Results

Total Results: over 10,000 records

Showing results for "reduces".

8541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40868/psn-pdf
      October 19, 2011 - Simulation to enhance patient safety: why aren't we there yet? October 19, 2011 Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest. 2011;140(4):854-858. doi:10.1378/chest.11-0728. https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet Discussin…

8542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45026/psn-pdf
      April 19, 2016 - Managing the risks of concurrent surgeries. April 19, 2016 Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305. https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries Scheduling overlapping surgeries may improve operating room efficie…

8543. Quality Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/quality-measures.html
      Topic: Quality Measures Measures used to assess and compare the quality of health care organizations are classified as either a structure, process, or outcome measure. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Health…

8544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46607/psn-pdf
      November 08, 2017 - Stem the Tide: Addressing the Opioid Epidemic. November 8, 2017 Chicago, IL: American Hospital Association; 2017. https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help health care systems target ei…

8545. AHRQ's Healthcare Extension Service Logic Model | Agency for Healthcare Research and Quality
      www.ahrq.gov/pcor/healthcare-extension-services/technical-resources/logic-model.html
      September 01, 2024 - AHRQ's Healthcare Extension Service Logic Model This Logic Model (PDF, 423 KB) shows how AHRQ's Healthcare Extension Service is intended to provide state-based solutions for healthcare improvement, and is a guide for planning, implementation, and evaluation efforts. The Logic Model identifies the initiatives'…

8546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46408/psn-pdf
      November 29, 2017 - Eliminating vincristine administration events. November 29, 2017 Quick Safety. October 16, 2017;(37):1-3. https://psnet.ahrq.gov/issue/eliminating-vincristine-administration-events Vincristine administration errors can have serious consequences. This newsletter article outlines steps to reduce risks associated wit…

8547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43086/psn-pdf
      March 26, 2014 - International Comparisons: A Focus on Quality of Care. March 26, 2014 Ottawa, ON: Canadian Institute for Health Information; January 23, 2014. https://psnet.ahrq.gov/issue/international-comparisons-focus-quality-care This report compared the quality of care in Canada with 34 other countries to identify areas in whi…

8548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42228/psn-pdf
      October 08, 2013 - Cognitive diagnostic error in internal medicine. October 8, 2013 Van den Berge K, Mamede S. Cognitive diagnostic error in internal medicine. Eur J Intern Med. 2013;24(6):525-9. doi:10.1016/j.ejim.2013.03.006. https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine This review discusses how confir…

8549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61052/psn-pdf
      April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into a Vein. April 1, 2019 Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein Wrong route medication administration is a never event. This report examined the co…

8550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47047/psn-pdf
      June 06, 2018 - MedStar Health Institute for Quality and Safety. June 6, 2018 MedStar Health. 10980 Grantchester Way, Columbia, MD 21044. https://psnet.ahrq.gov/issue/medstar-health-institute-quality-and-safety Health care has recognized the importance of designing systems solutions that reduce risks. Established within MedStar H…

8551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41931/psn-pdf
      December 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year journey. December 19, 2012 Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey Discussing a 5-year effort to report, analyze, and red…

8552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39807/psn-pdf
      December 29, 2014 - Perspectives in quality: designing the WHO Surgical Safety Checklist. December 29, 2014 Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039. https://psnet.ahrq.gov/issue/perspectives-qual…

8553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42358/psn-pdf
      June 12, 2013 - CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. June 12, 2013 Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5. https://psnet.ahrq.gov/issue/cdc-grand-rounds-preventi…

8554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39182/psn-pdf
      May 22, 2019 - ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. May 22, 2019 Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90e. https://psnet.ahrq.gov/issue/acog-com…

8555. PROMPTLY REMOVE (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-f.docx
      June 02, 2025 - PROMPTLY REMOVE AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix F. Urinary Catheter Decision-Making Algorithm Is there a urinary catheter in place? Does the patient meet criteria for catheter placement? Avoid catheter placement. Accepted Urinary Catheter Placement Indications 1. Acute urinary retentio…

8556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50805/psn-pdf
      January 15, 2020 - Advancing safety with closed-loop communication of test results. January 15, 2020 Quick Safety. December 17, 2019;(52):1-3. https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…

8557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36425/psn-pdf
      December 22, 2010 - Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. December 22, 2010 Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2006;130(11):1662-1668. https://p…

8558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846765/psn-pdf
      March 29, 2023 - Addressing Medical Gaslighting to Improve Maternal Health—Together. March 29, 2023 Oregon Patient Safety Commission: 2023. https://psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together Gaslighting has been identified as a contributor to maternal mortality and morbidity. This toolkit …

8559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41053/psn-pdf
      December 30, 2014 - Time to accelerate integration of human factors and ergonomics in patient safety. December 30, 2014 Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. https://psnet.ahrq.gov/issue/time-acc…

8560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60948/psn-pdf
      September 23, 2020 - Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant. September 23, 2020 Ramaswamy SV. Rockland/Westchester Journal News. September 9, 2020. https://psnet.ahrq.gov/issue/without-ounce-empathy-their-stories-show-dangers-being-black-and-pregnant Implicit and explicit biases …