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  1. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49612/psn-pdf
    November 01, 2010 - Treatment Challenges After Discharge November 1, 2010 Coffey C. Treatment Challenges After Discharge. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge Case Objectives Understand types and frequencies of adverse events occurring between patient discharge from the hospital …

  3. Fire in the Hole!—An OR Fire | PSNet

    psnet.ahrq.gov/web-mm/fire-hole-or-fire
    August 03, 2017 - Fire in the Hole!—An OR Fire Citation Text: Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  4. Secure Messaging in a Pediatric Respiratory Medicine Setting Implementation Handbook (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/SecureMessagingPediatricRespiratorySettingHandbook.pdf
    January 01, 2012 - Secure Messaging in a Pediatric Respiratory Medicine Setting Implementation Handbook Secure Messaging in a Pediatric Respiratory Medicine Setting Implementation Handbook Final ACTION Contract Report This page intentio…

  5. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
    April 01, 2025 - PowerPoint Presentation What Are the 4 Es? Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services What Are the 4 Es? 1 Educational…

  6. Chapter 6. Measure Maps and Profile | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profile Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter 4, Emerging Tre…

  7. Discharge Against Medical Advice | PSNet

    psnet.ahrq.gov/web-mm/discharge-against-medical-advice
    July 01, 2017 - Discharge Against Medical Advice Citation Text: Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  8. Bowel Injury After Laparoscopic Surgery | PSNet

    psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
    January 19, 2016 - Bowel Injury After Laparoscopic Surgery Citation Text: Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML …

  9. Clinical Areas | PSNet

    psnet.ahrq.gov/clinical-areas
    March 24, 2025 - Clinical Areas Scroll down to search or browse using Clinical Area if you would like to explore PSNet by the healthcare profession, such as the nurse care or medical specialty, featured in the resources. Latest by Clinical Areas In Conversation with Edwin Boudreaux about S…

  10. Patient and Family Engagement in the Emergency Department | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
    December 01, 2017 - Patient and Family Engagement in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call Sarah:  Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Res…

  11. Patient And Family Engagement In The Ed Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
    July 07, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call Sarah: Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Research and Educational Trust. Welcome to the fifth mini-presentation in the CAUTI ED cohort …

  12. Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. | PSNet

    psnet.ahrq.gov/issue/patient-and-family-contributions-improve-diagnostic-process-through-ourdx-electronic-health
    October 27, 2021 - Study Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. Citation Text: Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process through the OurDX elect…

  13. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. | PSNet

    psnet.ahrq.gov/issue/good-care-slow-enough-be-able-pay-attention-primary-care-time-scarcity-and-patient-safety
    August 04, 2015 - Study "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. Citation Text: Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern …

  14. Effective Use of e-Prescribing in Physician Practices and Pharmacies | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies
    January 01, 2023 - Effective Use of e-Prescribing in Physician Practices and Pharmacies Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-05-0007-3 Funding Mechanism(s) Health Information Technol…

  15. Do medical inpatients who report poor service quality experience more adverse events and medical errors? | PSNet

    psnet.ahrq.gov/issue/do-medical-inpatients-who-report-poor-service-quality-experience-more-adverse-events-and
    July 14, 2021 - Study Classic Do medical inpatients who report poor service quality experience more adverse events and medical errors? Citation Text: Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse ev…

  16. A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19. | PSNet

    psnet.ahrq.gov/issue/comparative-study-measuring-difference-healthcare-workers-reactions-among-those-involved
    February 15, 2023 - Study A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19. Citation Text: Seys D, De Decker E, Waelkens H, et al. A comparative study measuring the differe…

  17. Long-term outcomes of medication intervention using the screening tool of older persons potentially inappropriate prescriptions screening tool to alert doctors to right treatment criteria. | PSNet

    psnet.ahrq.gov/issue/long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially
    July 31, 2024 - Study Long-term outcomes of medication intervention using the screening tool of older persons potentially inappropriate prescriptions screening tool to alert doctors to right treatment criteria. Citation Text: Frankenthal D, Israeli A, Caraco Y, et al. Long-Term Outcomes of Medication In…

  18. Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/perceptions-pediatric-hospital-safety-culture-united-states-analysis-2016-hospital-survey
    January 19, 2022 - Study Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. Citation Text: Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of t…

  19. Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-standardized-handoff-curriculum-improved-clinician-preparedness-intensive-care-unit
    October 19, 2022 - Study Classic Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. Citation Text: Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curr…

  20. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0094_04-09-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number(s): 0051 Document Completion Date: 6-12-09 1 Results of Topic Selection Process & Next Steps  Therapies for autism spectrum disorders will go forward for refinement as a comparative effectiveness or effectiveness review. The scope of this topic, including pop…
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