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www.ahrq.gov/talkingquality/measures/resources.htmlApril 01, 2019 - Resources for Health Care Quality Measurement Several organizations and resources provide information on measures used in different health care settings. Refer to the Key Initiatives section to read about other initiatives that have contributed to understanding and improving the nation's health care quality. …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867188/psn-pdfNovember 20, 2024 - Ensuring safe practice by late career physicians: institutional policies and implementation experiences. November 20, 2024 White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med. 2024;177(12):1702-1710. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47996/psn-pdfJanuary 01, 2021 - Building an ambulatory safety program at an academic health system. May 15, 2019 Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47554/psn-pdfNovember 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45256/psn-pdfJuly 01, 2017 - Applied use of safety event occurrence control charts of harm and non-harm events: a case study. July 1, 2017 Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291. doi:10.1177/1062860616646197. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837345/psn-pdfJune 08, 2022 - A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. June 8, 2022 Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39030/psn-pdfOctober 21, 2009 - Misleading one detail: a preventable mode of diagnostic error? October 21, 2009 Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. https://psnet.ahrq.gov/issue/misleading-one-detail-preventable… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47745/psn-pdfMarch 06, 2019 - "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. March 6, 2019 Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions as Perceived by Surgical Patients. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47618/psn-pdfJanuary 30, 2019 - Making care better in the pediatric intensive care unit. January 30, 2019 Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267- 274. doi:10.21037/tp.2018.09.10. https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit Pediatric critical care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866858/psn-pdfOctober 02, 2024 - Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. October 2, 2024 Nguyen OT, Kunta AR, Katoju SV, et al. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. JAMA Netw Open. 2024;7(9):e2432760. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42897/psn-pdfMarch 12, 2017 - Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. March 12, 2017 Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgradmedj-2012-131168. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46984/psn-pdfApril 04, 2018 - Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. April 4, 2018 Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident W… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60598/psn-pdfJune 17, 2020 - Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. June 17, 2020 Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. BMJ Qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867381/psn-pdfDecember 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46455/psn-pdfApril 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert Medications. April 24, 2018 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications High-alert medications have the potential to cause substantial patient harm if adm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38662/psn-pdfApril 12, 2011 - Patient error: a preliminary taxonomy. April 12, 2011 Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. https://psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy Preliminary research has found that patient factors may contribute to er… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47254/psn-pdfSeptember 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864853/psn-pdfMarch 20, 2024 - Question answering systems for health professionals at the point of care - a systematic review. March 20, 2024 Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-1024. doi:10.1093/jamia/ocae015. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46262/psn-pdfJanuary 01, 2020 - Description and yield of current quality and safety review in selected US academic emergency departments. August 30, 2017 Griffey RT, Schneider RM, Sharp BR, et al. Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments. J Patient Saf. 2020;16(4):e245-e249. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45432/psn-pdfSeptember 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s…
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