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  1. Prescribing in 2019: what are the safety concerns? | PSNet

    psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
    December 21, 2022 - Review Prescribing in 2019: what are the safety concerns? Citation Text: Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  2. Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
    June 03, 2013 - Study Implementing a patient safety and quality program across two merged pediatric institutions. Citation Text: Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…

  3. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
    January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

  4. Quality measures of clinical pharmacy services during transitions of care. | PSNet

    psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Quality measures of clinical pharmacy services during transitions of care. Citation Text: King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. Cop…

  5. What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet

    psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
    December 17, 2010 - Review What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. Citation Text: Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencie…

  6. Person- and Family-Centered Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
    June 01, 2018 - Chartbook on Person- and Family-Centered Care Person- and Family-Centered Care Previous Page Next Page Table of Contents Chartbook on Person- and Family-Centered Care Acknowledgments Person- and Family-Centered Care Summary of Trends Measures of Person- and Family- Centered Care Communicat…

  7. Care Coordination | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination.html
    June 01, 2018 - Chartbook on Care Coordination Care Coordination Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avoidable Hospitalizati…

  8. Can we make airway management (even) safer?—lessons from national audit. | PSNet

    psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
    March 01, 2023 - Review Can we make airway management (even) safer?—lessons from national audit. Citation Text: Woodall N, Frerk C, Cook TM. Can we make airway management (even) safer?--lessons from national audit. Anaesthesia. 2011;66 Suppl 2:27-33. doi:10.1111/j.1365-2044.2011.06931.x. Copy Citatio…

  9. Daily Goals Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
    December 01, 2012 - Daily Goals Checklist CUSP Toolkit Effective communication is particularly important in the unit if complicated care plans are to be effectively managed by the care team Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased l…

  10. Dailygoals (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
    January 01, 2003 - Daily Goals Checklist Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …

  11. Teaching medical error apologies: development of a multi-component intervention. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
    August 04, 2021 - Study Teaching medical error apologies: development of a multi-component intervention. Citation Text: Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6. Copy Citation Format: …

  12. Team-based care: the changing face of cardiothoracic surgery. | PSNet

    psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
    October 07, 2013 - Review Team-based care: the changing face of cardiothoracic surgery. Citation Text: Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. Copy Citation Format: D…

  13. SWITCH for safety: perioperative hand-off tools. | PSNet

    psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
    October 18, 2023 - Commentary SWITCH for safety: perioperative hand-off tools. Citation Text: Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. Copy Citation Format: DOI Google Scho…

  14. ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. | PSNet

    psnet.ahrq.gov/issue/ashp-ppag-guidelines-providing-pediatric-pharmacy-services-hospitals-and-health-systems
    April 24, 2018 - Commentary ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. Citation Text: Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018…

  15. Overview | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change an…

  16. Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. | PSNet

    psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
    August 04, 2021 - Study Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. Citation Text: Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…

  17. Learning-From-Antibiotic-Adverse (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use Learning From Antibiotic-Associated Adverse Events An antibiotic-associated adverse event is any event or situation that you would not want to happen again because it either caused your patient harm or had the potential to cause harm. The purpose of this tool is to provi…

  18. Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. | PSNet

    psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety
    November 16, 2022 - Study Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. Citation Text: Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open repair using patient safety indicators …

  19. CLABSI Learning From Defects Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
    April 01, 2022 - CLABSI Learning From Defects Tool Learn From Defects Tool Worksheet: Central Line-Associated Bloodstream Infection (CLABSI) This worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happ…

  20. Improving service systems for youth with serious emotional disorders and their families | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
    September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Improving service systems for youth with serious emotional disorders and their families Previous Page Next Page Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr…
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