-
psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - well-known example, Atul Gawande’s “Checklist Manifesto” demonstrated a 19-item surgical safety checklist reduced
-
psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - improved perception of communication and decreased frequency of incident reports ( 13 ) as well as reduced
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hip-fracture-pain.ppt
May 01, 2011 - EHC022-EF
http://effectivehealthcare.ahrq.gov/hippain.cfm
Stretching and strengthening exercises reduced … Results, and Conclusions
Stretching and strengthening exercises performed as part of rehabilitation reduced
-
effectivehealthcare.ahrq.gov/sites/default/files/hip-fracture-pain.ppt
May 01, 2011 - EHC022-EF
http://effectivehealthcare.ahrq.gov/hippain.cfm
Stretching and strengthening exercises reduced … Results, and Conclusions
Stretching and strengthening exercises performed as part of rehabilitation reduced
-
hcup-us.ahrq.gov/reports/race/annotatedslidesforR_E_report2.pdf
January 01, 2011 - Microsoft PowerPoint - annotatedslidesforR_E_report#2.ppt [Compatibility Mode]
State Docum
Racial and Ethnic
to Inform Stra
July 2
mentation of
Health Disparities
ategic Action
2011
22
Federal and Natio
the Stage for
Understanding the problem:
– AHRQ National Healthcare Qualit
Disparities Report
– CDC He…
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
September 28, 2016 - Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety
Breakout Session:
Use of Data and Measurement in
Improving Diagnostic Safety
Jeffrey Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety
AHRQ Research Summit on Diagnostic Safety
September 28, 2016
Discussant…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
April 01, 2022 - A Playbook for Preventing CLABSI and CAUTI in the ICU Setting
AHRQ Safety Program for Intensive Care
Units: Preventing CLABSI and CAUTI
A Playbook for Preventing
CLABSI and CAUTI in the
ICU Setting
2 Playbook
AHRQ Safety Program for Intensi…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-exe-sum.pdf
April 01, 2025 - Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review
Systematic Review
Management of Suicidal Thoughts and
Behaviors in Youth: A Systematic Review
Executive Summary
Main Points
• The current body of evidence is derived primarily from racially and ethnically
diverse f…
-
digital.ahrq.gov/medical-condition/hemoglobin-blood-disorder
January 01, 2023 - Hemoglobin (Blood) Disorder
Use of mobile technology to monitor pain and reduce outpatient, emergency department (ED), and hospital visits for sickle cell pain crisis.
Citation
Narine K, Chang J, Jonassaint J, et al. Use of mobile technology to monitor pain and reduce outpati…
-
psnet.ahrq.gov/node/47902/psn-pdf
April 24, 2019 - Recommendations from a national panel on quality
improvement in obstetrics.
April 24, 2019
Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality
Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011.
https://psnet.ahrq.gov/issue/r…
-
psnet.ahrq.gov/node/866109/psn-pdf
June 12, 2024 - Grading recommendations for enhanced patient safety in
sentinel event analysis: the recommendation
improvement matrix.
June 12, 2024
Bos K, van der Laan MJ, Groeneweg J, et al. Grading recommendations for enhanced patient safety in
sentinel event analysis: the recommendation improvement matrix. BMJ Open Qual. 2024…
-
psnet.ahrq.gov/node/46044/psn-pdf
December 21, 2017 - Addressing the opioid epidemic in the United States:
lessons from the Department of Veterans Affairs.
December 21, 2017
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the
Department of Veterans Affairs. AMA Intern Med. 2017;177(5):611-612.
doi:10.1001/jamainternme…
-
psnet.ahrq.gov/node/45577/psn-pdf
February 08, 2017 - EHR-related medication errors in two ICUs.
February 8, 2017
Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag.
2017;36(3):6-15. doi:10.1002/jhrm.21259.
https://psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus
Despite the demonstrated success of technology …
-
psnet.ahrq.gov/node/865518/psn-pdf
April 10, 2024 - Decreasing prescribing errors in antimicrobial
stewardship program-restricted medications.
April 10, 2024
Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-
restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548.
https://psnet.ahr…
-
psnet.ahrq.gov/node/36254/psn-pdf
February 02, 2011 - Extended work duration and the risk of self-reported
percutaneous injuries in interns.
February 2, 2011
Ayas N, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous
injuries in interns. JAMA. 2006;296(9):1055-62.
https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-s…
-
psnet.ahrq.gov/node/47250/psn-pdf
September 26, 2018 - Hospital-acquired infections under pay-for-performance
systems: an administrative perspective on management
and change.
September 26, 2018
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an
Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
-
psnet.ahrq.gov/node/61115/psn-pdf
November 11, 2020 - Education initiatives in cognitive debiasing to improve
diagnostic accuracy in student providers: a scoping
review.
November 11, 2020
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic
accuracy in student providers: a scoping review. J Am Assoc Nurse Prac…
-
psnet.ahrq.gov/node/72639/psn-pdf
January 13, 2021 - Assessment of physician sleep and wellness, burnout,
and clinically significant medical errors.
January 13, 2021
Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and
Clinically Significant Medical Errors. JAMA Netw Open. 2020;3(12):e2028111.
doi:10.1001/jamanetworkopen.202…
-
psnet.ahrq.gov/node/50732/psn-pdf
December 11, 2019 - Association between physician depressive symptoms and
medical errors: A systematic review and meta-analysis
December 11, 2019
Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and
Medical Errors: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019;2(11):e1916097.…
-
psnet.ahrq.gov/node/37617/psn-pdf
February 03, 2011 - Universal screening for methicillin-resistant
Staphylococcus aureus at hospital admission and
nosocomial infection in surgical patients.
February 3, 2011
Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus
aureus at hospital admission and nosocomial infection …