-
psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care
March 29, 2006 - Book/Report
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care.
Citation Text:
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.
Copy Citation
…
-
psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
May 28, 2015 - Commentary
Educational opportunities with postevent debriefing.
Citation Text:
Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX…
-
psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - Commentary
A nurse-driven system for improving patient quality outcomes.
Citation Text:
Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175.
Copy Citation
Format:
Google Scholar PubMe…
-
www.ahrq.gov/cpi/about/nac/snac-pronovost.html
December 01, 2021 - SNAC Member: Peter Pronovost, M.D., Ph.D.
Chief Quality and Clinical Transformation Officer, University Hospitals
Professor, Department of Anesthesiology and Critical Care Medicine, School of Medicine and School of Nursing
Case Western Reserve University
Peter Pronovost, M.D., Ph.D., is a patient safety cha…
-
psnet.ahrq.gov/issue/building-culture-patient-safety-report-commission-patient-safety-and-quality-assurance
November 10, 2011 - Book/Report
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.
Citation Text:
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance. Dublin, Ireland: Department of Health & Childre…
-
psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - Commentary
The vanishing nonforensic autopsy.
Citation Text:
Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
-
psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
February 09, 2011 - Commentary
Classic
Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.
Citation Text:
Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…
-
psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
November 16, 2022 - Study
Patient harm in general surgery--a prospective study.
Citation Text:
Kaul AK, McCulloch PG. Patient Harm in General Surgery-A Prospective Study. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030c2ec.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XM…
-
hcup-us.ahrq.gov/db/nation/nrd/NRDIntroduction2022.pdf
December 01, 2024 - Discharges for residents and nonresidents were included in the State in
which they were treated. … Discharges for residents and nonresidents of the State in which
they were treated were also included … HOSP_URCAT4
Hospital urban-rural location: (1) large metropolitan
areas with at least 1 million residents … , (2) small
metropolitan areas with less than 1 million
residents, (3) micropolitan areas, (4) not
-
hcup-us.ahrq.gov/reports/statbriefs/sb220-Suicidal-Ideation-ED-Visits.jsp
January 01, 2017 - Emergency Department Visits Related to Suicidal Ideation, 2006-2013 #220
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Es…
-
hcup-us.ahrq.gov/reports/statbriefs/sb220-Suicidal-Ideation-ED-Visits.pdf
December 01, 2016 - Emergency Department Visits Related to Suicidal Ideation, 2006-2013
1
January 2017
Emergency Department Visits Related to
Suicidal Ideation, 2006–2013
Pamela L. Owens, Ph.D., Kathryn R. Fingar, Ph.D., M.P.H., Kevin
C. Heslin, Ph.D., Ryan Mutter, Ph.D., and Chelsea L. Booth,
Ph.D.
If You K…
-
www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - challenges were presented for both robot models with regard to training, which
concerns training surgical residents … Additionally, cases including surgical
residents had significantly higher rates of FD (25.8 ± 8.7 per … Case
Pre-Intervention (n=29) 24.7 (8.2) 0.0013
No (n=8) 24.5 (3.8)
Yes (n=19) 22.1 (6.0)
Surgical Residents
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
December 01, 2020 - Report | 3
women, children, older adults, people with disabilities and at the end of life, and
residents … Additional information about disparities experienced by residents of rural
4 | 2019 National Healthcare … That contain at least 250,000 residents of any principal city in the
MSA.
-
psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - SPOTLIGHT CASE
Resuscitation Errors: A Shocking Problem
Citation Text:
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
…
-
psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - SPOTLIGHT CASE
Harm From Alarm Fatigue
Citation Text:
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 X…
-
psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Transfer Troubles
June 1, 2012
Hains IM. Transfer Troubles. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfer-troubles
Case Objectives
Recognize that transfer of patients between hospitals is common.
Understand the frequency of errors and adverse events in the transfer of patients between hospitals.
…
-
psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - A Weighty Mistake
March 1, 2013
Bokser SJ. A Weighty Mistake. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/weighty-mistake
Case Objectives
Understand factors associated with weight-based dosing medication errors in pediatric populations.
Describe how adoption of computerized provider order entry (CPOE) s…
-
psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting
of Medications Used by Anesthesia
July 29, 2020
Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications
Used by Anesthesia. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involvi…
-
psnet.ahrq.gov/primer/burnout
November 20, 2024 - Burnout
Citation Text:
Yellowlees P, Rea M. Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Do…
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Learning From Defects through Sensemaking
Slide 2: Learning Objectives
Describe difference between first-order and second-order problem-solving.
L…