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9821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837913/psn-pdf
      August 31, 2022 - Miscommunication During the Interhospital Transport of a Critically Ill Child August 31, 2022 Rosenthal J, Hamline M. Miscommunication During the Interhospital Transport of a Critically Ill Child. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-c…

9822. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again John Gosbee, MD, MS | November 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Aga…

9823. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
      September 27, 2023 - SPOTLIGHT CASE Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations Citation Text: Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

9824. Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
      July 01, 2025 - Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update 1 Artificial Intelligence (AI) in Healthcare Safety Program – October 2024 Update Overview In response to Executive Order 14110, Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence (“EO 14110”), HHS establish…

9825. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
      January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Principal Investigator: David G. Bundy, MD, MPH Team Members: Marlene R. Miller, MD, MSc Michael L. Rinke, M…

9826. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…

9827. Preparing Data from CAHPS Surveys for Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
      May 15, 2017 - Preparing Data from CAHPS Surveys for Analysis Preparing Data from CAHPS® Surveys for Analysis Contents Introduction ................................................................................................................................................... 1 Creating Your Analysis Dataset ...............…

9828. Implement Teamwork and Communication: | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
      December 01, 2012 - Implement Teamwork and Communication: Facilitator Notes The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. Basic Components and Process of Communication 2 Slide 4…

9829. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
      psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
      April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance Lance L. Roberts, MS; Marcia M. Ward, PhD; Thomas C. Evans, MD | April 1, 2010  Also Read a Conversation View more articles from the same authors. …

9830. Preparing for Health Reform: The Federal Government and the Nursing Workforce | PSNet
      psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
      September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce Peter I. Buerhaus, PhD, RN | September 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Buerhaus P. Preparing for Health Reform: The Federal G…

9831. Healthcare Cost and Utilization Project (HCUP) KID Notes
      hcup-us.ahrq.gov/db/vars/_prn/kidnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

9832. Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors
      December 01, 2013 - Annual Perspective Diagnostic Errors Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…

9833. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
      March 27, 2024 - Miscommunication During the Interhospital Transport of a Critically Ill Child Citation Text: Rosenthal J, Hamline M. Miscommunication During the Interhospital Transport of a Critically Ill Child. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human …

9834. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
      November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety Ronen Rozenblum, MD, MPH, and David Bates, MD, MS | November 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Rozenblum R, Bates DW. The Role…

9835. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
      April 01, 2008 - Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Ou…

9836. Most Frequent Procedures Performed in U.S. Hospitals, 2011 - Statistical Brief #165
      hcup-us.ahrq.gov/reports/statbriefs/sb165.jsp
      October 01, 2013 - Most Frequent Procedures Performed in U.S. Hospitals, 2011 - Statistical Brief #165 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact …

9837. Trends in Septicemia Hospitalizations and Readmissions in Selected HCUP States, 2005 and 2010 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb161.pdf
      June 12, 2013 - Trends in Septicemia Hospitalizations and Readmissions in Selected HCUP States, 2005 and 2010 1 Highlights ■ Across selected States, there was a 32 percent increase in the rate of septicemia hospitalizations between 2005 and 2010. Rates increased from 492 per 100,000 population to 651 per 100,000 populat…

9838. Most Frequent Conditions in U.S. Hospitals, 2010 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb148.pdf
      March 01, 2012 - Most Frequent Conditions in U.S. Hospitals, 2010 1 January 2013 Most Frequent Conditions in U.S. Hospitals, 2010 Anne Pfuntner, Lauren M. Wier, M.P.H., and Carol Stocks, R.N., M.H.S.A. Introduction A patient can be admitted to the hospital with multiple conditions or diagnoses. The princ…

9839. Statistical Brief #160
      hcup-us.ahrq.gov/reports/statbriefs/sb160.jsp
      August 01, 2013 - Statistical Brief #160 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

9840. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism_research-protocol.pdf
      December 09, 2009 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: December 7, 2009 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Therapies for Children with Autism Spectrum Disorders I. Backgrou…