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  1. cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_WG_February_2022_Summary.pdf
    January 01, 2022 - CDS Connect Work Group February 2022 Summary Clinical Decision Support (CDS) Connect Work Group (WG) Meeting Summary February 17, 2022 3:00 – 4:00 pm ET Attendees: 37 people, including 6 phone dial-ins Organization Attendees AHRQ Sponsors Mario Teran, Roland Gamache (2) WG Members Alex Goel, Alison…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33617/psn-pdf
    August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN August 1, 2005 In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn Editor's Note: Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses Associa…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
    June 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case June 2004 The Wrong Shot: Error Disclosure Source and Credits This presentation is based on the June 2004 AHRQ WebM&M Spotlight Case in Pediatrics CME credit is available through the Web site See the full article at http://webmm.ahrq.gov Commentary by: Thomas H. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836878/psn-pdf
    April 27, 2022 - The Media’s Role in Patient Safety April 27, 2022 Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/medias-role-patient-safety Brief History of the Media Influencing Patient Safety Despite studies raising questions about avoidable ha…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33753/psn-pdf
    August 22, 2013 - Update on Safety Culture August 22, 2013 Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/update-safety-culture Perspective Safe and reliable care requires a culture of safety: a collaborative environment in which skilled clinicians treat each other with r…
  6. psnet.ahrq.gov/primer/duty-hours-and-patient-safety
    June 15, 2024 - Duty Hours and Patient Safety Citation Text: Duty Hours and Patient Safety. 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 Pu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33585/psn-pdf
    March 15, 2025 - Radiation Safety March 15, 2025 Radiation Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/radiation-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2025…
  8. digital.ahrq.gov/ahrq-funded-projects/personal-health-information-management-and-design-consumer-health-it/annual
    January 01, 2023 - Personal Health Information Management and Design of Consumer Health Information Technology - 2009 Project Name Personal Health Information Management and Design of Consumer Health IT Principal Investigator Peterson, Anne Organization Insight Policy Research, Inc. Con…
  9. digital.ahrq.gov/sites/default/files/docs/page/2006WardWakefieldLi_051111comp.pdf
    January 01, 2005 - Statewide Efforts to Enhance HIT in Critical Access Hospitals Statewide Efforts to Enhance HIT in Critical Access Hospitals AHRQ Patient Safety and HIT Conference Marcia M. Ward, James Bahensky, Douglas S. Wakefield, Pengxiang Li University of Iowa Funded by AHRQ Grant HS015009 AHRQ Grant HIT Value in Iowa …
  10. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
    January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority The Timeline to Diagnostic Safety SIDM - Research as a Priority Mark L Graber MD FACP Senior Fellow – RTI International Professor Emeritus - SUNY Stony Brook Founder and President – SIDM graber.mark@gmail.com VISION: Creating a world where no pat…
  11. digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
    March 01, 2006 - Implementation of a Simulation Based Patient Safety Curriculum in a Pediatric Emergency Department Implementation of a Simulation Based Patient Safety Curriculum in a Pediatric Emergency Department Mary D. Patterson, MD, MEd Gary Geis, MD Cincinnati Children’s Hospital Robert L. Wears, MD, MS University of Flori…
  12. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html
    April 01, 2023 - Strategy 6I: Shared Decisionmaking Contents 6.I.1. The Problem 6.I.2. The Intervention 6.I.3. Benefits of This Intervention 6.I.4. Implementation of This Intervention References   Download Strategy 6I: Shared Decisionmaking (PDF, 270 KB)         6.I.1. The Problem Although pat…
  13. www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
    February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Daily Goals During Interdisciplinary Rounds Say: In this session, we will discuss Daily Goals during interdisciplinary rounds. Slide 2: Learning Objectives Say: After …
  14. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
    January 01, 2008 - System factors included having a regular doctor, insurance type, and years in the health system. … ethnicity (OR = 1.14, 95% CI: 1.10-1.79), low SES (OR = 1.06, 95% CI: 1.04-1.10), or without a regular doctor
  15. digital.ahrq.gov/sites/default/files/docs/lesson/10-0010-ef-medication-adherence.pdf
    November 01, 2009 - number of medications taken, fidelity to prescription, dosage errors/nonadherence, ensuring that the doctor … knows all medications taken, and understanding doctor instructions.
  16. psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
    April 01, 2018 - and said, "10 people are going to introduce themselves at discharge: the dietitian, the nurse, the doctor … sure that people don't fall off during the time in between leaving the hospital and seeing their own doctor
  17. psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
    October 30, 2019 - Or Doctor A versus Doctor B within the same hospital? NS: All of the above.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33883/psn-pdf
    July 01, 2019 - RW: It sounds like the doctor is not even thinking about the data other than in real time.
  19. effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-treatment_consumer.pdf
    November 01, 2016 - * Your health care professional may include your primary care doctor, nurse practitioner, physician
  20. psnet.ahrq.gov/web-mm/inside-time-out
    March 01, 2004 - Related Resources WebM&M Cases Getting the (Right) Doctor