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  1. Patient Safety and Quality Improvement; Final Rule. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
    December 24, 2008 - Government Resource Patient Safety and Quality Improvement; Final Rule. Citation Text: Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814. C…

  2. Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. | PSNet

    psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-safety-and-quality
    October 23, 2019 - Toolkit Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. Citation Text: Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. Rockville, MD: Agency for Healthc…

  3. Pediatric Asthma Template (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/asthma_assessment_final_1_0.pdf
    June 16, 2021 - Pediatric Asthma Template Pediatric Documentation Templates Pediatric Asthma Template Executive Summary The Partners Pediatric Asthma Template was designed to aid in the documentation of asthma symptoms as well as to improve adherence to recommendations for assessing asthmatic patients. This web …

  4. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…

  5. Meaningful Use | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/meaningful-use
    January 01, 2023 - Meaningful Use Impact of Meaningful Use on Clinical Workflow in Emergency Departments Description This research investigated how electronic health record use affected clinical workflow, efficiency, and quality of care in the emergency department, and developed recommendations …

  6. Alaska | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/alaska
    January 01, 2023 - Alaska Team Description What is the Health Information Security and Privacy Collaboration (HISPC)? This project is part of a national effort to learn what is needed to share patient health information electronically between health care providers, insurers, and health care agencies, and h…

  7. AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. | PSNet

    psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit
    December 24, 2008 - Government Resource AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. Citation Text: AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; January 2015. Copy Citation Save S…

  8. ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. | PSNet

    psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
    May 11, 2017 - Organizational Policy/Guidelines ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Citation Text: ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Horsham, PA: Institute for Safe Medication Practices; May 2017. Copy Citation …

  9. ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. | PSNet

    psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
    June 13, 2018 - Toolkit ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Citation Text: ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018. Copy Citation Save Save to your library …

  10. Perioperative/Operative | Digital Healthcare Research

    digital.ahrq.gov/care-setting/perioperativeoperative
    January 01, 2023 - Perioperative/Operative EnhanCed HandOffs (ECHO) Description This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patien…

  11. App-E-Opioid-Chronic-Pain-Surveillance-Report-3 (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-opioid-chronic-pain-surveillance-report-3.xlsx
    January 01, 2021 - Table E-1. RCT QA Table E-1. RCT quality assessment Author, Year Randomization Adequate? Allocation Concealment Adequate? Groups Similar at Baseline? Outcome Assessors Masked? Care Provider Masked? Patient Masked? Intention-To-Treat (ITT) Analysis Acceptable Levels of Overall Attrition and Between-Group Differences…

  12. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191. Copy Citation Format: …

  13. Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. | PSNet

    psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
    November 16, 2015 - Newspaper/Magazine Article Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. Citation Text: Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…

  14. To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. | PSNet

    psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
    June 28, 2013 - Image/Poster To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. Citation Text: To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…

  15. Will my patient fall? | PSNet

    psnet.ahrq.gov/issue/will-my-patient-fall
    March 13, 2013 - Review Will my patient fall? Citation Text: Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? JAMA. 2007;297(1):77-86. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  16. Unlabeled containers lead to patient's death. | PSNet

    psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
    September 26, 2017 - Commentary Unlabeled containers lead to patient's death. Citation Text: Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  17. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-44
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume.…

  18. Iowans' Views on Medical Errors: Iowa Patient Safety Study. | PSNet

    psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
    October 23, 2019 - Book/Report Iowans' Views on Medical Errors: Iowa Patient Safety Study. Citation Text: Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018. Copy Citation Save Save to your library Print …

  19. Final Progress Report: Racial and Ethnic Variations in Medical Interactions (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
    January 01, 2024 - two groups in the change in reported activity level or walking ability when comparing 12-week assessments … to baseline assessments.

  20. Emerging Best Practices for Addressing Suicidality in Primary Care | The Academy

    integrationacademy.ahrq.gov/products/topic-briefs/emerging-best-practices-addressing-suicidality-primary-care
    September 01, 2025 - Suicide risk assessments and structured safety planning delivered by trained team members led to fewer … accepting peoples’ experiences of suicidal ideation and self-harm in Emergency Department psychosocial assessments
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