-
psnet.ahrq.gov/node/40403/psn-pdf
August 25, 2011 - The quality and economic impact of disruptive behaviors
on clinical outcomes of patient care.
August 25, 2011
Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient
care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/1062860611400592.
https://psnet.ahrq.gov/issue/qual…
-
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'…
-
www.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
June 01, 2021 - Appropriate Collection of Microbiological Specimens
After viewing or presenting this presentation viewers will be able to—
Recognize that collecting a good specimen is important to making treatment decisions.
Detail procedures for collecting urine and respiratory samples from nursing home residents.
…
-
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…
-
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…
-
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…
-
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…
-
psnet.ahrq.gov/node/60264/psn-pdf
January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert!
January 14, 2021
March 2020--January 2021.
https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert
Medication safety is improved through the sharing of frontline improvement experiences and concerns.
These articles share recommendations to…
-
psnet.ahrq.gov/node/60262/psn-pdf
April 22, 2020 - COVID-19 exposes potential gaps in PPE training,
effectiveness.
April 22, 2020
Ault A. Medscape Medical News. April 6, 2020.
https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
Training is essential to ensure the safe use of equipment. This article discusses how the incorrect us…
-
psnet.ahrq.gov/node/44875/psn-pdf
March 02, 2016 - "Teach-back" from a patient's perspective.
March 2, 2016
Miller S, Lattanzio M, Cohen S. "Teach-back" from a patient's perspective. Nursing (Brux). 2016;46(2):63-4.
doi:10.1097/01.NURSE.0000476249.18503.f5.
https://psnet.ahrq.gov/issue/teach-back-patients-perspective
The teach-back method, having patients repeat i…
-
psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects.
January 2, 2017
Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects.
Jt Comm J Qual Saf. 2009;35(3):123-132.
https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
Th…
-
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 …
-
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…
-
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…
-
psnet.ahrq.gov/node/45646/psn-pdf
November 23, 2016 - Patient safety in the emergency department.
November 23, 2016
Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9).
doi:10.12788/emed.2016.0052.
https://psnet.ahrq.gov/issue/patient-safety-emergency-department
Emergency departments are high-risk environments due to the urgency of care …
-
psnet.ahrq.gov/node/47475/psn-pdf
January 23, 2019 - Patient Safety and Quality Improvement.
January 23, 2019
Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0
Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology.
The reviews highlight sy…
-
psnet.ahrq.gov/node/41683/psn-pdf
September 19, 2012 - Techniques to improve patient safety in hospitals: what
nurse administrators need to know.
September 19, 2012
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J
Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
https://psnet.ahrq.gov/issue/technique…
-
psnet.ahrq.gov/node/47354/psn-pdf
November 21, 2018 - Improving Diagnosis in Medicine Change Package.
November 21, 2018
Chicago, IL: Health Research & Educational Trust; 2018.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
Proactive identification of conditions that degrade the diagnostic process can drive improvement. This
toolkit provides …
-
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…
-
psnet.ahrq.gov/node/860400/psn-pdf
January 10, 2024 - AHA Patient Safety Initiative.
January 10, 2024
American Hospital Association.
https://psnet.ahrq.gov/issue/aha-patient-safety-initiative
Leadership at the organization and system level is crucial to gaining improvement traction and
sustainability. This initiative centers on safety culture, care inequities, and wo…