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  1. hcup-us.ahrq.gov/reports/factsandfigures/figures/2006/2006_3_1b.jsp
    January 01, 2006 - Exhibit 3.1 Most Frequent All-listed Procedures Number of Stays with the Most Frequent All-listed Maternal and Newborn Procedures, 1997-2006   Discharges in Thousands 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Repair of obstetric laceration 1,137 1,145 1,175 …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850343/psn-pdf
    December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools. December 12, 2023 Rockville, MD: Agency for Healthcare Research and Quality; 2023. https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
  3. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide201.html
    October 01, 2014 - 201. Specific Populations and Other Topics (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Children and Adolescents Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the impor…
  4. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide30.html
    October 01, 2014 - 30. Adolescent Smokers (continued) Treating Tobacco Use and Dependence: 2008 Update Overview Text version of slide presentation. Children and Adolescents: Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the importance of t…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34870/psn-pdf
    April 18, 2016 - Unintended medication discrepancies at the time of hospital admission. April 18, 2016 Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44955/psn-pdf
    May 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. May 21, 2016 Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-016-3601-x. https://psnet.ahrq.gov/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40188/psn-pdf
    February 02, 2011 - Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. February 2, 2011 Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b013e3181e4e6dd. https://psnet.ahrq…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43820/psn-pdf
    February 18, 2015 - Care of the clinician after an adverse event. February 18, 2015 Pratt SD, Jachna BR. Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63. doi:10.1016/j.ijoa.2014.10.001. https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event Spotlighting the emotional impact adverse events …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46076/psn-pdf
    September 24, 2017 - The evolving story of overlapping surgery. September 24, 2017 Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061. https://psnet.ahrq.gov/issue/evolving-story-overlapping-surgery Scheduling overlapping procedures is perceived as risky, despite l…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45970/psn-pdf
    March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although…
  11. www.ahrq.gov/nursing-home/resources/invest-in-trust.html
    June 01, 2021 - Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs Resource:  Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs   (PDF, 883.4 KB) Invest in Trust: A Guide for Building COVID-19 Vaccine Trust Among Cert…
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-SOPS_101_Webcast_2020-Intro.pdf
    January 01, 2020 - Understanding SOPS Surveys: A Primer for New users - Intro Understanding SOPS Surveys: A Quick Primer for New Users Webcast December 15, 2020 1:00-1:30 PM ET Need Help? • No sound from computer speakers? • Trouble with your connection or slides not moving? ► Log out and log back in • Other problems? ► U…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46534/psn-pdf
    January 31, 2018 - Safety considerations in learning new procedures: a survey of surgeons. January 31, 2018 Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. https://psnet.ahrq.gov/issue/safety-considerations-learni…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836763/psn-pdf
    March 16, 2022 - Maternity Pre-arrival Instructions by 999 Call Handlers. March 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers Pre-hospital emergency care can be vulnerable to timing, information, and task failures th…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37067/psn-pdf
    October 03, 2011 - Using an interactive voice response system to improve patient safety following hospital discharge. October 3, 2011 Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. https://psnet.ahrq.gov/issue/using-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39234/psn-pdf
    January 20, 2010 - Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. January 20, 2010 Donohue LA, Endacott R. Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Intensive Crit Care Nurs. 2010;26(1):10-7. doi:10.1016/j.iccn.2009.10.006. https…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37689/psn-pdf
    April 16, 2008 - Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. April 16, 2008 Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. Qual Saf Health Care. 2008;17(2):122-6. doi:10.1136/qshc.2007.0…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45387/psn-pdf
    August 15, 2016 - Preventing medication errors. August 15, 2016 Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. https://psnet.ahrq.gov/issue/preventing-medication-errors Nursing home patients are particularly vulnerable to medication errors. This commentar…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34005/psn-pdf
    August 17, 2017 - Medically Induced Trauma Support Services (MITSS). August 17, 2017 Tobin WN. Patient Safety Quality Healthcare. May/June 2013. https://psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss Medically Induced Trauma Support Services (MITSS), Inc. was a nonprofit organization that supported, educated, …
  20. digital.ahrq.gov/principal-investigator/sharifi-mahnoos-h
    January 01, 2023 - Sharifi, Mahnoos H. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in electronic health record syste…