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  1. Cognitive Overload in the ICU | PSNet

    psnet.ahrq.gov/web-mm/cognitive-overload-icu
    June 01, 2005 - SPOTLIGHT CASE Cognitive Overload in the ICU Citation Text: Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTe…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72589/psn-pdf
    December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of Security. December 23, 2020 Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security The Case A 60-year-old woman was se…

  3. Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
    January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research TITLE PAGE Project Title: Addressing methodological and ethical issues in pediatric medication safety research Principal Investigator: Delesha M. Carpenter Organization: University of North Carolina at Chapel …

  4. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …

  5. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/838351
    July 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Safety Improvement Curated Library Foundations Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; …

  6. Delayed Breast Cancer Diagnosis: A False Sense of Security. | PSNet

    psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
    May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security. Citation Text: Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cita…

  7. Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
    April 01, 2023 - Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions Contents 6.F.1. The Problem 6.F.2. The Intervention 6.F.3. Benefits 6.F.4. Implementation References   Download Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions (PDF, 350 KB…

  8. ___APS-Def_Public.book (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/APS-Def_Public_v24.pdf
    March 01, 2008 - In developing and enhancing the APS-DRGs®, clinicians evaluate diagnoses, procedures and other patient … Manual 8 Chapter 2: Overview of the APS-DRGs® Discussion AP Ingenix is dedicated to updating and enhancing

  9. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
    June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…

  10. S38 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s38.pdf
    October 01, 2007 - ORIGINAL ARTICLE Design of Cluster-Randomized Trials of Quality Improvement Interventions Aimed at Medical Care Providers Robert J. Glynn, PhD, ScD, M. Alan Brookhart, PhD, Margaret Stedman, MPH, Jerry Avorn, MD, and Daniel H. Solomon, MD Background: Randomized trials aimed at improving the quality of medical care …

  11. AHRQ Academy: From Bottlenecks to Breakthroughs: Innovations in Behavioral Health Integration | The Academy

    integrationacademy.ahrq.gov/news-and-events/calendar/event/23296
    June 18, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  12. Alarm management: first things first: using reliable data to eliminate unnecessary alarms. | PSNet

    psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms
    July 29, 2009 - Newspaper/Magazine Article Alarm management: first things first: using reliable data to eliminate unnecessary alarms. Citation Text: Alarm management: first things first: using reliable data to eliminate unnecessary alarms. Vanderveen T. Patient Saf Qual Healthc. November/December 2014;1…

  13. Calibrate Dx: A Resource to Improve Diagnostic Decisions. | PSNet

    psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions
    September 08, 2021 - Toolkit Calibrate Dx: A Resource to Improve Diagnostic Decisions. Citation Text: Calibrate Dx: A Resource to Improve Diagnostic Decisions. Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)-0047-2-EF. Copy Citation Sav…

  14. Service Integration | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/service-integration
    January 01, 2023 - Service Integration Project Final Report ( PDF , 81.55 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should…

  15. Health Information Technology Value Project: Chief Information Officer Interview Guide (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/health-information-technology-value-project-chief-information-officer-interview-guide.pdf
    June 16, 2021 - Health Information Technology Value Project: Chief Information Officer Interview Guide Health Information Technology Value Project: Chief Information Officer Interview Guide University of Iowa, Iowa City IA This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool …

  16. National Action Plan to Improve Health Literacy. | PSNet

    psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
    October 21, 2016 - Book/Report National Action Plan to Improve Health Literacy. Citation Text: National Action Plan to Improve Health Literacy. Washington, DC: United States Department of Health and Human Services; 2010.   Copy Citation Save Save to your library Pri…

  17. Fatal drug mix-up exposes hospital flaws. | PSNet

    psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
    March 02, 2016 - Newspaper/Magazine Article Fatal drug mix-up exposes hospital flaws. Citation Text: Fatal drug mix-up exposes hospital flaws. Davies T. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

  18. Department of Defense (DoD) Patient Safety Program. | PSNet

    psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
    December 27, 2018 - Government Resource Department of Defense (DoD) Patient Safety Program. Citation Text: Department of Defense (DoD) Patient Safety Program. US Department of Defense; DOD Copy Citation Save Save to your library Print Download PDF Share Facebook…

  19. Center for Innovations in Quality, Effectiveness and Safety. IQuESt! | PSNet

    psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
    April 06, 2022 - Multi-use Website Center for Innovations in Quality, Effectiveness and Safety. IQuESt! Citation Text: Center for Innovations in Quality, Effectiveness and Safety. IQuESt! Houston, TX:  Baylor College of Medicine. Copy Citation Save Save to your library …

  20. Bar Coding for Patient Safety in Northern Michigan | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/bar-coding-patient-safety-northern-michigan
    January 01, 2023 - Bar Coding for Patient Safety in Northern Michigan Project Description Other Resources Project Details - Completed Grant Number UC1 HS014878 Funding Mechanism(s) Transforming Healthcare Quality Through Information Technology (THQI…
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