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  1. Action Chart for Implementing Targeted Decolonization (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/action-chart.pdf
    March 01, 2022 - Action Chart for Implementing Targeted Decolonization Decolonization of Non-ICU Patients With Devices Section 7 – Action Chart for Implementing Targeted Decolonization Decolonization of Non-ICU Patients With Devices Action Chart 2 Organization of Toolkit for Staff As you begin to review…

  2. Conclusion | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety5.html
    September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators Conclusion Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators I…

  3. SNAC Member: Patrick S. Romano, M.D., M.P.H. | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/snac-romano.html
    December 01, 2021 - SNAC Member: Patrick S. Romano, M.D., M.P.H. Professor of Medicine and Pediatrics University of California, Davis School of Medicine Patrick S. Romano, M.D., M.P.H., is professor of medicine and pediatrics at the University of California, Davis School of Medicine. In over 30 years, he has published more than…

  4. Subcommittee Member: Nichola Davis | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/pcortf-snac/davis.html
    November 01, 2022 - Subcommittee Member: Nichola Davis Nichola Davis, M.D., M.S. Vice President and Chief Population Health Officer Office of Ambulatory Care and Population Health New York City Health + Hospitals Clinical Professor Department of Population Health NYU Grossman School of Medicine Dr. Davis is Vice Preside…

  5. Time Value Map | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/time-value-map
    January 01, 2023 - Time Value Map Also Known As Value-Added Time Analysis Description Time value maps provide a visual representation of time in a process, demonstrating whether the time is value-added (VA) or non-value-added (NVA). Uses To visually portray value-added and non-value-added time in a…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37498/psn-pdf
    April 30, 2014 - Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. April 30, 2014 Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Failures in Communication. Archives…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60051/psn-pdf
    March 18, 2020 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. March 18, 2020 Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily s…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60277/psn-pdf
    January 01, 2021 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. April 29, 2020 Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621. https://psnet.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44237/psn-pdf
    November 03, 2015 - Surgical never events and contributing human factors. November 3, 2015 Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors Never even…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60027/psn-pdf
    January 01, 2021 - Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. March 11, 2020 Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital f…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74229/psn-pdf
    January 12, 2022 - A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. January 12, 2022 Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safet…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848359/psn-pdf
    May 03, 2023 - Medical line entanglement: the unspoken patient safety hazard of medical devices. May 3, 2023 Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. https://psnet.ahrq.gov/issue/medical-line-enta…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73188/psn-pdf
    April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8. ht…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865709/psn-pdf
    May 01, 2024 - Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. May 1, 2024 Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum Factors. 2024;11:e50676. doi:10.219…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46874/psn-pdf
    March 21, 2018 - Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. March 21, 2018 Dynan L, Goudie A, Brady PW. Pediatric Adverse Event Rates Associated With Inexperience in Teaching Hospitals: A Multilevel Analysis. J Healthc Qual. 2018;40(2):69-78. doi:10.1097/JHQ.000000000000…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46627/psn-pdf
    January 30, 2018 - The lost art of doctoring: reflections of a pediatric resident. January 30, 2018 Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident There are…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47942/psn-pdf
    July 01, 2019 - Responding to health information technology reported safety events: insights from patient safety event reports. July 1, 2019 Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124. https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights- patient-saf…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35324/psn-pdf
    February 03, 2011 - Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. February 3, 2011 Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025. https://psnet.ahrq.gov/issue/…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866744/psn-pdf
    September 18, 2024 - Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona. September 18, 2024 Care Concerns And Deficiencies In Facility Leaders’ And Staff’s Responses Following A Medical Emergency At The Carl T. Hayden Va Me…
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