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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33788/psn-pdf
    June 01, 2015 - In Conversation With… Christine Cassel, MD June 1, 2015 In Conversation With… Christine Cassel, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-christine-cassel-md Editor's note: Christine Cassel, MD, is President and CEO of the National Quality Forum (NQF). Dr. Cassel, one of the foun…

  2. Learn-From-Defects-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety Sensemaking and Learn From Defects for Perinatal Safety SAY: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify recurring defects in your system and apply Comprehen…

  3. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Sensemaking and Learn From Defects for Perinatal Safety Say: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify recurring …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49787/psn-pdf
    March 01, 2017 - Diagnosing a Missed Diagnosis March 1, 2017 Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis The Case A 57-year old woman was admitted to the hospital with cough, slurred speech, confusion, and disorientation. She was taking mod…

  5. Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executiv…

  6. Chapter 5 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 5 Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Description of Metho…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33605/psn-pdf
    March 12, 2021 - Medication Administration Errors March 12, 2021 MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/medication-administration-errors Updated in March 2021. Originally published in January 2018 by researchers at the University of California, San Fra…

  8. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - Strategy 6P: Service Recovery Programs Contents 6.P.1. The Problem 6.P.2. The Intervention 6.P.3. Implementing This Intervention 6.P.4. The Impact of Service Recovery Programs References    Download Strategy 6P:   Service Recovery Programs  (PDF, 748 KB)     6.P.1. The Problem No ma…

  9. Decision Making and Clinical Work of Test Result Followup in Health Information Technology Settings | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information
    January 01, 2023 - Decision Making and Clinical Work of Test Result Followup in Health Information Technology Settings Project Final Report ( PDF , 364.79 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and d…

  10. Two Wrongs Don't Make a Right (Kidney) | PSNet

    psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - SPOTLIGHT CASE Two Wrongs Don't Make a Right (Kidney) Citation Text: DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Schola…

  11. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
    January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requ…

  12. Research Protocol: Care Interventions for PeopleWith Dementia (PWD) and Their Caregivers (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/pwd-care-interventions-protocol.pdf
    February 22, 2019 - pairs, and classify them by our assessment (unless specifically noted by study authors) of the study’s appropriate

  13. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
    April 01, 2015 - values, beliefs, and norms about what is important and what attitudes and behaviors are expected and appropriate … composites of ASC safety culture, relevant background questions about staff and ASC characteristics, and appropriate … But to help you decide which data collection method is most appropriate for your ASC, consider the following

  14. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
    July 01, 2018 - values, beliefs, and norms about what is important and what attitudes and behaviors are expected and appropriate … composites of ASC safety culture, relevant background questions about staff and ASC characteristics, and appropriate … But to help you decide which data collection method is most appropriate for your ASC, consider the following

  15. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
    April 01, 2015 - values, beliefs, and norms about what is important and what attitudes and behaviors are expected and appropriate … composites of ASC safety culture, relevant background questions about staff and ASC characteristics, and appropriate … But to help you decide which data collection method is most appropriate for your ASC, consider the following

  16. Disposition of Comments for Comparative Effectiveness Review No. 240: Treatments for Acute Pain: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cer-240-acute-pain-revised-comments.pdf
    December 29, 2020 - We think both of these uses is appropriate. … trials in the data review introduces a bia against opioids, in that no opportunity is offered for appropriate … Assessment of long-term outcomes of opioids is appropriate due to the unique characteristics of opioids … For acute pain, this may be appropriate, given that long-term harms are not expected from non-opioid … In an outcomes review of this magnitude, a more appropriate venue would be the US Federal Register

  17. In Conversation With… Timothy B. McDonald, MD, JD | PSNet

    psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
    February 26, 2025 - If you have the appropriate culture, people should feel comfortable putting things in and maybe that

  18. Layout 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ace-inhibitor-arb-update_executive.pdf
    June 01, 2011 - ARBs both target the renin system and are treated by clinicians as being equivalent, this may not be appropriate

  19. The Role of the Patient in Improving Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
    March 01, 2007 - A nurse administered epinephrine intravenously (rather than the appropriate route—intramuscularly), and

  20. Title Page (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
    January 01, 2008 - computer technology to connect to the HVHE including personal computers, high- speed Internet access, and appropriate
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