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psnet.ahrq.gov/node/47282/psn-pdf
August 08, 2018 - Making surgical wards safer for patients with diabetes:
reducing hypoglycaemia and insulin errors.
August 8, 2018
Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing
hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000312. doi:10.1136/bmjoq-2017-000312.
ht…
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psnet.ahrq.gov/node/849318/psn-pdf
May 24, 2023 - The impact of a nursing-led intervention bundle with a
bedside checklist to reduce mortality during the initial
COVID-19 pandemic and implications for future
emergencies.
May 24, 2023
Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside checklist to
reduce mortality during …
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - Is one-pen, one-patient achievable in the hospital? A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic medical center.
January 29, 2020
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality
Improvement Project to Reduce Risks …
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psnet.ahrq.gov/node/43593/psn-pdf
May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety
Practices from The Joint Commission Center for
Transforming Healthcare Project.
May 6, 2015
Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint
Commission Center for Transforming Healthcare; 2014.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - Annual Perspective: Topics in Medication Safety
March 31, 2022
Harris IB, Dowell P, Mossburg SE. Annual Perspective: Topics in Medication Safety. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
Introduction
Issues with medication management and errors in medi…
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psnet.ahrq.gov/node/42030/psn-pdf
April 18, 2013 - Reducing hospital errors: interventions that build safety
culture.
April 18, 2013
Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public
Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439.
https://psnet.ahrq.gov/issue/reducing-hospital-errors-inter…
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psnet.ahrq.gov/node/36402/psn-pdf
June 13, 2011 - Medication reconciliation for reducing drug-discrepancy
adverse events.
June 13, 2011
Boockvar K, LaCorte HC, Giambanco V, et al. Medication reconciliation for reducing drug-discrepancy
adverse events. Am J Geriatr Pharmacother. 2006;4(3):236-43.
https://psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug…
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psnet.ahrq.gov/node/33967/psn-pdf
December 18, 2008 - Reducing and Preventing Adverse Drug Events to
Decrease Hospital Costs.
December 18, 2008
Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001.
AHRQ Publication no. 01-0020
https://psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs…
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psnet.ahrq.gov/node/42512/psn-pdf
August 21, 2013 - Project BOOST: effectiveness of a multihospital effort to
reduce rehospitalization.
August 21, 2013
Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to
reduce rehospitalization. J Hosp Med. 2013;8(8):421-7. doi:10.1002/jhm.2054.
https://psnet.ahrq.gov/issue/project-…
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psnet.ahrq.gov/node/37125/psn-pdf
October 04, 2011 - Current pulse: can a production system reduce medical
errors in health care?
October 4, 2011
Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health
care? Qual Manag Health Care. 2007;16(3):226-238.
https://psnet.ahrq.gov/issue/current-pulse-can-production-system-reduc…
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psnet.ahrq.gov/node/39326/psn-pdf
July 31, 2012 - Initiative to Reduce Unnecessary Radiation Exposure
from Medical Imaging.
July 31, 2012
Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
This Web site provides information on an init…
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psnet.ahrq.gov/node/36679/psn-pdf
December 21, 2009 - Manic for medication safety: bar codes and drug
information databases are helping to reduce medication
errors.
December 21, 2009
Rogoski RR. Manic for medication safety. Health management technology. 2007;28(2):14, 16-8.
https://psnet.ahrq.gov/issue/manic-medication-safety-bar-codes-and-drug-information-databases-…
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www.ahrq.gov/priority-populations/observances/bhm/grantees.html
February 01, 2021 - Grantees Focusing on African Americans
Brian William Jack, M.D.
"Maternal health disparities begin well before a positive pregnancy test. Our work aims to offer Black women useful healthcare tools tailored specifically to their needs. Gabby is one such tool."
Implementation and Dissemination of Ga…
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digital.ahrq.gov/health-care-theme/clinical-decision-making
January 01, 2023 - Clinical Decision Making
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementa…
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digital.ahrq.gov/funding-mechanism/using-innovative-digital-healthcare-solutions-improve-quality-point-care-r21r33
January 01, 2023 - Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional)
Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeleta…
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digital.ahrq.gov/care-setting/hospital
January 01, 2023 - Hospital
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time access …
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
August 26, 2020 - Study
Classic
Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.
Citation Text:
Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not …
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psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - Review
Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.
Citation Text:
Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…
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digital.ahrq.gov/health-care-theme/patient-safety
January 01, 2023 - Patient Safety
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time a…
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psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases
August 18, 2021 - Study
Emerging Classic
Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial.
Citation Text:
Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…