-
www.ahrq.gov/action-alliance/resources/type-harm.html
April 01, 2025 - Resources by Safety Topic
Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…
-
psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - In Conversation with…Albert Wu, MD, MPH
May 1, 2011
In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
Editor's note: Albert Wu, MD, MPH, is Professor of Health Policy and Management at the Johns Hopkins
School of Public Health. A…
-
digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - medication decision
support rules related to drug-drug interactions and therapeutic duplications for providing
-
psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - Inpatient Transitions of Care: Challenges and Safety
Practices
March 27, 2024
Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet].
2024.
https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
Background
Transitions of care occur …
-
meps.ahrq.gov/data_files/publications/st331/stat331.shtml
July 01, 2011 - STATISTICAL BRIEF #331:
Top 10 Most Costly Conditions among Men and Women, 2008: Estimates for the U.S. Civilian Noninstitutionalized Adult Population, Age 18 and Older
Skip to main content
An official website of the…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
How To Integrate a CUSP Approach
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
How to Integrate a CUSP Approach
SAY:
Welcome to this presentation about the Comprehensive Unit-based Safety Program, or CUSP. This presentation discusses how to integrate a CUSP…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
March 01, 2022 - Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 9-2 – Standardized Nursing Protocol:
Basin Bed Bathing With 2% Liquid Chlorhexidine
(CHG) and Showering With 4% CHG Liquid Soap …
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-use-ready-or-not.pdf
June 02, 2025 - Ready or Not: Addressing Tobacco Use
Ready or Not... Addressing Tobacco Use
1 Ready or Not... Addressing Tobacco Use
2 Welcome by Carol Ripley-Moffitt, MDiv, CTTS
Hello, I’m Carol Ripley Moffitt, director of the UNC Nicotine Dependence Program.
Although trained as a tobacco treatment specialist, m…
-
digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support
January 01, 2023 - Improving Population Health Through Enhanced Targeted Regional Decision Support
Project Final Report ( PDF , 1.05 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repr…
-
psnet.ahrq.gov/node/45877/psn-pdf
July 19, 2017 - Piece of my mind. Stories doctors tell.
July 19, 2017
Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125.
doi:10.1001/jama.2017.5518.
https://psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell
The sharing of stories is a key method to provide context to drive change. The authors e…
-
psnet.ahrq.gov/node/61090/psn-pdf
November 04, 2020 - Association of intraoperative anaesthesia handovers with
patient morbidity and mortality: a systematic review and
meta-analysis.
November 4, 2020
Boet S, Djokhdem H, Leir SA, et al. Association of intraoperative anaesthesia handovers with patient
morbidity and mortality: a systematic review and meta-analysis. Br J…
-
psnet.ahrq.gov/node/74182/psn-pdf
December 15, 2021 - Honesty and transparency, indispensable to the clinical
mission--Parts I-III.
December 15, 2021
Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical
Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.otc.2021.07.016.
https://psnet.ahrq.…
-
psnet.ahrq.gov/node/35639/psn-pdf
May 27, 2011 - Clinical application of a computerized system for
physician order entry with clinical decision support to
prevent adverse drug events in long-term care.
May 27, 2011
Rochon P, Field T, Bates DW, et al. Clinical application of a computerized system for physician order entry
with clinical decision support to prevent…
-
psnet.ahrq.gov/node/38799/psn-pdf
September 29, 2009 - Work-arounds and artifacts during transition to a
computer physician order entry: what they are and what
they mean.
September 29, 2009
Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they
are and what they mean. J Nurs Care Qual. 2009;24(4):316-324. doi:10.1097/…
-
psnet.ahrq.gov/node/41954/psn-pdf
November 26, 2014 - Decoding laboratory test names: a major challenge to
appropriate patient care.
November 26, 2014
Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to
appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…
-
psnet.ahrq.gov/node/35028/psn-pdf
May 27, 2011 - Medication errors and adverse drug events in pediatric
inpatients.
May 27, 2011
Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric
inpatients. JAMA. 2001;285(16):2114-20.
https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
This p…
-
psnet.ahrq.gov/node/42989/psn-pdf
May 28, 2014 - Interactive questioning in critical care during handovers:
a transcript analysis of communication behaviours by
physicians, nurses and nurse practitioners.
May 28, 2014
Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a
transcript analysis of communication b…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training
Slide 1: Overview of On-Time
Slide 2: On-Time Pressure Ulcer Prevention Facilitator Training
Say:
Welcome to the On-Time Pressure Ulcer Prevention Facilitator Training.
This 2-day Facilitator training …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
CUSP Guide for Reducing Ventilator-
Associated Events in Mechanically
Ventilated Patients
AHRQ Pub. No. 16(…