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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846563/psn-pdf
    March 21, 2023 - Impact of System Failures on Healthcare Workers March 21, 2023 Zangaro G, Van CM, Mossburg S. Impact of System Failures on Healthcare Workers . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers Introduction The March 2022 conviction of RaDonda Vaught, a former nu…
  2. www.ahrq.gov/sites/default/files/2024-11/ballard-report.pdf
    January 01, 2024 - Final Progress Report: Using Performance Measurement To Improve the Quality and Safety of Healthcare Element 1. Title Page: Using Performance Measurement to Improve the Quality and Safety of Healthcare Report on The International Society for Quality in Health Care (ISQua) 6th International Summit on Indic…
  3. www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
    January 01, 2024 - Final Progress Report: How Do Consumers View the Risks of Medical Errors? FINAL REPORT Title of Project: How Do Consumers View the Risks of Medical Errors? Principal Investigator: Ellen Peters Team Member: Paul Slovic Organization: Decision Research Inclusive Dates of Project: 09/01/2001 – 08/31/2003 Federal …
  4. www.ahrq.gov/sites/default/files/2024-07/seid-sobo-report.pdf
    January 01, 2024 - Final Progress Report: Managing the Health Needs of Vulnerable Children Title of Project: Managing The Health Needs of Vulnerable Children Principal Investigator and Team Members: Michael Seid, PhD, Elisa J. Sobo, PhD Organization: Children’s Hospital Research Center Inclusive Dates of Project: 9/30/2001 - 9/29/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49669/psn-pdf
    November 01, 2012 - Transfusion Overload November 1, 2012 Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfusion-overload Case Objectives Understand that the traditional transfusion thresholds of hemoglobin below 10 g/dL and hematocrit below 30% are not supported by the evidence.…
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
    May 01, 2023 - Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the AHRQ SOPS Value and Efficiency Supplemental Item Sets SOPS Value and Efficiency Supplemental Item Sets Resource List 1 Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33738/psn-pdf
    December 01, 2012 - In Conversation With... John G. Reiling, PhD December 1, 2012 In Conversation With.. John G. Reiling, PhD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd Editor's note: John G. Reiling, PhD, is president and CEO of Safe by Design. Dr. Reiling consults with hospitals and…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/translating-cahps-surveys.pdf
    January 17, 2017 - Translating CAHPS Surveys Translating CAHPS® Surveys Contents Purpose of this Document ............................................................................................................................. 1 Select Translation Team Members ..................................................................…
  9. www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study PATIENT SAFETY e Issue Brief 20 Learning from AHRQs’ Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study This page intentionally left blank. e Issue Brief 2…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49602/psn-pdf
    April 01, 2010 - Anticoagulation: Held Too Long April 1, 2010 Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/anticoagulation-held-too-long The Case A 68-year-old woman with a history of mitral valve replacement with a mechanical valve was admitted with abdominal pain. Because of the…
  11. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
    January 01, 2016 - Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid Medical Directors Slide 1 Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid …
  12. www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
    December 01, 2017 - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use Slide presentation Slide 1 Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use David A. Pegues, MD Professor of Medicine, Division of Infectious Diseases Medical Director, Healthcare Epidemiol…
  13. www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-2.pdf
    March 01, 2018 - Summary of 2nd Comparative Health Systems Performance Initiative Workshop ISSUE BRIEF A Summary of the Second Annual Workshop of AHRQ’s Comparative Health System Performance Initiative Summary As part of the Comparative Health System Performance (CHSP) Initiative, the Agency for Healthcare Research and Qual…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843151/psn-pdf
    February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 Wesley C, Van CM, Mossburg S. Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population Challenges to Obtaining Needed Patient-Centered and Safe Health…
  15. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
    June 02, 2025 - 1 Implementation Guide - Module 3 Understanding your Workflow Processes to Prepare for Systems Change Module Purpose This module continues the discussion of the steps necessary for systems change to support the implementation of automatic referral with effective care coordination. Topics include the “w…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33696/psn-pdf
    June 01, 2010 - In Conversation with…Pat Croskerry, MD, PhD June 1, 2010 In Conversation with…Pat Croskerry, MD, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd Editor's note: Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in Halifax, Nova…
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
    September 01, 2014 - PowerPoint Presentation Spotlight A Lot of Pain (Medications) 1 This presentation is based on the September 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Shoshana J. Herzig, MD, MPH, Division of General Medicine, Beth Israel Deaconess Medic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33707/psn-pdf
    February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course February 1, 2011 Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and Effectiveness Course. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…
  19. Scoring CPCQ (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cpcq-scoring.pdf
    May 01, 2017 - Scoring CPCQ 1 Scoring the Change Process Capability Questionnaire Strategies Items: Current Plan National Evaluation Team May 1, 2017 2 Introduction The RFA from AHRQ for EvidenceNOW: http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-008.html described the required measures of practice…
  20. psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
    April 09, 2014 - SPOTLIGHT CASE The Hazards of Distraction: Ticking All the EHR Boxes Citation Text: Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation …