-
psnet.ahrq.gov/node/36173/psn-pdf
September 29, 2010 - The need for organizational change in patient safety
initiatives.
September 29, 2010
Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives.
Int J Med Inform. 2006;75(12):809-17.
https://psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
…
-
psnet.ahrq.gov/node/38209/psn-pdf
June 02, 2010 - The effects of emergency department staff rounding on
patient safety and satisfaction.
June 2, 2010
Meade CM, Kennedy J, Kaplan J. The effects of emergency department staff rounding on patient safety
and satisfaction. J Emerg Med. 2010;38(5):666-74. doi:10.1016/j.jemermed.2008.03.042.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/40521/psn-pdf
June 14, 2011 - Johns Hopkins receives $10 million to open patient safety
institute.
June 14, 2011
Cohn M. Baltimore Sun. May 27, 2011:A1.
https://psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute
This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety…
-
psnet.ahrq.gov/node/40813/psn-pdf
July 19, 2017 - How to develop an effective obstetric checklist.
July 19, 2017
Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet
Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003.
https://psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist
This commentary di…
-
psnet.ahrq.gov/node/42959/psn-pdf
February 19, 2014 - A mislabeling event with batched drugs: the unintended
consequences of practice changes.
February 19, 2014
ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.
https://psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
This newsletter article describes how…
-
psnet.ahrq.gov/node/36077/psn-pdf
July 05, 2006 - Perinatal patient safety from the perspective of nurse
executives: a round table discussion.
July 5, 2006
Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
The authors summarize a discussion be…
-
psnet.ahrq.gov/node/38475/psn-pdf
March 10, 2011 - Effect of alerts for drug dosage adjustment in inpatients
with renal insufficiency.
March 10, 2011
Sellier E, Colombet I, Sabatier B, et al. Effect of alerts for drug dosage adjustment in inpatients with renal
insufficiency. J Am Med Inform Assoc. 2009;16(2):203-10. doi:10.1197/jamia.M2805.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/40751/psn-pdf
September 07, 2011 - Developing a programme for medication reconciliation at
the time of admission into hospital.
September 7, 2011
Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time
of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi:10.1007/s11096-011-9530-1.
http…
-
psnet.ahrq.gov/node/37565/psn-pdf
February 27, 2008 - Effect of pharmacists on medication errors in an
emergency department.
February 27, 2008
Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency
department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391.
https://psnet.ahrq.gov/issue/effect-pharmacists-me…
-
psnet.ahrq.gov/node/42600/psn-pdf
September 18, 2013 - Oral medications inadvertently given via the intravenous
route.
September 18, 2013
Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
https://psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
Analyzing data submitted to the Pennsylvania Patient Safety Reporti…
-
psnet.ahrq.gov/node/39693/psn-pdf
July 21, 2010 - Learning accountability for patient outcomes.
July 21, 2010
Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5.
doi:10.1001/jama.2010.979.
https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
This commentary discusses efforts to reduce central line blood stream infe…
-
psnet.ahrq.gov/node/41691/psn-pdf
September 19, 2012 - Events associated with the prescribing, dispensing, and
administering of medication loading doses.
September 19, 2012
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication-
loading-doses
This article discuss…
-
psnet.ahrq.gov/node/42176/psn-pdf
April 17, 2013 - Checklists improve experts' diagnostic decisions.
April 17, 2013
Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ.
2013;47(3):301-8. doi:10.1111/medu.12080.
https://psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
Checklists have recently be…
-
psnet.ahrq.gov/node/41508/psn-pdf
July 11, 2012 - Complications in surgery: root cause analysis and
preventive measures.
July 11, 2012
Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast
Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0.
https://psnet.ahrq.gov/issue/complications-surgery-root-cause…
-
psnet.ahrq.gov/node/37173/psn-pdf
January 02, 2017 - Eliminating adverse drug events at Ascension Health.
January 2, 2017
Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual
Patient Saf. 2007;33(9):527-36.
https://psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
The authors describe an initiativ…
-
digital.ahrq.gov/principal-investigator/wang-hsin-hsiao-scott
January 01, 2023 - Wang, Hsin-Hsiao Scott
Machine-Learning Prediction Model for Personalized Urinary Tract Infection Care in Children
Description
The study will develop and implement a validated machine learning model to optimize voiding cystourethrogram timing and use for diagnosing vesicourete…
-
digital.ahrq.gov/program/national-center-excellence-primary-care-research-center-evidence-and-practice-improvement
January 01, 2023 - National Center for Excellence in Primary Care Research, Center for Evidence and Practice Improvement
Program Link: https://www.ahrq.gov/ncepcr/index.html
Assessing the Effects of EHR Optimization Interventions in Primary Care
Description
This research…
-
digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-6
January 01, 2023 - Nurse leader training presentation for the deployment of the QI-CDS tool (separate document with supplemental handout for data element definitions)
Citation
Nurse leader training presentation for the deployment of the QI-CDS tool (separate document with supplemental handout for data element definition…
-
digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-0
January 01, 2023 - Specifications for a care planning (CP) clinical decision support (CP-CDS) tool (Chapter 3; Figures 4-10)
Citation
Specifications for a care planning (CP) clinical decision support (CP-CDS) tool (Chapter 3; Figures 4-10)
PDF
action-cp-cds-tool-specifications.pdf
Project Name
…
-
psnet.ahrq.gov/node/39793/psn-pdf
August 25, 2010 - Infection Control in the Intensive Care Unit.
August 25, 2010
Crit Care Med. 2010;38:S265-S404.
https://psnet.ahrq.gov/issue/infection-control-intensive-care-unit
Articles in this special issue describe strategies to reduce infections in the intensive care unit, including
human factors design, guideline use…