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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43376/psn-pdf
    January 16, 2017 - Resilience and resilience engineering in health care. January 16, 2017 Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care Resilience is a charac…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837076/psn-pdf
    May 11, 2022 - AHRQ Challenge on Innovative Solutions To Update or Re-Create TeamSTEPPS Videos. May 11, 2022 Rockville, MD; Agency for Healthcare Research and Quality: April 2022. https://psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos TeamSTEPPS promotes effective teamwork, collabo…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43936/psn-pdf
    December 04, 2015 - Exploring the Potential Use of Safety Cases in Health Care. December 4, 2015 Safety Cases Working Group. London, UK: Health Foundation; 2015. https://psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care This report describes a consensus-building initiative in the United Kingdom seeking to determin…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42306/psn-pdf
    May 29, 2013 - Do team processes really have an effect on clinical performance? A systematic literature review. May 29, 2013 Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513. https://psnet.ahrq.gov/issue/do-team…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42768/psn-pdf
    November 27, 2013 - Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. November 27, 2013 Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13- 0058-EF.   https://psnet.ahrq.gov/issue/findings-and-lesso…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43100/psn-pdf
    April 02, 2014 - Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. April 2, 2014 Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.  https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections This special issue explores a national initiativ…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41926/psn-pdf
    January 02, 2013 - As she lay dying: how I fought to stop medical errors from killing my mom. January 2, 2013 Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. https://psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-m…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46177/psn-pdf
    March 09, 2018 - Diagnosis: Interpreting the Shadows. March 9, 2018 Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333. https://psnet.ahrq.gov/issue/diagnosis-interpreting-shadows Efforts to enhance the reliability of the diagnostic process must take various elements into consideration. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44623/psn-pdf
    November 11, 2015 - Quality, Safety, and Noninterpretive Skills. November 11, 2015 Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848. https://psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills Increased radiation exposure has emerged as a patient safety problem, with the potential to result in harm for provide…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72611/psn-pdf
    December 23, 2020 - Improving Diagnosis in Medicine Act of 2020. December 23, 2020 116th Congress 2d session. December 10, 2020. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020 The strengthening of diagnostic error research and processes can strategically ensure lasting diagnostic improvement. The ‘‘Improving Diagn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855435/psn-pdf
    November 15, 2023 - Technology, Education and Safety November 15, 2023 Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705. https://psnet.ahrq.gov/issue/technology-education-and-safety-2 Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of reviews illustrates relationsh…
  12. www.ahrq.gov/antibiotic-use/long-term-care/improve/tools.html
    June 01, 2021 - General Implementation Tools These tools are designed to help support implementation of your program. The Gap Analysis helps identify activities that are fundamental to an antibiotic stewardship program as well as those that can enhance established programs. The Commitment Poster is a public display of yo…
  13. digital.ahrq.gov/sites/default/files/docs/medicaid/us_chs_states-role-in-hie.pdf
    September 25, 2006 - through our Enterprise Risk Services practice), all of which can support organizations focused on enhancing
  14. www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
    January 01, 2024 - and organizational settings to use the Reporting systems and the Feedback Review Systems, thereby enhancing
  15. psnet.ahrq.gov/primer/leadership-role-improving-safety
    September 15, 2024 - Leadership Role in Improving Safety Citation Text: Leadership Role in Improving 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 Endno…
  16. digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr
    January 01, 2023 - Using Social Knowledge Networking (SKN) Technology To Enable Meaningful Use of EHR Technology Project Final Report ( PDF , 2.48 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not ne…
  17. digital.ahrq.gov/ahrq-funded-projects/implementing-uspstf-recommendations-breast-cancer-screening-and-prevention
    August 31, 2025 - Implementing USPSTF Recommendations for Breast Cancer Screening and Prevention by Integrating Clinical Decision Support Tools with the Electronic Health Record Project Description Research Story Integrating patient-generated breast cancer risk information with patients’ e…
  18. cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Presentation.pdf
    January 01, 2021 - October 2021 CDS Connect Work Group Call October 2021 CDS Connect Work Group Call Agenda Schedule Topic 3:00 - 3:02 Roll Call, Michelle Lenox (MITRE) 3:02 - 3:05 Review of the Agenda, Maria Michaels (CDC) 3:05 - 3:50 Share and Discuss CDS Connect Priorities through September 2022, Lacy Fabian (MITRE) 3:50 - …
  19. digital.ahrq.gov/ahrq-funded-projects/i-matter-investigating-mhealth-texting-tool-embedding-patient-reported-data
    June 30, 2023 - i-Matter: Investigating an mHealth Texting Tool for Embedding Patient-Reported Data into Diabetes Management Project Final Report ( PDF , 916.17 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33603/psn-pdf
    September 15, 2024 - Surgical Site Infections September 15, 2024 Surgical Site Infections. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/surgical-site-infections 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 …