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  1. psnet.ahrq.gov/innovations
    February 26, 2025 - Innovations The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
  2. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
    June 02, 2025 - 1 Implementation Guide - Module 3 Understanding your Workflow Processes to Prepare for Systems Change Module Purpose This module continues the discussion of the steps necessary for systems change to support the implementation of automatic referral with effective care coordination. Topics include the “w…
  3. www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
    December 01, 2020 - Implementing Team Approaches for Improving Diabetes Care in Health Centers Slide Presentation by Hector P. Rodriguez Text version of a slide presentation made by Hector P. Rodriguez, PhD, MPH. Sign up: Quality Measure Tools Email updates Slide 1 Implementing Team Approaches for Improving Diabetes Ca…
  4. www.ahrq.gov/ncepcr/reports/2024-annual-report/overview.html
    April 01, 2024 - Investments in Primary Care Research for 2021 and 2022 2. Overview of AHRQ's Recent Investments in Primary Care Research Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's Nationa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49712/psn-pdf
    June 01, 2014 - May I Have Another?—Medication Error June 1, 2014 Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/may-i-have-another-medication-error The Case A 40-year-old man was admitted to the hospital after having a seizure. Upon admission, the patient, a pharmacology-tra…
  6. psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…
  7. psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
    February 01, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! Citation Text: Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. Rockville (MD): Agency for Healthcar…
  8. hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny14.pdf
    March 20, 2012 - FAQs for Using Clinically Enhanced Claims Data to Guide Selection of Coronary Procedures NYSDOH Updated FAQs March 20, 2012 Page 1 New York State Department of Health Using Clinically Enhanced Claims Data to Guide Selection of Coronary Procedures Frequently Asked Questions and Answers 1. What is th…
  9. psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
    October 26, 2022 - Diagnosing a Missed Diagnosis Citation Text: Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33877/psn-pdf
    April 01, 2019 - In Conversation With… Timothy B. McDonald, MD, JD April 1, 2019 In Conversation With… Timothy B. McDonald, MD, JD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd Editor's note: Dr. McDonald is President of the Center for Open and Honest Communication at the MedStar…
  11. psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
    May 19, 2021 - Hyperglycemia and Switching to Subcutaneous Insulin Citation Text: Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Sc…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33702/psn-pdf
    November 01, 2010 - In Conversation with...Patrick S. Romano, MD, MPH November 1, 2010 In Conversation with..Patrick S. Romano, MD, MPH. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph Editor's note: Patrick S. Romano, MD, MPH, is Professor of Medicine and Pediatrics at the Universit…
  13. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
    January 31, 2024 - the subsidies ended resulted in many practices foregoing needed system maintenance or ceasing use of EHRs … E C T I O N 3 : F I N D I N G S EvidenceNOW BSC: Interim Evaluation Report I June 2022 ▌10 EHRs
  14. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017270-fricton-final-report-2011.pdf
    January 01, 2011 - protocols.9-12 The emergence of health information technology systems such as electronic health records (EHRs … CDS modules can be designed to be embedded in EHRs to alert health care providers to suitable modifications
  15. www.ahrq.gov/sites/default/files/2024-01/burden-report.pdf
    January 01, 2024 - Final Progress Report: Inpatient Provider Rounding Prioritization of Patients Ready for Discharge Final Progress Report to Agency for Healthcare Research and Quality Title of Project Inpatient Provider Rounding Prioritization of Patients Ready for Discharge Principal Investigator and Team Members Individual Organ…
  16. www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
    January 01, 2025 - Final Progress Report: Patient Safety and the Primary Care Testing Process Final Report 1. Title page Patient Safety and the Primary Care Testing Process PI: Nancy C. Elder, MD, MSPH Department of Family and Community Medicine University of Cincinnati PO Box 670582 3235 Eden Ave, 142 HPB Cincinnati, OH 45267…
  17. www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare Mini Review Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh The PRIDx framework to engage payers in reducing diagnostic errors in healthcare https://doi.org/10.1515/dx-2023-0042 Received April 9…
  18. psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
    February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation T…
  19. psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - The Evolution of Root Cause Analysis Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Behrhorst J, Gale B, Van CM. Th…
  20. effectivehealthcare.ahrq.gov/products/translation-c-diff-treatment/methods-report