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www.ahrq.gov/news/data-tools.htmlSeptember 01, 2024 - Videos Show How To Explore AHRQ Data Tools New videos from AHRQ provide guidance on the use of AHRQ Data Tools , an interactive resource that allows researchers, policymakers and others to explore data on topics ranging from health insurance coverage to hospital use to disparities in care. An introductory vid…
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www.ahrq.gov/hai/clabsi-tools/about.htmlMarch 01, 2018 - About the Toolkit Development Background This toolkit was developed based on the experiences of more than 1,000 ICUs that participated in the On the CUSP: Stop BSI project. These ICUs reduced CLABSIs by 41 percent using the CUSP method and resources included in this toolkit. Project partners Health Rese…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38541/psn-pdfMay 21, 2009 - The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. May 21, 2009 Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841490/psn-pdfDecember 14, 2022 - Prevent administration of ear drops into the eyes. December 14, 2022 ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3. https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes Look-alike medications are vulnerable to wrong route and other use errors. This article examines the… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41946/psn-pdfJanuary 09, 2013 - Thirty-day outcomes support implementation of a surgical safety checklist. January 9, 2013 Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012.07.015. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60569/psn-pdfJune 10, 2020 - Workplace team resilience: a systematic review and conceptual development. June 10, 2020 Hartwig A, Clarke S, Johnson S, et al. Workplace team resilience: s systematic review and conceptual development. Org Psychol Rev. 2020;10(3-4):169-200. doi:10.1177/2041386620919476. https://psnet.ahrq.gov/issue/workplace-team… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45777/psn-pdfJanuary 11, 2017 - Disclosure of adverse events in pediatrics. January 11, 2017 McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. Pediatrics. 2016;138(6);e20163215. https://psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics Op… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46593/psn-pdfNovember 08, 2017 - Unreadable barcodes and multiple barcodes on packages can lead to errors. November 8, 2017 ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors Barcodes can both enhance and degrade the medication … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43734/psn-pdfJanuary 21, 2015 - Explicit and Standardized Prescription Medicine Instructions. January 21, 2015 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions Standardization has been embraced as a strategy to improve health litera… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44602/psn-pdfNovember 25, 2015 - Interorganizational complexity and organizational accident risk: a literature review. November 25, 2015 Milch V, Laumann K. Interorganizational complexity and organizational accident risk: A literature review. Safety Sci. 2015;82:9-17. doi:10.1016/j.ssci.2015.08.010. https://psnet.ahrq.gov/issue/interorganizationa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44576/psn-pdfJanuary 23, 2018 - Healthcare Quality and Patient Safety Award. January 23, 2018 Iowa Healthcare Collaborative. https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award This award seeks to recognize health care organizations and professionals that have exhibited leadership and innovation in improving patient safety i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38213/psn-pdfNovember 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41410/psn-pdfMay 23, 2012 - The World Health Organization '5 moments of hand hygiene': the scientific foundation. May 23, 2012 Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0301-620X.94B4.27772. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72652/psn-pdfJanuary 20, 2021 - Textbook of Patient Safety and Clinical Risk Management. January 20, 2021 Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022. https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management Foundations and practical exp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37555/psn-pdfFebruary 14, 2018 - ACOG Committee Opinion #730: fatigue and patient safety. February 14, 2018 ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78- e81. https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety This commentary discusses how sleep deprivation affects… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840164/psn-pdfNovember 16, 2022 - Medical error and vulnerable communities. November 16, 2022 Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article discusses medical erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837858/psn-pdfAugust 17, 2022 - Tackling implicit bias in health care. August 17, 2022 Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180. https://psnet.ahrq.gov/issue/tackling-implicit-bias-health-care Implicit bias in clinicians can result in diagnostic errors and poor patient outcomes.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44269/psn-pdfJuly 01, 2015 - Accidental overdoses involving fluorouracil infusions. July 1, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5. https://psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44673/psn-pdfApril 15, 2016 - The safety of emergency medicine. April 15, 2016 Ramlakhan S, Qayyum H, Burke D, et al. The safety of emergency medicine. Emerg Med J. 2016;33(4):293-9. doi:10.1136/emermed-2014-204564. https://psnet.ahrq.gov/issue/safety-emergency-medicine Emergency medicine is considered a high-risk environment, but little resea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45835/psn-pdfFebruary 01, 2017 - Deploying and measuring a risk and patient safety program. February 1, 2017 Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266. https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…
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