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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
    December 23, 2004 - but later Kapp and Caldwell came to believe that an event may contain several failures (personal communications
  2. psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
    January 27, 2021 - Complications of ECMO During Transport Citation Text: Broman M. Complications of ECMO During Transport. 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 X3 XML End…
  3. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016128-deluca-final-report-2009.pdf
    January 01, 2009 - Implementing an Ambulatory Electronic Medical Record and Improving Shared Access - FInal Report Grant Final Report Grant ID: UC1 HS016128 Implementing an Ambulatory Electronic Medical Record and Improving Shared Access Inclusive dates: 09/30/05 - 09/30/09 Principal Investigator: Michael A. DeLuca …
  4. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
    October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Training Guide Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Module Goals The goals of…
  5. www.ahrq.gov/sites/default/files/publications/files/planningtool_0.pdf
    January 01, 2016 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture Action Planning Tool for the AHRQ Surveys on Patient Safety Culture PATIENT SAFETY Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov The authors of this guide are responsible for its content. State…
  6. psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
    April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety Brian K. Alldredge, PharmD; Mary Anne Koda-Kimble, PharmD | April 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Alldredge BK, Koda-Kimb…
  7. psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
    August 01, 2010 - In Conversation with...Richard P. Shannon, MD August 1, 2010  Also Read an Essay Citation Text: In Conversation with..Richard P. Shannon, MD. PSNet [internet]. 2010.In Conversation with...Richard P. Shannon, MD. PSNet [internet]. Rockville (MD): Agency for Healthc…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation March 15, 2023 Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/agitated-delirium-contributes…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33866/psn-pdf
    September 01, 2018 - In Conversation With… Sigall K. Bell, MD September 1, 2018 In Conversation With… Sigall K. Bell, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md Editor's note: Dr. Bell is Director of Patient Safety and Discovery at OpenNotes, Beth Israel Deaconess Medical Center and As…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
    June 02, 2025 - Slide 1 Implementing Team Approaches for Improving Diabetes Care in Health Centers Hector P. Rodriguez, PhD, MPH (hrod@berkeley.edu) UC Berkeley School of Public Health iCARE (Innovative Care Approaches through Research & Education) Acknowledgements Other Research Team Members (University of California and RA…
  11. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…
  12. www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/autism-spectrum-disorder-in-young-children-screening
    February 16, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Autism Spectrum Disorder in Young Children: Screening February 16, 2016 Recommendations made by the USPSTF are independent of the U.S. governmen…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…
  14. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
    March 31, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Amy J.H. Kind, MD; Maureen A. Smith, MD, MPH, PhD Abstract Objectives: The Joint Commission mandates that six c…
  16. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/primary-care-based-efforts.pdf
    March 01, 2019 - Environmental Scan of Primary Care-Based Efforts To Reduce Readmissions Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Prepared by: Michael Hochman, M.D., M.P.H. 1 Angel Bourgoin, Ph.D.2 …
  17. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
    March 01, 2020 - Environmental Scan of Primary Care-Based Efforts To Reduce Readmissions Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Prepared by: Michael Hochman, M.D., M.P.H. 1 Angel Bourgoin, Ph.D.2 Sonali Saluj…
  18. psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - SPOTLIGHT CASE Two Wrongs Don't Make a Right (Kidney) Citation Text: DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Schola…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
    June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Prevention 1 On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer The Self-Assessment Worksheet i…
  20. psnet.ahrq.gov/web-mm/dropped-no
    October 30, 2019 - The Dropped "No" Citation Text: Johnson AJ. The Dropped "No". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …