-
psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
June 20, 2011 - Study
Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Citation Text:
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia. 2009;64(4):366-70. …
-
psnet.ahrq.gov/issue/surgical-safety-checklist-implementation-ambulatory-surgical-facility
September 23, 2020 - Study
Surgical safety checklist: implementation in an ambulatory surgical facility.
Citation Text:
Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8.
C…
-
psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
May 16, 2012 - Study
Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety.
Citation Text:
Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …
-
psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
April 13, 2022 - Study
Proactive risk assessment of surgical site infections in ambulatory surgery centers.
Citation Text:
Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…
-
psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic
February 03, 2011 - Review
Association between organisational and workplace cultures, and patient outcomes: systematic review.
Citation Text:
Braithwaite J, Herkes J, Ludlow K, et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open. 2017;7(11). do…
-
psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
February 07, 2024 - Study
Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement.
Citation Text:
Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:…
-
psnet.ahrq.gov/issue/new-diagnostic-team
July 19, 2023 - Commentary
The new diagnostic team.
Citation Text:
Graber ML, Rusz D, Jones ML, et al. The new diagnostic team. Diagnosis (Berl). 2017;4(4):225-238. doi:10.1515/dx-2017-0022.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
-
psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
November 16, 2022 - Commentary
All CLEAR? Preparing for IT downtime.
Citation Text:
Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X…
-
psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
April 05, 2023 - Special or Theme Issue
Controlled substance drug diversion by healthcare workers as a threat to patient safety.
Citation Text:
Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…
-
psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
October 19, 2022 - Study
Modes of failure in venous thromboembolism prophylaxis.
Citation Text:
Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724.
Copy Citation
Format:
DOI Google Scholar…
-
digital.ahrq.gov/health-care-theme/telehealth
January 01, 2023 - Telehealth
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (multi-D) s…
-
www.ahrq.gov/diagnostic-safety/tools/index.html
June 01, 2025 - Tools To Improve Diagnostic Safety
AHRQ tools to reduce diagnostic errors include: Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone who…
-
psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
February 01, 2023 - Study
Understanding complexity in a safety critical setting: a systems approach to medication administration.
Citation Text:
Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…
-
psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
March 04, 2015 - Commentary
A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings.
Citation Text:
Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …
-
psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-change-health-care-inside
January 27, 2021 - Book/Report
Classic
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.
Citation Text:
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. Prono…
-
psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
October 23, 2019 - Book/Report
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017.
Citation Text:
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…
-
digital.ahrq.gov/principal-investigator/atlas-steven-j
January 01, 2023 - Atlas, Steven J.
Population-based breast cancer screening in a primary care network.
Citation
Atlas SJ, Ashburner JM, Chang Y, et al. Population-based breast cancer screening in a primary care network. Am J Manag Care 2012 Dec;18(12):821-9. PMID: 23286611.
Principal Inve…
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/E24AtkYp7cR8bp864K4CGS
January 01, 2025 - Summary of USPSTF Final Recommendation: Screening for Osteoporosis to Prevent Fractures
Clinicians
Summary of USPSTF Final Recommendation
Screening for Osteoporosis to Prevent Fractures
January 2025
What does the USPSTF recommend?
B
Grade
Women 65 years or older:
Screen…
-
www.ahrq.gov/news/newsroom/case-studies/201904.html
June 01, 2019 - TeamSTEPPS® Helps St. Louis Hospital Keep C-Section Rate Low
Search All Impact Case Studies
June 2019
Staff at SSM Health St. Mary's Hospital in St. Louis used AHRQ’s TeamSTEPPS training to improve their teamwork and communication, helping them to reduce the Cesarean section (C-section) rate for low-risk,…
-
psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
June 15, 2022 - Study
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study.
Citation Text:
Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4)…