Puncture or Laceration Why Focus on Accidental Puncture and Laceration? • A…
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SRDR-Charter-140305 (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data-repository-reviews-charter-140305.pdfJune 01, 2012 - SRDR-Charter-140305 Charter of SRDR V.10 Article I – Purpose/Goals of SRDR Article II – Governance Board Article III – Operational Team of SRDR SRDR is being developed and maintained by the Brown EPC under contract with the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract… -
Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdfMarch 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer … -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdfJanuary 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdfSeptember 08, 2015 - Engaging Stakeholders to Improve the Quality of Children's Health Care The National Evaluation of the CHIPRA Quality Demonstration Grant Program Engaging Stakeholders to Improve the Quality of Children’s Health Care Ellen Albritton, Margo Edmunds, Veronica Thomas, Dana Petersen, Grace Ferry, Cindy Brach, and …
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Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern Detection - Final Report (pdf file)
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdfJanuary 01, 2019 - optimized for writing data from users and inbound external data, but is computationally expensive for processing
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