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  1. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet

    psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
    September 01, 2012 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization Citation Text: Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…

  2. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
    June 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case June 2007 Beeline to Spine Source and Credits This presentation is based on June 2007 AHRQ WebM&M Spotlight Case See full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…

  3. CAHPS Announcements | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/news-and-events/news/index.html
    March 01, 2025 - CAHPS Announcements 2025 Announcements Date Announcements March 2025 CAHPS® Child Hospital Survey Database Submission  Voluntary data submission to AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Child Hospital Survey (Child HCAHPS) Database will be open Mar. 10 – Apr. 11, 2025. The CA…

  4. Returning Home Safely | PSNet

    psnet.ahrq.gov/web-mm/returning-home-safely
    December 22, 2018 - Returning Home Safely Citation Text: Toles M. Returning Home Safely. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49470/psn-pdf
    December 01, 2004 - Discharge Fumbles December 1, 2004 Forster AJ. Discharge Fumbles. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/discharge-fumbles Case Objectives List the types of adverse events that occur at discharge Identify the characteristics that identify patients at high risk for errors at discharge Understand th…

  6. 027-Cusp-Program-Sustainability-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/027-cusp-program-sustainability-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI CUSP Program Sustainability Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Program Sustainability SAY: Welcome to this presentation on optimizing CUSP Program sustain…

  7. Medical Office SOPS: 2016 User Comparative Database Report, Part II (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-2.pdf
    January 01, 2016 - Medical Office SOPS: 2016 User Comparative Database Report, Part II PATIENT SAFETY Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov MEDICAL OFFICE SURVEY ON PATIENT SAFETY CULTURE 2016 USER COMPARATIVE DATABASE REPORT Medical Office Survey on Patient Safety Cult…

  8. Title Page (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016160-sakuda-final-report-2009.pdf
    January 01, 2009 - Title Page Grant Final Report Grant ID: UC1HS016160 The Holomua Project: Improving Transitional Care in Hawaii Inclusive dates: 09/30/05 - 09/29/09 Principal Investigator: Christine Mai`i Sakuda, MBA Team member: Alice Tse, PhD, APRN Performing Organization: Hawaii Prima…

  9. antibiotics-respiratory-infection-protocol-140922 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/antibiotics-respiratory-infection_research-protocol.pdf
    September 22, 2014 - antibiotics-respiratory-infection-protocol-140922 Evidence-based Practice Center Systematic Review Protocol Project Title: Interventions to Improve Appropriate Antibiotic Use for Acut…

  10. Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Quality Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
    January 15, 2025 - excessive or inconsistent use of “sticky” notes)  Incomplete documentation (in chart, on orders, for communications … For example, how might they use other existing or new health IT to support secure messaging for communications

  11. Valuation of the Rochester-Area Program of Primary Care-Integrated Telehealth (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015165-mcconnochie-final-report-2008.pdf
    January 01, 2008 - Health-e-Access (HeA) as the name for this organizational innovation because HeA is essentially a form of communications … Survey items addressed ease of use, effectiveness, communications with telemedicine assistants and parents

  12. Partnering To Improve Safety, Quality, and the Patient Experience (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-2.pdf
    May 01, 2016 - Partnering To Improve Safety, Quality, and the Patient Experience Partnering To Improve Safety, Quality, and the Patient Experience What is it? A Patient and Family Advisory Committee (PFAC) is a group of patients, family members, office staff, and primary care providers working together to improve safety, qual…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847533/psn-pdf
    April 12, 2023 - Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. April 12, 2023 Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. J Patient Saf. 2023;19(…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60057/psn-pdf
    March 18, 2020 - How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. March 18, 2020 Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethn…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838176/psn-pdf
    September 28, 2022 - Challenges and strategies for patient safety in primary care: a qualitative study. September 28, 2022 Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.0000000000000054. https://psnet.ahrq.gov…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42412/psn-pdf
    October 07, 2013 - Quality and safety implications of emergency department information systems. October 7, 2013 Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.2013.05.019. https://psnet.ahrq.gov/issue/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41876/psn-pdf
    December 04, 2016 - Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. December 4, 2016 Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care…

  18. Billings Clinic Foundation | Digital Healthcare Research

    digital.ahrq.gov/organization/billings-clinic-foundation
    January 01, 2023 - Billings Clinic Foundation Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012 Principal Investigator Ciemins, Elizabeth Project Name Using Health Information Technology in Practice Redesign: Impac…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865534/psn-pdf
    April 10, 2024 - Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. April 10, 2024 Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606. https://psnet.ahrq.gov/…

  20. USA, KY, Lexington | Digital Healthcare Research

    digital.ahrq.gov/location/usa-ky-lexington
    January 01, 2023 - USA, KY, Lexington Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description This research tests the effectiveness of MedSMA℞T Mobil…
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