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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855106/psn-pdf
    November 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023 Maxwell A. Washington DC: Office of Inspector General; September 2023. Report no. OEI-05-22-00290. https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46315/psn-pdf
    December 16, 2017 - Recognition and prevention of nosocomial malnutrition: a review and a call to action! December 16, 2017 Kirkland LL, Shaughnessy E. Recognition and Prevention of Nosocomial Malnutrition: A Review and A Call to Action!. Am J Med. 2017;130(12):1345-1350. doi:10.1016/j.amjmed.2017.07.034. https://psnet.ahrq.gov/issue…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36880/psn-pdf
    August 31, 2011 - Complication rates on weekends and weekdays in US hospitals. August 31, 2011 Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120(5):422-8. https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals This study analyzed …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44078/psn-pdf
    March 15, 2016 - Language barriers and patient safety risks in hospital care. A mixed methods study. March 15, 2016 van Rosse F, de Bruijne M, Suurmond J, et al. Language barriers and patient safety risks in hospital care. A mixed methods study. Int J Nurs Stud. 2016;54:45-53. doi:10.1016/j.ijnurstu.2015.03.012. https://psnet.ahrq…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72853/psn-pdf
    March 17, 2021 - Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. March 17, 2021 Kruse CS, Mileski M, Syal R, et al. Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a sys…

  6. Exhibit 1.14. Lean Tools and Activities for Clinic Flow | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-14.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.14. Lean Tools and Activities for Clinic Flow Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Cas…

  7. Scenario 1 (Text Description) | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2scen1txt.html
    June 01, 2014 - Care Coordination Measures Atlas Update Scenario 1 (Text Description) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter 4, Emerging Trends in…

  8. Exhibit 1. Preliminary Conceptual Framework (Text Description) | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex1-text.html
    July 01, 2018 - Guide to Patient and Family Engagement Exhibit 1. Preliminary Conceptual Framework (Text Description) Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next …

  9. Figure 5-1. A snapshot of data flow in a complex health care system | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5fig5-1.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 5-1. A snapshot of data flow in a complex health care system Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Re…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73373/psn-pdf
    January 01, 2022 - State medical board regulation of compounding in physician offices. June 9, 2021 Reynolds KA, Hellquist K, Ibrahim SA, et al. State medical board regulation of compounding in physician offices. Arch Dermatol Res. 2022;314(4):363-367. doi:10.1007/s00403-021-02237-8. https://psnet.ahrq.gov/issue/state-medical-board-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44101/psn-pdf
    November 06, 2015 - Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. November 6, 2015 Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. J Hosp Med. 2015;10(6):345-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43532/psn-pdf
    June 23, 2017 - The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. June 23, 2017 Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an organizational resource for asses…

  13. Exhibit 4.4. Chronology of Quality Improvement and Lean at Suntown Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-4.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.4. Chronology of Quality Improvement and Lean at Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakev…

  14. Figure 3-4. Models for data collection instruments to collect race, Hispanic ethnicity, and granular ethnicity data | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3fig3-4.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 3-4. Models for data collection instruments to collect race, Hispanic ethnicity, and granular ethnicity data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization fo…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43731/psn-pdf
    December 03, 2014 - Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. December 3, 2014 Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. J Trauma Nurs. 201…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836753/psn-pdf
    March 16, 2022 - Inequities in quality and safety outcomes for hospitalized children with intellectual disability. March 16, 2022 Mimmo L, Harrison R, Travaglia J, et al. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Dev Med Child Neurol. 2022;64(3):314-322. doi:10.1111/dmcn.15066…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37545/psn-pdf
    February 20, 2008 - Iatrogenic events in admitted neonates: a prospective cohort study. February 20, 2008 Ligi I, Arnaud F, Jouve E, et al. Iatrogenic events in admitted neonates: a prospective cohort study. Lancet. 2008;371(9610):404-10. doi:10.1016/S0140-6736(08)60204-4. https://psnet.ahrq.gov/issue/iatrogenic-events-admitted-neona…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74233/psn-pdf
    January 12, 2022 - Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. January 12, 2022 Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006. https://psnet.ahrq.gov/issue/dont-go-hospit…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47747/psn-pdf
    March 13, 2019 - A piece of my mind. Hard times and hard stops. March 13, 2019 Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. https://psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops Implementing new information systems can have unintended consequences on processes. This…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47279/psn-pdf
    July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the Home. July 23, 2018 Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home The home care setting harbors unique challenges to patient safety. This report builds on a previous evidence ass…
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