-
psnet.ahrq.gov/node/46671/psn-pdf
June 25, 2018 - Twelve tips for embedding human factors and
ergonomics principles in healthcare education.
June 25, 2018
Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in
healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159x.2017.1387240.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/60007/psn-pdf
March 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and
Use of Smart Infusion Pumps.
March 4, 2020
Horsham, PA: Institute for Safe Medication Practices; 2020.
https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-
pumps
Smart pumps are widely available as a medicat…
-
digital.ahrq.gov/principal-investigator/friedman-amy
January 01, 2023 - Friedman, Amy
Web-based Renal Transplant Patient Medication System - Final Report
Citation
Friedman A. Web-based Renal Transplant Patient Medication System - Final Report. (Prepared by Yale University under Grant No. R01 HS015038). Rockville, MD: Agency for Healthcare Research…
-
psnet.ahrq.gov/node/853071/psn-pdf
August 30, 2023 - A natural language processing approach to categorise
contributing factors from patient safety event reports.
August 30, 2023
Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Health Care Inform. 2023;30(1):e100731.
https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-
…
-
digital.ahrq.gov/principal-investigator/davidson-giana
January 01, 2024 - Davidson, Giana
Pharmacy Integrated Transitions (PIT) trial: A protocol for a pragmatic cluster-randomised crossover trial.
Citation
Hantouli MN, Monsell SE, Davidson GH, Chaing J, Comstock B, Dervish AA, Gionet NJ, Howard S, Jimenez N, Kim C, Liberman M, Lindo EG, Marcum ZA,…
-
digital.ahrq.gov/principal-investigator/mingle-daniel
January 01, 2023 - Mingle, Daniel
Improving Health Information Technology Implementation in a Rural Health System - Final Report
Citation
Mingle D. Improving Health Information Technology Implementation in a Rural Health System - Final Report. (Prepared by Maine General Medical Center under Gra…
-
psnet.ahrq.gov/node/852452/psn-pdf
August 16, 2023 - Value assessment of deprescribing interventions:
suggestions for improvement.
August 16, 2023
Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for
improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298.
https://psnet.ahrq.gov/issue/value-assessment…
-
psnet.ahrq.gov/node/43103/psn-pdf
April 02, 2014 - Ten Years After Keeping Patients Safe: Have Nurses'
Work Environments Been Transformed?
April 2, 2014
Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School
of Nursing. March 14, 2014;22:1-8.
https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-…
-
psnet.ahrq.gov/node/47731/psn-pdf
April 27, 2019 - Implementing strategies to identify and mitigate adverse
safety events: a case study with unplanned extubations.
April 27, 2019
Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events:
A Case Study with Unplanned Extubations. Jt Comm J Qual Patient Saf. 2019;45(4):…
-
psnet.ahrq.gov/node/847536/psn-pdf
April 12, 2023 - Racism and electronic health records (EHRs):
perspectives for research and practice.
April 12, 2023
Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for
research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jamia/ocad023.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/46058/psn-pdf
October 23, 2018 - Centers for Disease Control and Prevention Guideline for
the Prevention of Surgical Site Infection, 2017.
October 23, 2018
Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline
for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8).
doi:10.100…
-
psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
-
psnet.ahrq.gov/node/44821/psn-pdf
December 05, 2022 - Action Planning Tool for the AHRQ Surveys on Patient
Safety Culture.
December 5, 2022
Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November
2022. AHRQ Publication No. 23-0011.
https://psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
Im…
-
psnet.ahrq.gov/node/44856/psn-pdf
September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical
Playbook.
September 29, 2017
National Quality Partners. Washington, DC: National Quality Forum; 2016.
https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
Antimicrobial stewardship has been promoted as a strategy to improve patient safe…
-
psnet.ahrq.gov/node/72678/psn-pdf
January 27, 2021 - Health information technology-related wrong-patient
errors: context is critical.
January 27, 2021
Kim T, Howe J, Franklin E, et al.?Patient Safety. 2020;2(4):40–57.
https://psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
Patient misidentification errors…
-
psnet.ahrq.gov/node/839329/psn-pdf
November 02, 2022 - Eight human factors and ergonomics principles for
healthcare artificial intelligence.
November 2, 2022
Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial
intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-2021-100516.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/43970/psn-pdf
May 19, 2015 - Organisational reporting and learning systems:
innovating inside and outside of the box.
May 19, 2015
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the
box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
https://psnet.ahrq.gov/issue/organisational-re…
-
digital.ahrq.gov/location/usa-wi-milwaukee
January 01, 2023 - USA, WI, Milwaukee
Perception and Use of a Patient Care Window to Improve Care and Family Engagement
Description
This project evaluated the use of an in-room interactive monitor to improve patient-centered care and family engagement within a pediatric intensive care unit.
…
-
psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
-
digital.ahrq.gov/location/usa-vt-windsor
January 01, 2023 - USA, VT, Windsor
Clinical Portal Survey: Mt. Ascutney Hospital and Health Center
Description
This is a questionnaire designed to be completed by nurses, physicians, and hospital staff in an inpatient setting. The tool includes questions to assess user's needs of electronic hea…