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  1. www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Major Study Finds Significant National Patient Safety Improvement Press Release Date: July 12, 2022 A study published in JAMA: The Journal of the American Medical Association ( JAMA ) and funded and carried out by Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ) shows that rates…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
    June 01, 2023 - Introduction The compliance tracking sheet is located in the other tab of this Excel file AHRQ Pub. No. 23-0052 June 2023 &G Audit Tool Purpose of this tool: To support your hospital’s AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) implementation, your hospital should begin r…
  3. www.ahrq.gov/research/findings/final-reports/index.html?page=12
    January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
  4. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-women-diagnosis_executive.pdf
    June 01, 2012 - 1 Comparative Effectiveness Review Number 58 Noninvasive Technologies for the Diagnosis of Coronary Artery Disease in Women Executive Summary Background Cardiovascular disease is the leading cause of mortality for women in the United States.1 Coronary heart disease— which includes coronary artery (or atheroscl…
  5. hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2010_MaskedStats_ED.PDF
    January 01, 2010 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2010 - ED File 12:45 Monday, October 29, 2012 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more infor…
  6. hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2013_MaskedStats_ED.PDF
    January 01, 2013 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2013 - ED File 21:28 Thursday, November 5, 2015 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more inf…
  7. psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
    August 01, 2009 - Misplaced Nasogastric Tube Resulting in Aspiration Citation Text: Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google S…
  8. psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
    March 07, 2018 - SPOTLIGHT CASE Too Many Cooks in the Kitchen Citation Text: Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X…
  9. www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - Understand the Science of Safety Facilitator Notes The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…
  10. hcup-us.ahrq.gov/reports/statbriefs/sb165.jsp
    October 01, 2013 - Most Frequent Procedures Performed in U.S. Hospitals, 2011 - Statistical Brief #165 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Cont…
  11. effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-urinary-retention_disposition-comments.pdf
    September 15, 2014 - Disposition of Comments for Chronic Urinary Retention: Comparative Effectiveness and Harms of Treatments Comparative Effectiveness Review Disposition of Comments Report Research Review Title: Chronic Urinary Retention: Comparative Effectiveness and Harms of Treatments Draft review available for public…
  12. hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2016_ED_MaskedStats.PDF
    January 01, 2016 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2016 ED File Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more information about the coding of HCUP data…
  13. hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2009_MaskedStats_ED.PDF
    January 01, 2009 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2009 - ED File 23:07 Saturday, September 10, 2011 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more i…
  14. hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2014_MaskedStats_ED.PDF
    January 01, 2014 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2014 - ED File 18:01 Thursday, December 1, 2016 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more inf…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49711/psn-pdf
    June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of Patient Wandering June 1, 2014 Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering Case Objectives Define patie…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33763/psn-pdf
    March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program? March 1, 2014 Huang SS. How Does Infection Prevention Fit Into a Safety Program? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program Perspective In 1999, the Institute of Medicine (IOM) released the To …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33701/psn-pdf
    October 01, 2010 - What Makes a Good Checklist October 1, 2010 McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/what-makes-good-checklist Perspective The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex tasks. Checklists have lo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840255/psn-pdf
    November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions November 16, 2022 Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions . PSNet [internet]. 2022. https://psnet.ahrq.gov/perspecti…
  19. hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2008_MaskedStats_ED.PDF
    January 01, 2008 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2008 - ED File 10:09 Tuesday, August 10, 2010 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more infor…
  20. Spreadnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    June 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…