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  1. psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
    December 23, 2020 - Commentary A systemic methodology for risk management in healthcare sector. Citation Text: Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006. Copy Citation Format: DOI Go…
  2. psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-ucla-value-analysis-experience
    October 02, 2019 - Commentary Embedding quality improvement and patient safety - the UCLA value analysis experience. Citation Text: Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. Copy C…
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/crctoolkit/crctoolkit.pdf
    December 01, 2010 - Toolkit for the System Approach to Tracking and Increasing Screening for Public Health Improvement of Colorectal Cancer Intervention Toolkit for the System Approach to Tracking and Increasing Screening for Public Health Improvement of Colorectal Cancer Intervention These materials enable implementation of the …
  4. www.ahrq.gov/sites/default/files/publications/files/crctoolkit.pdf
    December 01, 2010 - Toolkit for the System Approach to Tracking and Increasing Screening for Public Health Improvement of Colorectal Cancer Intervention Toolkit for the System Approach to Tracking and Increasing Screening for Public Health Improvement of Colorectal Cancer Intervention These materials enable implementation of the …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42391/psn-pdf
    June 26, 2013 - Patient Notification Toolkit. June 26, 2013 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/patient-notification-toolkit This toolkit provides guidance and resources to help organizations inform patients about infection control lapses. https://psnet.ahrq.gov/issue/patient-notificatio…
  6. digital.ahrq.gov/organization/broadwater-health-center-inc
    January 01, 2023 - Broadwater Health Center, Inc. Decreasing ADEs in Montana Frontier Critical Access Hospitals through HIT Description Assessed opportunities to decrease adverse drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate, cost effecti…
  7. digital.ahrq.gov/location/usa-mt-townsend
    January 01, 2023 - USA, MT, Townsend Decreasing ADEs in Montana Frontier Critical Access Hospitals through HIT Description Assessed opportunities to decrease adverse drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate, cost effective health IT …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36357/psn-pdf
    December 19, 2009 - Error reporting in organizations. December 19, 2009 Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030. https://psnet.ahrq.gov/issue/error-reporting-organizations The authors provide a framework for individual error reporting behavior that follows three phases: error detection, situation assessment, and choic…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35765/psn-pdf
    September 14, 2008 - Manchester Patient Safety Framework (MaPSaF). September 14, 2008 Manchester, UK: University of Manchester; 2006. https://psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf This tool was developed to help National Health Service organizations assess their progress in implementing and sustaining a safet…
  10. www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
    January 01, 2024 - The prevention and mitigation classifications will emerge as the proactive risk assessments take place … for the practice members to share other AE themes that they feel are important for future proactive assessments
  11. www.ahrq.gov/research/findings/final-reports/stpra/stpraapg.html
    October 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix G. References for Fault Tree Model Probability Estimates Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chap…
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
    November 01, 2019 - Best Practices in the Diagnosis and Treatment of Sepsis AHRQ Safety Program for Improving Antibiotic Use 1AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Sepsis Acute Care Slide Title and Commen…
  13. effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-topics_methods.pdf
    July 01, 2012 - Methods Guide for Medical Test Reviews Chapter 2 2-1 Chapter 2 Developing the Topic and Structuring Systematic Reviews of Medical Tests: Utility of PICOTS, Analytic Frameworks, Decision Trees, and Other Frameworks David Samson, M.S., Blue Cross and Blue Shield Association Karen M. Schoelles M.D., S.…
  14. www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-screening-for-women-and-elderly-adults/intimate-partner-violence-and-elderly-abuse-screening-2004
    March 08, 2004 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Evidence Summary: Screening for Women and Elderly Adults Intimate Partner Violence and Elderly Abuse: Screening, 2004 March 08, 2004 Recommendations made by the …
  15. www.ahrq.gov/nursing-home/resources/hand-hygiene-competency.html
    May 01, 2022 - Hand Hygiene Competency Validation Tool Resource: Hand Hygiene Competency Validation Tool ​​This tool has been developed to assess staff competency in carrying out effective hand hygiene. Source: UNC SPICE Topic(s): Infection Control & Prevention; Cleaning & Disinfection Audience(s): Clinical Leade…
  16. digital.ahrq.gov/principal-investigator/ness-charles
    January 01, 2023 - Ness, Charles HIT Strategic Plan of SW Minnesota Health Providers Description Developed a regional health IT strategic plan between 28 health care providers, including a comprehensive needs assessment of all of the participating organizations, prioritization of needs, identifi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38320/psn-pdf
    July 28, 2013 - State of Healthcare 2008. July 28, 2013 Healthcare Commission. London, England: Commission for Healthcare Audit and Inspection; 2008. ISBN: 9780102958362. https://psnet.ahrq.gov/issue/state-healthcare-2008 This report assesses care in the United Kingdom, provides data on a variety of issues related to safety, and …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36336/psn-pdf
    October 26, 2010 - Interprofessional Approaches to Patient Safety. October 26, 2010 J Interprof Care. 2006;20(5):461-563. https://psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety This issue includes articles that explore successful multidisciplinary efforts to improve patient safety, including medication risk assessm…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36584/psn-pdf
    January 12, 2011 - Will my patient fall? January 12, 2011 Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? JAMA. 2007;297(1):77-86. https://psnet.ahrq.gov/issue/will-my-patient-fall The authors assessed the literature to determine risk factors for falls that can be identified to help prevent such injuries. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36534/psn-pdf
    March 09, 2009 - Standardizing hand-off processes. March 9, 2009 Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. https://psnet.ahrq.gov/issue/standardizing-hand-processes The author suggests ways to improve hand-off communications and provides an assessment form to assist staff in detecting weaknesses in…