-
psnet.ahrq.gov/node/37653/psn-pdf
May 14, 2008 - Getting boards on board: engaging governing boards in
quality and safety.
May 14, 2008
Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual
Saf. 2008;34(4):214-220.
https://psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
This a…
-
psnet.ahrq.gov/node/42344/psn-pdf
September 24, 2016 - Strategies for preventing distractions and interruptions in
the OR.
September 24, 2016
Clark GJ. Strategies for preventing distractions and interruptions in the OR. AORN J. 2013;97(6):702-707.
doi:10.1016/j.aorn.2013.01.018.
https://psnet.ahrq.gov/issue/strategies-preventing-distractions-and-interruptions-or
Dist…
-
psnet.ahrq.gov/node/40696/psn-pdf
December 01, 2011 - Rapid response systems: a prospective study of
response times.
December 1, 2011
Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J
Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013.
https://psnet.ahrq.gov/issue/rapid-response-systems-prospective-…
-
psnet.ahrq.gov/node/43318/psn-pdf
July 02, 2014 - Sign up to Safety.
July 2, 2014
National Health Service.
https://psnet.ahrq.gov/issue/sign-safety
Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up to
Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service
facilities.…
-
psnet.ahrq.gov/node/37704/psn-pdf
April 23, 2008 - Decreasing paediatric prescribing errors in a district
general hospital.
April 23, 2008
Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital.
Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212.
https://psnet.ahrq.gov/issue/decreasing-paediatric-…
-
psnet.ahrq.gov/node/36039/psn-pdf
March 02, 2011 - The effects of on-duty napping on intern sleep time and
fatigue.
March 2, 2011
Arora V, Dunphy C, Chang VY, et al. The effects of on-duty napping on intern sleep time and fatigue. Ann
Intern Med. 2006;144(11):792-8.
https://psnet.ahrq.gov/issue/effects-duty-napping-intern-sleep-time-and-fatigue
The investigators …
-
psnet.ahrq.gov/node/46466/psn-pdf
July 11, 2018 - Distinct newborn identification requirement.
July 11, 2018
R3 Report. June 25, 2018;7:1-2.
https://psnet.ahrq.gov/issue/distinct-newborn-identification-requirement
Neonatal patients are at risk for misidentification due to communication challenges and lack of
distinguishable features. This report highlights new Jo…
-
psnet.ahrq.gov/node/40903/psn-pdf
March 08, 2015 - Does your patient really understand?
March 8, 2015
Huff C. Does your patient really understand? Hospitals & health networks. 2011;85(10):34-5, 37-8, 2.
https://psnet.ahrq.gov/issue/does-your-patient-really-understand
This article discusses health literacy and describes an initiative to reduce gaps in understanding …
-
psnet.ahrq.gov/node/41955/psn-pdf
January 09, 2013 - Making Medical Devices Safer at Home.
January 9, 2013
Consumer Updates. Silver Spring, MD: US Food and Drug Administration; December 12, 2012.
https://psnet.ahrq.gov/issue/making-medical-devices-safer-home
Highlighting concerns associated with patients' use of medical devices at home, such as difficulty
understand…
-
psnet.ahrq.gov/node/42830/psn-pdf
December 18, 2013 - How to Identify and Address Unsafe Conditions
Associated With Health IT.
December 18, 2013
Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National
Coordinator for Health Information Technology; November 15, 2013.
https://psnet.ahrq.gov/issue/how-identify-and-address-unsafe-c…
-
psnet.ahrq.gov/node/40668/psn-pdf
March 04, 2015 - Body CT: technical advances for improving safety.
March 4, 2015
Marin D, Nelson RC, Rubin GD, et al. Body CT: technical advances for improving safety. AJR Am J
Roentgenol. 2011;197(1):33-41. doi:10.2214/AJR.11.6755.
https://psnet.ahrq.gov/issue/body-ct-technical-advances-improving-safety
This article explores risk…
-
psnet.ahrq.gov/node/42364/psn-pdf
September 18, 2013 - The pursuit of better diagnostic performance: a human
factors perspective.
September 18, 2013
Henriksen K, Brady J. The pursuit of better diagnostic performance: a human factors perspective. BMJ
Qual Saf. 2013;22(Suppl 2):ii1-ii5. doi:10.1136/bmjqs-2013-001827.
https://psnet.ahrq.gov/issue/pursuit-better-diagnosti…
-
psnet.ahrq.gov/node/38341/psn-pdf
April 02, 2009 - CPOE: it don't come easy.
April 2, 2009
Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim.
https://psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE)
systems could reduce medical errors…
-
psnet.ahrq.gov/node/42332/psn-pdf
June 12, 2013 - Quality improvement through implementation of
discharge order reconciliation.
June 12, 2013
Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order
reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050.
https://psnet.ahrq.gov/issue/quality-impr…
-
psnet.ahrq.gov/node/40568/psn-pdf
June 29, 2011 - Tubing misconnections: normalization of deviance.
June 29, 2011
Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract.
2011;26(3):286-293. doi:10.1177/0884533611406134.
https://psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
Analyzing published ca…
-
psnet.ahrq.gov/node/41411/psn-pdf
October 19, 2012 - Minnesota Hospital Association Statewide Project: SAFE
from FALLS.
October 19, 2012
Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care
Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b.
https://psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-p…
-
psnet.ahrq.gov/node/35382/psn-pdf
October 05, 2005 - Rx for a better prescription. Hospital bans doctors from
using confusing medical abbreviations.
October 5, 2005
Hall J. Fredericksburg Times. September 25, 2005
https://psnet.ahrq.gov/issue/rx-better-prescription-hospital-bans-doctors-using-confusing-medical-
abbreviations
This article presents one hospital’s pro…
-
psnet.ahrq.gov/node/42493/psn-pdf
August 14, 2013 - Partnering to prevent falls: using a multimodal
multidisciplinary team.
August 14, 2013
Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm.
2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a.
https://psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-m…
-
digital.ahrq.gov/organization/mainegeneral-medical-center
January 01, 2023 - Mainegeneral Medical Center
Improving Health Information Technology Implementation in a Rural Health System - 2008
Principal Investigator
Mingle, Daniel
Project Name
Improving Health Information Technology Implementation in a Rural Health System
…
-
psnet.ahrq.gov/node/43055/psn-pdf
May 01, 2017 - AHRQ's Safety Program for Ambulatory Surgery.
May 1, 2017
Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May
2017. AHRQ Publication No. 16(17)-0019-1-EF.
https://psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
This report provides information about a na…