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psnet.ahrq.gov/node/837035/psn-pdf
May 04, 2022 - Is it time for the mental health field to consider unplanned
discharge a key metric of patient safety?
May 4, 2022
Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge
a key metric of patient safety? J Nerv Ment Dis. 2022;210(3):227-230.
doi:10.1097/nmd.00…
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psnet.ahrq.gov/node/61066/psn-pdf
October 28, 2020 - Using event reports in real-time to identify and mitigate
patient safety concerns during the COVID-19 pandemic.
October 28, 2020
Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient
safety concerns during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(4)…
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psnet.ahrq.gov/node/36812/psn-pdf
June 30, 2011 - Work patterns and fatigue-related risk among junior
doctors.
June 30, 2011
Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup
Environ Med. 2007;64(11):733-8.
https://psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
Mandated work…
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psnet.ahrq.gov/node/44768/psn-pdf
February 03, 2016 - Recommendations and low-technology safety solutions
following neuromuscular blocking agent incidents.
February 3, 2016
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following
Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91.
https://psne…
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psnet.ahrq.gov/node/34087/psn-pdf
June 16, 2011 - Evaluation of the culture of safety: survey of clinicians
and managers in an academic medical center.
June 16, 2011
Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and
managers in an academic medical center. Qual Saf Health Care. 2003;12(6):405-10.
https://ps…
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psnet.ahrq.gov/node/856587/psn-pdf
January 01, 2024 - Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving
clinical practice.
November 29, 2023
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving clinical practice…
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psnet.ahrq.gov/node/46001/psn-pdf
July 19, 2017 - Identifying hospitalized patients at risk for harm: a
comparison of nurse perceptions vs. electronic risk
assessment tool scores.
July 19, 2017
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for
Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…
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psnet.ahrq.gov/node/38731/psn-pdf
April 30, 2014 - Preventable morbidity at a mature trauma center.
April 30, 2014
Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541.
https://psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center
Patient safety in trauma poses unique challenges given the acuity of the patients and the need for rapid
ass…
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psnet.ahrq.gov/node/866556/psn-pdf
August 21, 2024 - Digital maturity as a predictor of quality and safety
outcomes in US hospitals: cross-sectional observational
study.
August 21, 2024
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in
US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - Do I need to ask for help because the patient’s body habit assessed that it may be difficult to insert
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/caCcWa2a6jQGRyb7H8CkbU
July 01, 2009 - Screening for Impaired Visual Acuity in Older Adults: Recommendation Statement
Screening for Impaired Visual Acuity in Older Adults: U.S. Preventive
Services Task Force Recommendation Statement
U.S. Preventive Services Task Force*
Description: Update of the 1996 U.S. Preventive Services Task
Force (USPSTF) recommend…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - on the revised list of failure modes and the process
flow chart developed in Step 3, the FMEA team assessed
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2024-11/uspstf-annual-report-congress-2024.pdf
January 01, 2024 - 14th Annual Report to Congress: High-Priority Evidence Gaps Across the Lifespan, in All Communities
November 2021
High-Priority Evidence Gaps Across
the Lifespan, in All Communities
Commemorating 40 Years of Making Evidence-Based
Recommendations for Preventive Services
SUBMITTED BY:
Dr. Wanda K. Nicholson, Chair…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement
Patient Monitors in Critical Care: Lessons for
Improvement
Frank A. Drews, PhD
Abstract
Unexpected incidents are common in intensive care medicine. One means of detecting,
diagnosing, and treating these events is use of physiologic displays that sho…
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digital.ahrq.gov/sites/default/files/docs/library/ROI_Calc_Overview_050611.pdf
June 16, 2021 - ROI Calc Overview 050611 (Read-Only)
Medicaid policymakers and health care payers across the country are exploring options to invest in new care models to
bend the cost trend and improve patient care. Health homes and medical homes are increasingly viewed as strategies
to help address escalating health care costs,…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 2-A. Suggested Slides for Module 2
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program4.html
April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs
Chapter 4. Results and Next Steps
Previous Page Next Page
Table of Contents
Environmental Scan of Patient Safety Education and Training Programs
Introduction
Chapter 1. Environmental Scan
Chapter 2. Electronic Searchable Cata…
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cdsic.ahrq.gov/cdsic/measurementinventory
August 01, 2023 - :
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An official website of the Department of Health & Human Services
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www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated $350,000 in avoidable costs. Impl…