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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43395/psn-pdfJuly 30, 2014 - The current and ideal state of anatomic pathology patient safety. July 30, 2014 Raab SS. The current and ideal state of anatomic pathology patient safety. MLO Med Lab Obs. 2014;46(6):8-10. https://psnet.ahrq.gov/issue/current-and-ideal-state-anatomic-pathology-patient-safety This commentary illustrates the proces… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34969/psn-pdfJune 22, 2009 - Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation. June 22, 2009 Hauben M, Reich L. Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45059/psn-pdfJuly 01, 2016 - An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. July 1, 2016 Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. J Thromb H… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36106/psn-pdfMay 27, 2011 - Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. May 27, 2011 Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Crit Care Med. 2006;34(7… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41614/psn-pdfSeptember 26, 2012 - Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. September 26, 2012 Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia pro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39832/psn-pdfSeptember 08, 2010 - Unintended transplantation of three organs from an HIV- positive donor: report of the analysis of an adverse event in a regional health care service in Italy. September 8, 2010 Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47521/psn-pdfFebruary 13, 2019 - Perception of patient safety culture in pediatric long-term care settings. February 13, 2019 Hessels AJ, Murray MT, Cohen B, et al. Perception of Patient Safety Culture in Pediatric Long-Term Care Settings. J Healthc Qual. 2018;40(6):384-391. doi:10.1097/JHQ.0000000000000134. https://psnet.ahrq.gov/issue/perceptio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43758/psn-pdfMarch 17, 2015 - A patient safety checklist for the cardiac catheterisation laboratory. March 17, 2015 Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. https://psnet.ahrq.gov/issue/patient-safety-checklist-card… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34981/psn-pdfJuly 14, 2010 - Child-specific risk factors and patient safety. July 14, 2010 Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46876/psn-pdfAugust 15, 2018 - Design for patient safety: a systems-based risk identification framework. August 15, 2018 Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10.1080/00140139.2018.1437224. https://psnet.ahrq.gov/issue/design-patient-sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45832/psn-pdfApril 05, 2017 - Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. April 5, 2017 Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017. https://psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety This report summarizes a wide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45987/psn-pdfApril 26, 2017 - Using simulation to prepare nursing staff for the move to a new building. April 26, 2017 Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38363/psn-pdfFebruary 23, 2009 - Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. February 23, 2009 Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, and the Office for Human Research Prote… -
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examplesJanuary 01, 2023 - Workflow Tool Examples Too often clinics believe workflow should only be assessed after a vendor product has been selected and just before the health IT is implemented. By understanding workflows and preparing for changes to them throughout the planning and implementation process, a clinic i…
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digital.ahrq.gov/principal-investigator/crossdoriJanuary 01, 2024 - Cross, Dori Digital supervision in the clinical learning environment: Characterizing teamwork in the electronic health record. Citation Cross DA, Weiner J, Olson APJ. Digital supervision in the clinical learning environment: Characterizing teamwork in the electronic health rec…
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digital.ahrq.gov/organization/icahn-school-medicine-mount-sinaiJanuary 01, 2023 - Icahn School Of Medicine At Mount Sinai Patient Intestinal Failure-ECHO Project (PIF-ECHO) Description This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, m…
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Regional Health eDecisions: A Guide to Connecting Health Information Exchange in Primary Care (pdf file)
digital.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdfAugust 06, 2013 - critical that each stakeholder designated a liaison who continually facilitated the HIE design and testing … Grant funding is helpful with startup costs or determining and testing initial use cases/clinical outcomes -
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docxOctober 01, 2016 - Tool 2. Talking With Residents’ Family Members These talking points are presented in Q&A format to encourage an open and respectful dialogue between nurses or prescribing clinicians and residents’ family members about antibiotics and the risks involved with taking antibiotics. The talking points are designed to: (1) ed…
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Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docxJanuary 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 1) IDEAL Discharge Planning Overview, Process, and Checklist Strategy 4: IDEAL Discharge Planning (Tool 1) [Type text] [Type text] [Type text] Strategy 4: IDEAL Discharge Planning (Tool 1) Guide to Patient and Family Engagement :: 2 Guide to Patient and Family Engagement :… -
Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdfJanuary 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 1) Guide to Patient and Family Engagement :: 1 IDEAL Discharge Planning Overview, Process, and Checklist Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 R…
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