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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49522/psn-pdf
    November 01, 2006 - Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality November 1, 2006 Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-…
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/preparing_questionnaire_cg30.pdf
    September 01, 2015 - Preparing a Questionnaire Using the CAHPS Clinician & Group Survey Preparing a Questionnaire Using the CAHPS Clinician & Group Survey Document No. 2032 Updated 9/1/2015 CAHPS® Clinician & Group Survey and Instructions Preparing a Questionnaire Using the CAHPS® Clinician & Group Survey Introduction .…
  3. psnet.ahrq.gov/print/pdf/node/866419
    March 27, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Artificial Intelligence: System-Level Considerations Curated Library Foundations Generative artificial intelligence, patient safety and healthcare quality: a review. Howell MD. BMJ Qual Saf. 2024;33:748-754. Artificial intelligence (AI) is…
  4. psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
    March 27, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Artificial Intelligence: System-Level Considerations  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipper…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - Diagnostic Safety Resource List Improving Diagnostic Safety in Medical Offices: A Resource List for Users of the AHRQ Diagnostic Safety Supplemental Item Set I. Purpose This document provides a list of references to websites and other publicly available resources that medical offices can use to improve the ex…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects as part of an o…
  7. effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
    July 05, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: July 5, 2011 Technical Brief Research Review Disposition of Comments Report Research Review Title: Maternal-Fetal Surgical Procedures Draft review available for public comm…
  8. hcup-us.ahrq.gov/db/state/siddist/IncorrectPayerMappings_IntramuralFiles.pdf
    January 01, 2011 - The following States, years, and databases have the HCUP data element(s) for expected payer (PAY1 and PAY2, if available) incorrectly assigned.  Hawaii 2011–2014 SID and SEDD  Kentucky 2008 SID  Texas 2004–2011 SID The Hawaii SID and SEDD were corrected in 2017, but there are no plans to correct the Kent…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35692/psn-pdf
    December 24, 2014 - Ensuring Correct Surgery. December 24, 2014 National Center for Patient Safety; NCPS https://psnet.ahrq.gov/issue/ensuring-correct-surgery This pamphlet informs consumers on steps both patients and clinicians should take prior to surgery to ensure safety. https://psnet.ahrq.gov/issue/ensuring-correct-surgery
  10. hcup-us.ahrq.gov/db/nation/nass/nassknowndataissue_2021.jsp
    January 01, 2021 - 2021 NASS Known Data Issues An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33825/psn-pdf
    January 01, 2017 - Rethinking Root Cause Analysis January 1, 2016 Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis Annual Perspective 2016 Introduction Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37009/psn-pdf
    March 18, 2010 - Doing the "right" things to correct wrong-site surgery. March 18, 2010 Patient Safety Advisory https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results of other studies, and provides suggesti…
  13. www.uspreventiveservicestaskforce.org/uspstf/recommendation/impaired-visual-acuity-in-older-adults-screening-2009
    July 15, 2009 - visual condition compared with ophthalmologic examination, and 1 study reported that geriatricians correctly
  14. psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
    February 23, 2022 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia Citation Text: Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49791/psn-pdf
    April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable April 1, 2017 Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable The Case An 84-year-old wo…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45370/psn-pdf
    July 27, 2016 - Correct use of inhalers: help patients breathe easier. July 27, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6. https://psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier Patients and clinicians can make medication administration mistakes when new drug delivery mecha…
  17. hcup-us.ahrq.gov/db/state/siddist/2010_2011ARSIDCDDoc071414.pdf
    January 01, 2010 - The HCUP Central Distributor State Inpatient Databases (SID) for Arkansas 2010 and 2011 contain incorrect expected payer information for two hospitals in 2010 (exactly 4 percent of all discharges) and five hospitals in 2011 (about one percent of all discharges). The 2010 and 2011 AR SID have been recreated with corr…
  18. psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47536/psn-pdf
    March 09, 2019 - Evaluation of wound photography for remote postoperative assessment of surgical site infections. March 9, 2019 Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. doi:10.1001/jamasurg.2018.3861. htt…
  20. cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_Data_Requirements_Healthy_Diet_and_Physical_Activity.xlsx
    January 01, 2024 - FHIR DSTU2 Data Requirements FHIR DSTU2 Data Requirements: Healthy Diet and Physical Activity for CVD Prevention This spreadsheet was created to assist with integration efforts (i.e., integrating the interoperable logic with a health IT system). It provides details about each clinical concept included in the CDS exp…