-
psnet.ahrq.gov/node/39652/psn-pdf
June 30, 2010 - Aftercare tips for patients checking out of the hospital.
June 30, 2010
Alderman L. New York Times. June 18, 2010;B6.
https://psnet.ahrq.gov/issue/aftercare-tips-patients-checking-out-hospital
This news piece highlights efforts to improve discharge planning, enhance the safety of care transitions,
and reduce readm…
-
psnet.ahrq.gov/node/34001/psn-pdf
April 16, 2018 - Patient Safety Authority.
April 16, 2018
Commonwealth of Pennsylvania
https://psnet.ahrq.gov/issue/patient-safety-authority
The Patient Safety Authority is an independent state agency charged with taking steps to reduce and
eliminate medical errors by identifying problems and recommending solutions. The site inclu…
-
psnet.ahrq.gov/node/40761/psn-pdf
September 12, 2016 - Failure to rescue in neonatal care.
September 12, 2016
Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs.
2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03.
https://psnet.ahrq.gov/issue/failure-rescue-neonatal-care
This commentary suggests numerous strategies to redu…
-
digital.ahrq.gov/organization/university-california-san-diego
January 01, 2023 - University of California, San Diego
Web-Based Intervention for Alcohol Use in Women of Childbearing Potential - 2010
Principal Investigator
Delrahim-Howlett, Katia
Project Name
Web-Based Intervention for Alcohol Use in Women of Childbearing Potential
…
-
psnet.ahrq.gov/node/43268/psn-pdf
June 11, 2014 - Medication Safety Program.
June 11, 2014
Atlanta, GA: Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/medication-safety-program
This Web site provides information for providers and patients to reduce risks related to adverse drug
events, including links to fact sheets, research, and govern…
-
psnet.ahrq.gov/node/34135/psn-pdf
February 28, 2024 - Hand Hygiene in Healthcare Settings.
February 28, 2024
Centers for Disease Control and Prevention
https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings
The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC)
strategy to promote patient safety by reducing infect…
-
psnet.ahrq.gov/node/38957/psn-pdf
January 16, 2013 - Diagnostic Error in Medicine.
January 16, 2013
Berner ES, Graber ML, eds. Adv Health Sci Educ Theory Pract. 2009;14(suppl 1):1-112.
https://psnet.ahrq.gov/issue/diagnostic-error-medicine
This supplement consists of 12 articles drawn from a 2008 conference on diagnostic error, covering topics
such as medical proble…
-
psnet.ahrq.gov/node/36674/psn-pdf
January 18, 2011 - An intervention to enhance nursing staff teamwork and
engagement.
January 18, 2011
Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J
Nurs Adm. 2007;37(2):77-84.
https://psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
The authors d…
-
effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1506.pdf
June 01, 2015 - In LAGB, a surgeon
reversibly reduces stomach size by placing a band around the upper part of the stomach … “The preliminary data
show that the MiniMed 530G with Enlite system improves glycemic control and reduces
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-rapid-review.pdf
December 01, 2024 - intervention
including the national early warning
score improves patient monitoring
practice and reduces … The national early
warning score improves patient
monitoring practice and reduces
mortality.
-
www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
January 01, 2024 - Applying human factors principles to alert design
increases efficiency and reduces prescribing errors
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016129-bergner-final-report-2009.pdf
January 01, 2009 - Lastly, through decreasing the
frequency of ED visits for non-emergencies, the OMH pathway reduces wait
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/4zmYnqJXLv8g4LzLrrDDrm
December 01, 2014 - antiphospholipid syndrome)
Low-dose aspirin (60 to 150 mg/d) initiated between 12 and 28 weeks of gestation reduces
-
psnet.ahrq.gov/node/50601/psn-pdf
October 09, 2022 - Medication Safety: Advancing the Development of
Improvement Strategies and Tools (R18).
October 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA-
20-028.
https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
Medication errors are …
-
www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
June 01, 2021 - Changing the System To Improve Antibiotic Safety
After viewing or presenting this presentation viewers will be able to—
Use barriers as opportunities to improve systems and prevent problems from recurring.
List factors that may compromise patient safety.
Develop an intervention to reduce barriers and…
-
www.ahrq.gov/nursing-home/resources/psychological-impact-covid.html
June 01, 2022 - Addressing the Psychological Impact of COVID-19 on Healthcare Workers: Learning From a Systematic Review of Early Interventions for Frontline Responders
Resource: Addressing the Psychological Impact of COVID-19 on Healthcare Workers: Learning From a Systematic Review of Early Interventions for Frontline Respo…
-
psnet.ahrq.gov/node/35952/psn-pdf
August 02, 2010 - Manage staff fatigue to improve patient safety.
August 2, 2010
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
https://psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
The author discusses three steps for reducing staff fatigue. Part I of …
-
psnet.ahrq.gov/node/36948/psn-pdf
September 09, 2011 - Errors in a stat laboratory: changes in type and frequency
since 1996.
September 9, 2011
Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem.
2007;53(7):1338-42.
https://psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
The investigators con…
-
psnet.ahrq.gov/node/34002/psn-pdf
March 17, 2011 - Utah DoH Patient Safety Initiatives.
March 17, 2011
Center for Health Data, Utah Department of Health, PO Box 144004, Salt Lake City, UT 84114.
https://psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives
Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse
…
-
psnet.ahrq.gov/node/40553/psn-pdf
June 22, 2011 - Applying the Universal Protocol to improve patient safety
in radiology services.
June 22, 2011
PA-PSRS Patient Saf Advis. June 2011;8:63-69.
https://psnet.ahrq.gov/issue/applying-universal-protocol-improve-patient-safety-radiology-services
Exploring causes of wrong-site, wrong patient, and wrong procedure errors i…