-
psnet.ahrq.gov/issue/building-nursing-intellectual-capital-safe-use-information-technology-systematic-review
June 23, 2009 - Review
Building nursing intellectual capital for safe use of information technology: a systematic review.
Citation Text:
Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e31…
-
psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0
December 21, 2011 - Commentary
Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Fassett WE. Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother. 2006;40(5):917-24.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
-
psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
June 07, 2023 - Review
Bar code technology and medication administration error.
Citation Text:
Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7.
Copy Citation
Format:
DOI Google Scho…
-
psnet.ahrq.gov/issue/speaking-ethical-action-exercise
February 13, 2014 - Commentary
Speaking up: an ethical action exercise.
Citation Text:
Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML End…
-
psnet.ahrq.gov/issue/adverse-events-medicine-easy-count-complicated-understand-and-complex-prevent
July 15, 2009 - Commentary
Adverse events in medicine: easy to count, complicated to understand, and complex to prevent.
Citation Text:
Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform. 2011;44(3):390…
-
psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises
June 15, 2012 - Commentary
Using simulation to address hierarchy issues during medical crises.
Citation Text:
Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…
-
psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Book/Report
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.
Citation Text:
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…
-
psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - Commentary
Towards an organization with a memory: exploring the organizational generation of adverse events in health care.
Citation Text:
Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…
-
psnet.ahrq.gov/issue/current-challenges-and-future-perspectives-patient-safety-surgery
December 21, 2014 - Commentary
Current challenges and future perspectives for patient safety in surgery.
Citation Text:
Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9.
Copy Citation
Fo…
-
psnet.ahrq.gov/issue/patient-safety-where-nursing-education
December 06, 2017 - Commentary
Patient safety: where is nursing education?
Citation Text:
Gregory DM, Guse LW, Dick DD, et al. Patient safety: where is nursing education? J Nurs Educ. 2007;46(2):79-82. doi:10.3928/01484834-20070201-08.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX E…
-
www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Quality Improvement Strategies
Previous Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
This section of the…
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - The key is to carefully select people with the right skill set and mindset for quality improvement: people
-
psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - the ability of movie producers to select just the right actor from the hundreds of potentials, or the skill
-
psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Patient Engagement and Patient Safety
Saul N. Weingart, MD, PhD | February 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. Rockville (MD): Agency fo…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/medicare-utilization-seniors_research.pdf
June 01, 2012 - Newly Medicare-Eligible Elders: Data Points #12
Newly Medicare-Eligible Elders Data Points # 12
Health care use in the first six months of Medicare eligibility for
elders: Impact of State support
Approximately 10 percent of newly age-
eligible Medicare enrollees receive assistance
from States either as full Medic…
-
psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Feeling No Pain
July 1, 2003
Bogner MS. Feeling No Pain. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/feeling-no-pain
The Case
A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the
patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…
-
psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Charcoal Lavage of the Lungs
Citation Text:
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
-
psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - Saved by ECMO
February 1, 2023
Weiss NA. Saved by ECMO . PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/saved-ecmo
The Case
A 27-year-old pregnant woman was admitted at an estimated gestational age (EGA) of 29 weeks for
increased shortness of breath. She was diagnosed with severe pulmonary arterial hyperte…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
-
integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/strategies-support-staff
January 01, 2019 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…