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  1. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
    May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Conclusion Previous Page   Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Program (CUSP) Measurement…
  2. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-figures1-2.pdf
    April 21, 2015 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Figures 1 & 2 Figure 1 Figure 2 From: American College of Radiology Expert Panel on Pediatric Imaging: Hayes LL, Coley BD, Karmazyn B, et al. ACR Appropriateness Criteria: Headache — child. American College of…
  3. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIIE.pdf
    August 25, 2014 - Table 1. Use of Validated Tool by Language Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 English 60.74% 58.52% 100.00% 100.00% 100.00% 100.00% 50.00% 62.50% 14.04% 7.02% Non-English 66.67% 66.67% 100.00% 100.00% 50.00% 50.00% 50.00% 50.00% n/a n/a All …
  4. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIE.pdf
    August 25, 2014 - Table 1. Use of Validated Tool by Language Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 English 60.74% 58.52% 100.00% 100.00% 100.00% 100.00% 50.00% 62.50% 14.04% 7.02% Non-English 66.67% 66.67% 100.00% 100.00% 50.00% 50.00% 50.00% 50.00% n/a n/a All …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41072/psn-pdf
    January 18, 2012 - Improving medication management through the redesign of the hospital code cart medication drawer. January 18, 2012 Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Factors and Ergonomics Society. 2011;5…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73547/psn-pdf
    July 28, 2021 - Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. July 28, 2021 Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471. https://psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibiliti…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836762/psn-pdf
    March 16, 2022 - Physician liability in the age of data reliance and errors. March 16, 2022 Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215. https://psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors Health information technologies (HIT) and advanced learning systems, if poorly designed, used, ma…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848825/psn-pdf
    May 10, 2023 - Laura Levis' death outside ER has changed hospital signage, lighting in Mass. May 10, 2023 Mullins L, Menard F. WBUR. April 27, 2023. https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass Incomplete information and building design problems can reduce access to care an…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867395/psn-pdf
    December 18, 2024 - AHRQ National Healthcare Safety Dashboard. December 18, 2024 AHRQ National Healthcare Safety Dashboard. National Action Alliance for Patient and Workforce Safety. https://psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard The AHRQ National Healthcare Safety Dashboard is one approach to tracking progress…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34129/psn-pdf
    January 16, 2019 - WHO Patient Safety. January 16, 2019 World Health Organization. https://psnet.ahrq.gov/issue/who-patient-safety Reducing accidents and the risk of error requires a significant and sustained response at national and global levels. With this in mind, the World Health Organization and its partners launched the World …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867650/psn-pdf
    January 01, 2022 - Opioid deprescribing toolkit. January 1, 2022 Health Innovation East, National Health Service. Opioid deprescribing toolkit. https://psnet.ahrq.gov/issue/opioid-deprescribing-toolkit Sudden discontinuation of long-term prescription opioid use can lead to adverse outcomes for patients. Based on research and clinici…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850936/psn-pdf
    June 29, 2023 - After Roe: Challenges in the Provision of Lifesaving Care. June 21, 2023 Washington DC; National Academies of Science, Engineering and Medicine: June 29, 2023. https://psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care Delay in access to obstetric care hinders safe treatment for patients experienci…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837057/psn-pdf
    May 11, 2022 - Presenting complaint: use of language that disempowers patients. May 11, 2022 doi:10.1136/bmj-2021-066720. https://psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients As more patients are gaining access to their electronic health records, including clinician notes, the language clinicians …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44144/psn-pdf
    May 27, 2015 - Maintaining safety in the dialysis facility. May 27, 2015 Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914. https://psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility Failure to consider human factors and poor communication can contri…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47337/psn-pdf
    November 14, 2018 - Antibiotic shortages in pediatrics. November 14, 2018 Banerjee R, Thurm CW, Fox ER, et al. Antibiotic Shortages in Pediatrics. Pediatrics. 2018;142(5). doi:10.1542/peds.2018-0858. https://psnet.ahrq.gov/issue/antibiotic-shortages-pediatrics Drug shortages can disrupt care processes and diminish medication safety. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60531/psn-pdf
    May 27, 2020 - Telenursing in incidents and disasters: a systematic review of the literature. May 27, 2020 Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005. https://psnet.ahrq.gov/issue/telenursing-in…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60218/psn-pdf
    April 08, 2020 - As COVID-19 bears down, doctors confront difficult choices on elective surgeries. April 8, 2020 Alesse L, Dukakis A, Tatum S, Mosk M. ABC News. March 20, 2020. https://psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries Delays in elective surgery and other procedures have…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36722/psn-pdf
    April 27, 2010 - Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. April 27, 2010 Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Millwood). 2007;26(2):w236-41. https://psnet…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44734/psn-pdf
    July 11, 2017 - Contextual errors in medical decision making: overlooked and understudied. July 11, 2017 Weiner SJ, Schwartz A. Contextual Errors in Medical Decision Making: Overlooked and Understudied. Acad Med. 2016;91(5):657-62. doi:10.1097/ACM.0000000000001017. https://psnet.ahrq.gov/issue/contextual-errors-medical-decision-m…
  20. digital.ahrq.gov/search-database
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…