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8321. Background Report on 2013 Retirement of Measures from the Child Core Set | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/measure_retirement/index.html
      February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B. Appendix C. Appendix D…

8322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45225/psn-pdf
      June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…

8323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38142/psn-pdf
      April 30, 2014 - Medical error disclosure among pediatricians: choosing carefully what we might say to parents. April 30, 2014 Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc Med. 2008;162(10):922-927. doi:10.1001/archpedi.162.10.922. https://psnet.ahrq.gov/issue/medical-err…

8324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45731/psn-pdf
      September 29, 2017 - Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis. September 29, 2017 Jørgensen KJ, Gøtzsche PC, Kalager M, et al. Breast Cancer Screening in Denmark: A Cohort Study of Tumor Size and Overdiagnosis. Ann Intern Med. 2017;166(5):313-323. doi:10.7326/M16-0270. https://psnet.ahrq.gov/i…

8325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41119/psn-pdf
      July 03, 2016 - How can we make diagnosis safer? July 3, 2016 Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138. doi:10.1097/ACM.0b013e31823f711c. https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer Autopsy studies spanning five decades consistently show an error rate of almost …

8326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42040/psn-pdf
      September 28, 2016 - The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. September 28, 2016 Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communication systems on general in…

8327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867337/psn-pdf
      December 11, 2024 - Perspectives on anesthesia and perioperative patient safety: past, present, and future. December 11, 2024 Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past, present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/aln.0000000000005164. https://psnet…

8328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37453/psn-pdf
      March 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret…

8329. Exhibit 6.8. Kaizen Activities | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-8.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.8. Kaizen Activities Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital C…

8330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47480/psn-pdf
      December 19, 2018 - Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. December 19, 2018 Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-…

8331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39497/psn-pdf
      February 10, 2015 - The value from investments in health information technology at the U.S. Department of Veterans Affairs. February 10, 2015 Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millwood). 2010;29(4):629-638. doi:…

8332. Am I Ready to Become an Advisor? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/become-an-adviser.html
      July 01, 2023 - Am I Ready to Become an Advisor? AHRQ Safety Program for Perinatal Care Are you thinking about becoming a patient and family advisor? Review the checklist below and check those statements with which you agree. If there are statements with which you do not agree, these may be things to work on befo…

8333. Board Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
      July 01, 2023 - Board Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork c…

8334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40252/psn-pdf
      March 02, 2011 - Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. March 2, 2011 Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship With Adverse Outcomes. J Patient Saf. 2…

8335. Section 2: Detailed Measure Specifications, Attachment 2: EHR Recommended Data Locations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
      June 02, 2025 - Section 2: Detailed Measure Specifications, Attachment 2: EHR Recommended Data Locations SNAC Submission Form Measure 2: ADHD Behavior Therapy Section 2: Detailed Measure Specifications Attachment 2: EHR Recommended Data Locations Th…

8336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74063/psn-pdf
      April 10, 2019 - Structural racism--a 60-year-old black woman with breast cancer. April 10, 2019 Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp1811499. https://psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-bre…

8337. Roll-Out Diagram Generic (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
      January 01, 2021 - R e si li e n ce P ro g ra m Le a d e r( s) S p e ci fi c D e p t/ U n it Le a d s M e n ta l H e a lt h C o n su lt a n t, i f A v a il a b le How to roll out the Battle Buddy program as part of a psychological resilience intervention Can stand alone* Specific nursing unit le…

8338. Exhibit 11. Supporting Increases in Patient Knowledge, Skills, and Abilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex11.html
      July 01, 2018 - Guide to Patient and Family Engagement Exhibit 11. Supporting Increases in Patient Knowledge, Skills, and Abilities Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Disc…

8339. Exhibit 12. Involving Patients and Family Members at the Hospital Level | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex12.html
      July 01, 2018 - Guide to Patient and Family Engagement Exhibit 12. Involving Patients and Family Members at the Hospital Level Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussio…

8340. Exhibit 1.8. Kaizen Activities | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-8.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.8. Kaizen Activities Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital C…