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  1. Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents | PSNet

    psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
    July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 28, 2021 Innovation Contact …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49562/psn-pdf
    May 01, 2008 - The Inside of a Time Out May 1, 2008 Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/inside-time-out The Case A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm. The patient had an allergy to "IV contrast dye" that was no…

  3. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet

    psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
    July 02, 2011 - Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. Citation Text: DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…

  4. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part II (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
    January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part II Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report Part II Appendix A—Overall Results by Nursing Home Characteristics Appendix B—Overall Results by Respondent Characteristics Prepared for: Agency for Healthcare R…

  5. Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/medication-therapy-management-1_research.pdf
    July 01, 2012 - Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit Daniel R. Touchette, Pharm.D., M.A. JoAnn Stubbings, R.Ph., M.H.C.A. Glen Schumock, Pharm.D., M.B.A. Number 38 July 2012 ii The DEcIDE (Developing Evidence …

  6. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet

    psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - SPOTLIGHT CASE Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Citation Text: Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…

  7. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet

    psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 Innovation Contact …

  8. Advancing Patient Safety Through Diagnostic Excellence (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
    August 01, 2025 - Advancing Patient Safety Through Diagnostic Excellence Advancing Patient Safety Through Diagnostic Excellence NATIONAL WEBINAR SERIES September 17, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website • Please use the ‘Chat’ function to engage with us thro…

  9. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
    September 01, 2015 - Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript 1 Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture July 15, 2015 – Webcast Transcript Speakers Jim Battles, PhD, AHRQ Center for Quality Improvement and Patient Safety, Rockville, …

  10. Understanding CAHPS® Surveys Webcast Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
    January 01, 2019 - this slide that it shows the public how this health plan performs on getting timely care, clinicians’ communications

  11. Methods (continued, 2) | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
    July 01, 2018 - addition, a culture of safety demands accountability of all individuals at all levels, 121 effective communications

  12. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
    April 23, 2008 - All communications aimed at optimizing the work of the CalNOC Partners for Quality Project.

  13. Electronic Data Methods (EDM) Forum: Second Phase (U18) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/electronic-data-methods-edm-forum-second-phase-u18
    January 01, 2023 - Electronic Data Methods (EDM) Forum: Second Phase (U18) Enabling open science for health research: collaborative informatics environment for learning on health outcomes (CIELO). Citation Payne P, Lele O, Johnson B, et al. Enabling open science for health research: collaborativ…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38900/psn-pdf
    January 03, 2017 - Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. January 3, 2017 Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf. 2009;35(9):467…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47531/psn-pdf
    June 19, 2019 - Patient Safety. June 19, 2019 Health Aff (Millwood). 2018;37(11):1723-1908. https://psnet.ahrq.gov/issue/patient-safety-14 The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achie…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48130/psn-pdf
    August 07, 2019 - Adverse events in long-term care residents transitioning from hospital back to nursing home. August 7, 2019 Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:10.1001/jamainternmed.2019.2005. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41408/psn-pdf
    October 19, 2012 - Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. October 19, 2012 Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001-201…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41175/psn-pdf
    December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38817/psn-pdf
    April 04, 2011 - Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. April 4, 2011 Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. J Gen Intern Med. 2009;24(9)…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46491/psn-pdf
    August 20, 2018 - A qualitative study of speaking out about patient safety concerns in intensive care units. August 20, 2018 Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscimed.2017.09.036. https://psnet.ah…
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