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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74719/psn-pdf
    February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837316/psn-pdf
    June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. June 1, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. AHRQ Publication No. 22-0027. https://psnet.ahrq.gov/issue/2022-updated-results-a…
  3. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
    May 01, 2014 - Sample Vignettes Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit: Phase 3 Sample Procedures1 [NURSING HOME NAME] [DATE] Purpose and Scope This procedure covers the use of an antibio…
  4. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-intro.pdf
    January 24, 2024 - Best Practices for Administering SOPS® Surveys Users (Webcast): Introduction Best Practices for Administering SOPS® Surveys Webcast January 24, 2024 1:00-2:00 PM ET Webcast Technical Info • Audio issues • Poor Connection • Use Q&A to submit questions • Event Website: https://events.westat.com/sops ► Downlo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47692/psn-pdf
    May 29, 2019 - Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. May 29, 2019 Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Framework. J Am Coll Radiol. 2019;16(3):…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862601/psn-pdf
    February 14, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care. February 14, 2024 Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-118. doi:10.1097/pts.000000000000…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74054/psn-pdf
    November 10, 2021 - Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. November 10, 2021 Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. ATS Sch. 2021;2(3):…
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-childhcahps-infographic.pdf
    January 01, 2021 - 2021 CAHPS Child Hospital Survey Database Chartbook Executive Summary 2021 Child Hospital Survey Database The pilot year 2021 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Child Hospital Survey Database includes 5,858 survey responses voluntarily submitted by 11 hospitals. High Scoring Meas…
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2019_cg_cahps_infographic.pdf
    January 01, 2019 - 2017 CAHPS Clinician & Group Survey Database Chartbook Executive Summary CAHPS® 2019 Clinician & Group Survey Database How 330,390 patients from 2,002 medical practices reported 5 measures of patient experience based on the 2019 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician & Grou…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840140/psn-pdf
    January 01, 2023 - Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I?PASS handoff program in diverse clinical environments: a multicenter prospective effectiv…
  11. integrationacademy.ahrq.gov/sites/default/files/2020-07/neil_korsen.docx
    January 01, 2020 - Translating Research Evidence to Daily Practice for Behavioral Health and Primary Care Neil Korsen Transcript AHRQ Academy Video My work for Maine health involves translating research evidence into daily practice. And one of the key things in doing that work is that you have to pay attention to the details and help pe…
  12. www.ahrq.gov/cpi/about/organization/contacts/key-contacts.html
    July 01, 2025 - AHRQ Key Contacts Offices and Centers Office of the Director Director: Roger D. Klein, M.D., J.D., FCAP Phone: (301) 427-1200 Fax: (301) 427-1201 Email:  director@ahrq.hhs.gov Center for Evidence and Practice Improvement Therese Miller, Dr.P.H., Director Phone: (301) 427-1585 Fax: (301) 427-1596 Em…
  13. digital.ahrq.gov/principal-investigator/aders-deborah
    January 01, 2023 - Aders, Deborah Improving Health Care through Health Information Technology in Morgan County, Indiana - Final Report Citation Aders D. Improving Health Care through Health Information Technology in Morgan County, Indiana - Final Report. (Prepared by Morgan Hospital and Medical …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45199/psn-pdf
    June 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866106/psn-pdf
    June 12, 2024 - Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. June 12, 2024 Hirani R, Noruzi K, Khuram H, et al. Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. Life (Basel). 2024;14(5):557. doi:10.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867383/psn-pdf
    December 18, 2024 - Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. December 18, 2024 Horck S. Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. Leadership H…
  17. digital.ahrq.gov/sites/default/files/docs/citation/europe-e-prescribing-report.pdf
    February 01, 2011 - education campaigns among prescribers and patients to inform patients on the benefits e-prescribing and communicate
  18. www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
    January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents 1 Project Title: Creating Learning Cultures Around Mistakes for Residents Timothy J. Hoff, PhD, Principal Investigator University at Albany, SUNY School of Public Health Henry Pohl, MD, Co-Investigator Joel Bartfield, MD, Co-Investi…
  19. www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
    January 01, 2024 - Final Progress Report: Midcoast Maine Patient Safety and IT Integration Title: Midcoast Maine Patient Safety and IT Integration Principal Investigator: Maureen Buckle y, PhD, RN – Vice President of Patient Care Team Members: Northeast Health and Partner Organizations Donna Deblois, MS, RN – Executive Dire…
  20. www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
    January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care PROL IN HOME HEALTH CARE Title: Process Reliability and Organizational Learning in Home Health Care Principal Investigator and Team Members: Michael P. Silver, MPH Principal Investigator Cher Edmonds Study Coordinator Robert…