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  1. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/image-gently-step-lightly-promoting-radiation-safety-pediatric-interventional-radiology
    August 20, 2018 - Commentary Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. Citation Text: Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W29…

  2. Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. | PSNet

    psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011
    November 12, 2014 - Study Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. Citation Text: Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011. JAMA. 2016;315(17):1864-18…

  3. Association between surgeon stress and major surgical complications. | PSNet

    psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
    November 29, 2023 - Study Association between surgeon stress and major surgical complications. Citation Text: Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072. Copy Citation Format:…

  4. Effect of genetic diagnosis on patients with previously undiagnosed disease. | PSNet

    psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
    October 19, 2022 - Study Effect of genetic diagnosis on patients with previously undiagnosed disease. Citation Text: Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458. Copy…

  5. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
    January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

  6. Structural racism in behavioral health presentation and management. | PSNet

    psnet.ahrq.gov/issue/structural-racism-behavioral-health-presentation-and-management
    September 23, 2020 - Commentary Structural racism in behavioral health presentation and management. Citation Text: Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133. Copy Citation Format: …

  7. Benefactor or burden: exploring the professional identity of safety professionals. | PSNet

    psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
    October 11, 2017 - Study Benefactor or burden: exploring the professional identity of safety professionals. Citation Text: Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005. Copy Cit…

  8. What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. | PSNet

    psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow
    June 22, 2022 - Commentary What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. Citation Text: Narayana S, Rajkomar A, Harrison JD, et al. What Happened to My Patient? An Educational Intervention to Facilitate Postdischarge Patient Follow-Up. J Grad Med…

  9. Measuring teamwork in health care settings: a review of survey instruments. | PSNet

    psnet.ahrq.gov/issue/measuring-teamwork-health-care-settings-review-survey-instruments
    December 14, 2016 - Review Measuring teamwork in health care settings: a review of survey instruments. Citation Text: Valentine MA, Nembhard IM, Edmondson A. Measuring teamwork in health care settings: a review of survey instruments. Med Care. 2015;53(4):e16-e30. doi:10.1097/MLR.0b013e31827feef6. Copy Cit…

  10. A high-reliability organization mindset. | PSNet

    psnet.ahrq.gov/issue/high-reliability-organization-mindset
    April 01, 2020 - Commentary A high-reliability organization mindset. Citation Text: Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086. Copy Citation Format: DOI Google Scholar BibTeX En…

  11. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. | PSNet

    psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine-dosing-errors
    October 06, 2021 - Study Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Citation Text: Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital settin…

  12. Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-provided-medication-therapy-management-healthcare-quality-and-utilization
    November 16, 2022 - Study Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. Citation Text: Haag JD, Davis AZ, Hoel RW, et al. Impact of Pharmacist-Provided Medication Therapy Management on Healthcare Quality and Utiliza…

  13. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
    December 21, 2021 - of Evidence (Not reviewed) Person and Family Engagement (Not reviewed) Summary of Evidence Update Cultural … Interviewees described cultural shifts as a result of the program, such as nursing staff feeling more

  14. SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey - Spanish (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Items-2022-1215-SPANISH-508.pdf
    January 01, 2022 - SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey - Spanish SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey Language: Spanish Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Versio…

  15. SOPS® Database De-identified Data Release Agreement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-data-release-agreement.pdf
    January 01, 2024 - SOPS® Database De-identified Data Release Agreement SOPS Database De-identified Data Release Agreement – April 2024 Page 1 of 3 Agency for Healthcare Research and Quality (AHRQ) SOPS® Database De-identified Data Release Agreement 1. This Data Release Agreement (DRA) specifies the terms and…

  16. SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey - Spanish (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Item-Set-Spanish-12-15-22.docx
    December 01, 2022 - SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey - Spanish SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey Language: Spanish Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 …

  17. Making It Work Tip Sheet: Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/celebrating-success.pdf
    April 01, 2022 - Making It Work Tip Sheet: Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit This “Making It Work”…

  18. Teamwork Training | PSNet

    psnet.ahrq.gov/primer/teamwork-training
    September 15, 2024 - Teamwork Training Citation Text: Teamwork Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  19. Timely Antiobiotics for Children With Severe Sepesis or Septic Shock Technical Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-sepsis-antibiotics-technical-specs.pdf
    August 01, 2014 - Timely Antiobiotics for Children With Severe Sepesis or Septic Shock Technical Specifications Q-METRIC Sepsis Measure 4, Timely Administration of Antibiotics for Severe Sepsis and Septic Shock U18HS020516 Page 50 Submitted August 2014 Sepsis Measure 4: Timely Antibiotics for Children with Severe Sepsis or …

  20. Transcript: How To Address Attitudes and Beliefs Around Infection Prevention Strategies and Techniques (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/attitudes-beliefs-transcript.pdf
    April 01, 2022 - Transcript: How To Address Attitudes and Beliefs Around Infection Prevention Strategies and Techniques AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Transcript How To Address Attitudes and Beliefs Around Infection Prevention Strategies and Techniques Host: Kate Schmidgall …
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