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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43396/psn-pdfJuly 30, 2014 - Patient safety and quality care. July 30, 2014 Nelson K. Patient safety and quality care. Clin Dermatol. 2014;32(4):542-4. doi:10.1016/j.clindermatol.2013.12.001. https://psnet.ahrq.gov/issue/patient-safety-and-quality-care This commentary reveals insights from a physician who was involved in a misidentified speci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46708/psn-pdfFebruary 08, 2023 - FDA/ISMP Safe Medication Management Fellowship Program. February 8, 2023 Food and Drug Administration, Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program This fellowship program provides clinicians with learning opportunities at the Institute… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42765/psn-pdfNovember 30, 2016 - Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). November 30, 2016 Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. https://psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use- research-r18 This funding program will suppo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40108/psn-pdfJuly 28, 2013 - Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III). July 28, 2013 Berns SD, ed. White Plains, NY: March of Dimes; December 2010. https://psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through- qua… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40951/psn-pdfDecember 21, 2014 - Quality and safety in medical care: what does the future hold? December 21, 2014 Liang BA, Mackey T. Quality and safety in medical care: what does the future hold? Arch Pathol Lab Med. 2011;135(11):1425-31. doi:10.5858/arpa.2011-0154-OA. https://psnet.ahrq.gov/issue/quality-and-safety-medical-care-what-does-future… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40756/psn-pdfSeptember 07, 2011 - How reliable is your hospital? A qualitative framework for analysing reliability levels. September 7, 2011 Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50719/psn-pdfDecember 04, 2019 - A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! December 4, 2019 ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 https://psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here The reporting and analysis of incidents i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44613/psn-pdfOctober 28, 2015 - Getting rid of "never events" in hospitals. October 28, 2015 Morgenthaler T; Harper CM. https://psnet.ahrq.gov/issue/getting-rid-never-events-hospitals Never events are devastating and preventable, and health care organizations are under increasing pressure to eliminate them. This commentary discusses how the Mayo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44535/psn-pdfSeptember 30, 2015 - Diagnostic experiences of children with attention- deficit/hyperactivity disorder. September 30, 2015 Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8. https://psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder This surve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35845/psn-pdfJune 13, 2011 - Reconcilable differences: correcting medication errors at hospital admission and discharge. June 13, 2011 Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6. https://psnet.ahrq.gov/issue/reconcilable-di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40712/psn-pdfAugust 24, 2011 - Automatic detection of omissions in medication lists. August 24, 2011 Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106. https://psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists Thi… -
Are You Using Teach-Back? (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/AreYouUsingTeachBack.pdfJune 02, 2025 - Are You Using Teach-Back? Are You Using Teach-Back? To help us understand how our practice is doing in implementing and using teach-back, please answer this short set of questi… -
www.ahrq.gov/action-alliance/naa-snac.htmlMarch 01, 2024 - Subcommittee of the National Advisory Council for the National Action Alliance for Patient and Workforce Safety The National Advisory Council (NAC) for Healthcare Research and Quality provides advice and recommendations to AHRQ’s Director and to the Secretary of the Department of Health and Human Services (HH…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34970/psn-pdfJune 13, 2011 - Medication reconciliation in the acute care setting: opportunity and challenge for nursing. June 13, 2011 Sullivan C, Gleason KM, Rooney D, et al. Medication reconciliation in the acute care setting: opportunity and challenge for nursing. J Nurs Care Qual. 2005;20(2):95-98. https://psnet.ahrq.gov/issue/medication-… -
www.ahrq.gov/hai/cusp/modules/spread/index.htmlJuly 01, 2018 - Spread The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture is local. This module explores how to take th…
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Systematic Design of Meaningful Presentations of Medical Test Data for Patients - Final Report (pdf file)
digital.ahrq.gov/sites/default/files/docs/citation/r01hs021681-zikmund-fisher-final-report-2017.pdfJanuary 01, 2017 - Systematic Design of Meaningful Presentations of Medical Test Data for Patients - Final Report Final Progress Report November 16, 2017 Title: Systematic Design of Meaningful Pre… -
psnet.ahrq.gov/web-mm/mothers-milk-whose-motherNovember 15, 2023 - Mother's Milk, but Whose Mother? Citation Text: Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50928/psn-pdfFebruary 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential… -
Spotlight (pdf file)
psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdfJanuary 01, 2021 - Spotlight Spotlight Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough Source and Credits • This presentation is based on the April 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Verna Gibbs, MD o AHRQ W… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854897/psn-pdfOctober 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose October 31, 2023 Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/weight-and-…
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