-
psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Nurse Wellbeing and Patient Safety
Curated Library
Foundations
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Wash…
-
www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/reconsidering-approach-prevention-recommendations-older-adults
February 01, 2014 - Reconsidering the Approach to Prevention Recommendations for Older Adults
Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
Table of Contents
Preface
Abstract
Introduction
The Problem
New Methodology and Processe…
-
psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - Misplaced Nasogastric Tube Resulting in Aspiration
Citation Text:
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google S…
-
psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - A Fatal Twist in Pseudohyperkalemia
December 31, 2024
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council
for C…
-
psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - SPOTLIGHT CASE
Anchoring Bias With Critical Implications
Citation Text:
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/documentation-burden-protocol.pdf
July 26, 2023 - EHC Research Protocol: Documentation Burden
Evidence-based Practice Center Technical Brief Protocol
Project Title: Documentation Burden
I. Background and Objectives
Physician job satisfaction and burnout are urgent challenges currently facing the U.S.
healthcare system, especially given the effects of t…
-
psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Another Fall
April 1, 2003
Bogardus SG. Another Fall. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/another-fall
Case Objectives
List risk factors for falls in hospitalized patients
Understand appropriate use of restraints
Identify system issues contributing to falls in hospitalized patients
Case & Comm…
-
digital.ahrq.gov/principal-investigator/bryant-charles
January 01, 2023 - Bryant, Charles
INTEGRIS Telewoundcare Network - Final Report
Citation
Bryant C. INTEGRIS Telewoundcare Network - Final Report. (Prepared by Integris Health, Inc. under Grant No. UC1 HS015359). Rockville, MD: Agency for Healthcare Research and Quality, 2008.
Principal …
-
digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-1
January 01, 2023 - Specifications for a quality improvement (QI) clinical decision support (QI-CDS) tool (Chapter 3; Figures 11-12; Appendix K)
Citation
Specifications for a quality improvement (QI) clinical decision support (QI-CDS) tool (Chapter 3; Figures 11-12; Appendix K)
PDF
Specifications for a qual…
-
psnet.ahrq.gov/node/45926/psn-pdf
May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers.
May 17, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…
-
digital.ahrq.gov/ahrq-funded-projects/reducing-disparities-health-care-quality-priority-populations-approach-focused/improve
January 01, 2023 - The use of quality improvement and health information technology approaches to improve diabetes outcomes in African American and Hispanic patients.
Citation
Baig AA, Wilkes AE, Davis AM, et al. The use of quality improvement and health information technology approaches to improve diabetes outcomes in …
-
psnet.ahrq.gov/node/50878/psn-pdf
February 05, 2020 - The role of racism as a core patient safety issue.
February 5, 2020
Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58-
61.
https://psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
A variety of biases can reduce the effectiveness and safety of care.…
-
psnet.ahrq.gov/node/40331/psn-pdf
July 31, 2012 - Keeping the Commitment: A Progress Report on Four
Early Leaders in Patient Safety Improvement.
July 31, 2012
McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15, 2011.
https://psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-
improvement
Updating a previous …
-
psnet.ahrq.gov/node/35654/psn-pdf
June 14, 2011 - Medical error and human factors engineering: where are
we now?
June 14, 2011
Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we
now? Am J Med Qual. 2006;21(1):57-67.
https://psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
The autho…
-
psnet.ahrq.gov/node/853629/psn-pdf
September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety.
September 20, 2023
World Health Organization.
https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
The sharing of best practices is a key component of enabling successful strategy implementation in support
of patient safety plans and go…
-
psnet.ahrq.gov/node/73453/psn-pdf
June 30, 2021 - Algorithmic Bias Playbook.
June 30, 2021
Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June
2021.
https://psnet.ahrq.gov/issue/algorithmic-bias-playbook
Biased algorithms are receiving increasing attention as artificial intelligence (AI) becomes more present…
-
www.ahrq.gov/topics/diabetes.html
Topic: Diabetes
Diabetes is a disease in which the blood glucose, or blood sugar, levels are too high. AHRQ provides tools and resources for clinicians to help treat their patients with types 1 and 2 diabetes.
Appendix C. What Is a Diabetes Prevention Program?
Beh…
-
psnet.ahrq.gov/node/35348/psn-pdf
October 26, 2007 - Medical Error.
October 26, 2007
National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National
Patient Safety Agency; 2005.
https://psnet.ahrq.gov/issue/medical-error
This two-part report focuses on the experience of committing a medical error, along with strategies to
red…
-
psnet.ahrq.gov/node/866284/psn-pdf
February 26, 2025 - AJR Podcast Series on Diagnostic Excellence and Error.
February 26, 2025
Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025.
https://psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
Reducing diagnostic errors relies on a variety of professionals across the spectrum of care. This podcast…
-
psnet.ahrq.gov/node/45338/psn-pdf
July 20, 2016 - Understanding models of error and how they apply in
clinical practice.
July 20, 2016
Garfield S, Franklin BD. Pharm J. June 14, 2016.
https://psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
Human error and fallibility are a part of health care delivery that can be exacerbated b…