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Showing results for "standards".

  1. Hand-off communication: a requisite for perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/hand-communication-requisite-perioperative-patient-safety
    October 19, 2022 - Commentary Hand-off communication: a requisite for perioperative patient safety. Citation Text: Amato-Vealey EJ, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN J. 2008;88(5):763-770; quiz 771-4. Copy Citation Format: Googl…

  2. Systematic Screening is Essential to Identify the Full Range of Patient Needs | The Academy

    integrationacademy.ahrq.gov/expert-insight/niac-video/10876
    January 01, 2013 - 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…

  3. Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program | Digital Healthcare Research

    digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
    January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…

  4. Systems science: a primer on high reliability. | PSNet

    psnet.ahrq.gov/issue/systems-science-primer-high-reliability
    March 23, 2022 - Review Systems science: a primer on high reliability. Citation Text: Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  5. Enteral feeding misconnections: a consortium position statement. | PSNet

    psnet.ahrq.gov/issue/enteral-feeding-misconnections-consortium-position-statement
    June 17, 2009 - Organizational Policy/Guidelines Enteral feeding misconnections: a consortium position statement. Citation Text: Guenter P, Hicks RW, Simmons D, et al. Enteral feeding misconnections: a consortium position statement. Jt Comm J Qual Patient Saf. 2008;34(5):285-92, 245. Copy Citation …

  6. TRUST: the 5 rights of the second victim. | PSNet

    psnet.ahrq.gov/issue/trust-5-rights-second-victim
    September 12, 2012 - Commentary TRUST: the 5 rights of the second victim. Citation Text: Denham CR. TRUST. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236917.02321.fd. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  7. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/202504.html
    June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety Search All Impact Case Studies June 2025 Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…

  8. Implementation-Guide-Appendix-O (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-o.docx
    June 02, 2025 - Appendix O. CAUTI Event Report Template When a catheter-associated urinary tract infection (CAUTI) occurs on your unit, teams can use this tool, adapted from a report developed by the North Carolina Quality Center, to identify root causes. Patient Medical Record Number Admit Date Diagnosis Did the patien…

  9. Southern California Health Center Uses AHRQ Surveys for Patient Feedback and Improvements | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201715.html
    March 01, 2018 - Southern California Health Center Uses AHRQ Surveys for Patient Feedback and Improvements Search All Impact Case Studies March 2018 AltaMed Health Services, a Federally Qualified Community Health Center providing care to 300,000 Southern California residents, uses AHRQ's Consumer Assessment of Healthcare Pr…

  10. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet

    psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
    May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…

  11. Crosson JC, Etz RS, Wu S, et al. "Meaningful use of electronic prescribing in 5 exemplar primary care practices." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/crosson-jc-etz-rs-wu-s
    January 01, 2023 - Crosson JC, Etz RS, Wu S, et al. "Meaningful use of electronic prescribing in 5 exemplar primary care practices." Reference Crosson JC, Etz RS, Wu S, et al. Meaningful use of electronic prescribing in 5 exemplar primary care practices. Ann Fam Med 2011 Sep-Oct;9(5):392-7. [Link] Abstract PU…

  12. Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative
    August 24, 2022 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization

  13. Improving communication with primary care physicians at the time of hospital discharge. | PSNet

    psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
    November 16, 2022 - August 28, 2019 Improving standardization of paging communication using quality improvement

  14. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. | PSNet

    psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
    August 24, 2015 - July 29, 2020 An observational study of postoperative handoff standardization failures

  15. Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. | PSNet

    psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
    March 20, 2024 - Poor standardization of terminology in e-prescription programs can lead to incorrect medication order

  16. The incidence of opioid misuse among the surgical patients with persistent opioid use. | PSNet

    psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
    October 13, 2018 - December 14, 2022 An observational study of postoperative handoff standardization failures

  17. A review of adverse event reports from emergency departments in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
    November 17, 2021 - knowledge/educational deficits (11%) and policies/procedures that were either inadequate (11%) or lacking standardization

  18. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
    November 16, 2022 - Numerous inconsistencies related to   medication reconciliation were identified (i.e. standardization

  19. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
    June 23, 2021 - to reduce bleeding events – (1) the physical location and equipment used, (2) staff commitment to standardization

  20. Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. | PSNet

    psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
    October 23, 2019 - Possible solutions included improved standardization of care, proactive planning, and culture change
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