-
psnet.ahrq.gov/node/38709/psn-pdf
June 17, 2009 - Enteral feeding misconnections: an update.
June 17, 2009
Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract.
2009;24(3):325-34. doi:10.1177/0884533609335174.
https://psnet.ahrq.gov/issue/enteral-feeding-misconnections-update
This review surveys information on enteral nutriti…
-
psnet.ahrq.gov/node/37654/psn-pdf
September 24, 2010 - The road to zero preventable birth injuries.
September 24, 2010
Mazza F, Kitchens J, Akin M, et al. The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf.
2008;34(4):201-205.
https://psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
This article reports how a perinatal safety team, which …
-
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…
-
psnet.ahrq.gov/node/39255/psn-pdf
February 02, 2011 - The patient who falls: "It's always a trade-off."
February 2, 2011
Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66.
doi:10.1001/jama.2009.2024.
https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
Through a case study, this article reviews evidence on risk…
-
psnet.ahrq.gov/node/41636/psn-pdf
August 29, 2012 - Far more could be done to stop the deadly bacteria C. diff.
August 29, 2012
Eisler P. USA Today. August 16, 2012.
https://psnet.ahrq.gov/issue/far-more-could-be-done-stop-deadly-bacteria-c-diff
This newspaper article reports on how clinicians, hospitals, and health care systems can reduce incidence
of hospital-acq…
-
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…
-
psnet.ahrq.gov/node/34925/psn-pdf
February 27, 2009 - Medication errors and professional practice of registered
nurses.
February 27, 2009
Deans C. Medication errors and professional practice of registered nurses. Collegian. 2005;12(1):29-33.
https://psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses
This Australian study identified and…
-
psnet.ahrq.gov/node/60216/psn-pdf
April 08, 2020 - The Diagnosis of Ectopic Pregnancy.
April 8, 2020
Farnborough, UK: Healthcare Safety Investigation Branch; March 2020.
https://psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
Missed or delayed diagnosis in maternal care can result in serious harm to both the mother and the child.
This report analyzes a dela…
-
psnet.ahrq.gov/node/36798/psn-pdf
March 09, 2009 - Organizational culture, critical success factors, and the
reduction of hospital errors.
March 9, 2009
Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of
hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.07.005.
https://psnet.ahrq.gov/issue/o…
-
psnet.ahrq.gov/node/40937/psn-pdf
November 16, 2011 - AHRQ Projects to Prevent Healthcare-Associated
Infections, Fiscal Year 2011.
November 16, 2011
Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-
P013-4-E.
https://psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
This annou…
-
digital.ahrq.gov/principal-investigator/mcculloch-michael
January 01, 2023 - McCulloch, Michael
Improving Pediatric Donor Heart Utilization with Predictive Analytics
Description
This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the potential…
-
digital.ahrq.gov/principal-investigator/porter-michael
January 01, 2023 - Porter, Michael
Improving Pediatric Donor Heart Utilization with Predictive Analytics
Description
This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the potential fo…
-
digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events/citation/fps
January 01, 2023 - FPs lower hospital readmission rates and costs.
Citation
Chetty VK, Culpepper L, Phillips RL Jr, et al. FPs lower hospital readmission rates and costs. Am Fam Physician 2011 May 1;83(9):1054. PMID: 21534517.
Link
https://www.ncbi.nlm.nih.gov/pubmed/21534517
Principal Investigator
Jac…
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-modeling-study/aspirin-to-prevent-cardiovascular-disease-preventive-medication
April 26, 2022 - uncertainty about the effects of aspirin when used for primary prevention—particularly, whether aspirin reduces
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs027006-sun-final-report-2023.pdf
January 01, 2023 - more efficient
statistical method to record observations at intervals and model workflow, and also reduces
-
effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-13121.pdf
December 05, 2013 - suggests that Mobi-C appears to
provide significant improvements in the clinical success rate and reduces … are needed to demonstrate whether the procedure regenerates
cartilage, has a durable effect, and reduces
-
effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1306.pdf
June 01, 2013 - controlled trials to determine whether the procedure regenerates cartilage, has a
more durable effect and reduces … are needed to demonstrate whether the procedure regenerates
cartilage, has a durable effect, and reduces
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/prevention-of-human-immunodeficiency-virus-hiv-infection-pre-exposure-prophylaxis
August 22, 2023 - Consistent use of condoms decreases risk of HIV acquisition by approximately 80% 5 and reduces the risk
-
www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - Medication safety program reduces adverse drug events in a community
hospital.
-
digital.ahrq.gov/sites/default/files/docs/citation/k08hs021271-melnick-final-report-2018.pdf
January 01, 2018 - produces CDS that is patient-centered, useful, usable, promotes shared decision-
making, and safely reduces