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4661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50601/psn-pdf
      October 09, 2022 - Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). October 9, 2022  Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA- 20-028. https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement Medication errors are …

4662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43144/psn-pdf
      March 29, 2016 - Autopsy advocates. March 29, 2016 Clark C. HealthLeaders Media. April 11, 2014. https://psnet.ahrq.gov/issue/autopsy-advocates Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and enhance learning opportunities, this news article recommends that these initiatives int…

4663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42015/psn-pdf
      April 22, 2013 - Building a culture of safety through team training and engagement. April 22, 2013 Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf. 2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011. https://psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-enga…

4664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36474/psn-pdf
      May 26, 2011 - The checklist--a tool for error management and performance improvement. May 26, 2011 Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. https://psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement This commentar…

4665. Chapter 2. Project Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter2.html
      December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Chapter 2. Project Implementation Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for Ame…

4666. AHRQ Celebrates National Public Health Week | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/952.html
      April 01, 2025 - AHRQ Celebrates National Public Health Week Issue Number 952 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 8, 2025 AHRQ Stats: Rates of Ventilator-Associated Pneumonia The rate of ventilator-associated pneumonia during inpatient stays increased by 20.…

4667. Heart Health Now Advancing Heart Health in NC Primary Care Consent Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/consent-form-nc.pdf
      June 02, 2025 - Heart Health Now Advancing Heart Health in NC Primary Care Consent Form Heart Health NOW Advancing Heart Health in NC Primary Care This document outlines the agreement between UNC-Chapel Hill and [Practice Name] to conduct the project titled “Heart Health Now! Advancing Heart Health in NC Primary Care”. This agr…

4668. A Novel Patient-Facing Mobile Platform to Collect and Implement Patient-Reported Outcomes and Voice Biomarkers in Underserved Adult Patients with Asthma | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/novel-patient-facing-mobile-platform-collect-and-implement-patient-reported
      April 01, 2023 - A Novel Patient-Facing Mobile Platform to Collect and Implement Patient-Reported Outcomes and Voice Biomarkers in Underserved Adult Patients with Asthma Project Description Research Story The ASTHMAXcel Voice mobile platform has the potential to improve self-management, s…

4669. Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/best-mental-health.html
      June 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff Resource: Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff This resource focuses on emotional well-being of nursing home staff, including information about the effects of t…

4670. Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enhanced-handoffs-echo/citation/machine
      January 01, 2024 - Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis. Citation Mehta D, Gonzalez XT, Huang G, Abraham J. Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis. Br J Anaesth. 2024 Dec;133(6):1159-1172. doi:…

4671. The long road to semantic interoperability in support of public health: experiences from two states. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/citation/the-long-road-to-semantic-interoperability-in-support-of-public-health-experiences-from-two-states
      January 01, 2023 - The long road to semantic interoperability in support of public health: experiences from two states. Citation Dixon BE, Vreeman DJ, Grannis SJ. The long road to semantic interoperability in support of public health: experiences from two states. J Biomed Inform 2014 Jun;49:3-8. Link http://www.…

4672. Characteristics of outpatient clinical summaries in the United States. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/development-electronic-medical-record-integrated-enhanced-after-visit-summary/citation/characteristics
      January 01, 2023 - Characteristics of outpatient clinical summaries in the United States. Citation Salmon C, O'Conor R, Singh S, et al. Characteristics of outpatient clinical summaries in the United States. Int J Med Inform 2016 Oct;94:75-80. PMID: 27573314. Link https://www.ncbi.nlm.nih.gov/pubmed/27573314 …

4673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36146/psn-pdf
      February 05, 2019 - Guidelines for Design and Construction. February 5, 2019 St Louis, Missouri; Facilities Guidelines Institute; 2018. https://psnet.ahrq.gov/issue/guidelines-design-and-construction These updated guidelines include design changes, such as the adoption of private rooms to reduce medical error, interruptions, and hosp…

4674. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41991/psn-pdf
      January 23, 2013 - Handovers from the OR to the ICU. January 23, 2013 Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. https://psnet.ahrq.gov/issue/handovers-or-icu This commentary discusses concerns associated with patient transfer…

4675. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42186/psn-pdf
      April 24, 2013 - High reliability: truly achieving healthcare quality and safety. April 24, 2013 Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27. https://psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety This commentary discusses how high reliability …

4676. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42408/psn-pdf
      July 10, 2013 - Non-technical Skills and the Future of Teamwork in Healthcare Settings. July 10, 2013 Sevdalis N. London, UK: The Health Foundation; June 2013. https://psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings Highlighting the value of teamwork in delivering safe care, this report describes…

4677. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42543/psn-pdf
      September 29, 2017 - Advancing the research agenda for diagnostic error reduction. September 29, 2017 Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. https://psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error…

4678. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47614/psn-pdf
      October 19, 2020 - Patient. October 19, 2020 Canadian Patient Safety Institute; https://psnet.ahrq.gov/issue/patient Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solut…

4679. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41600/psn-pdf
      August 15, 2012 - The role of nursing surveillance in keeping patients safe. August 15, 2012 Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377. https://psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe This commentary discusses…

4680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40087/psn-pdf
      December 15, 2010 - Managing patient access and flow in the emergency department to improve patient safety. December 15, 2010 PA-PSRS Patient Saf Advis. 2010;7:123-134.  https://psnet.ahrq.gov/issue/managing-patient-access-and-flow-emergency-department-improve-patient- safety This report examines how optimizing patient flow fro…