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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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)…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. 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
  11. 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…
  12. 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
  13. 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…
  14. 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…
  15. 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…
  16. 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,…
  17. 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 …
  18. 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…
  19. cdsic.ahrq.gov/cdsic/measurementinventory
    August 01, 2023 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …
  20. 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…