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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50584/psn-pdf
    October 23, 2019 - Unprotected: broken promises in Georgia’s senior care industry. October 23, 2019 Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019. https://psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry Assisted living facilities have challenges that reduce the quality and saf…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34038/psn-pdf
    December 22, 2008 - Whither Challenger, wither Columbia: management decision making and the knowledge analytic. December 22, 2008 Garrett TM. https://psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and- knowledge-analytic The decision making of management for the Challenger and Columbia shuttle mis…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37503/psn-pdf
    January 06, 2017 - Addressing postdischarge adverse events: a neglected area. January 6, 2017 Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97. https://psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area This review examined the literatur…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42715/psn-pdf
    November 06, 2013 - Identifying Risks and Monitoring Safety: the Role of Patients and Citizens. November 6, 2013 O'Hara J, Isden R. London, UK: Health Foundation; October 2013. https://psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens This report examines how a framework for measuring and monitor…

  5. Archived: Commentary: Prostate Cancer: Screening, 1996 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/commentary/prostate-cancer-screening-1996
    July 01, 1994 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Commentary Prostate Cancer: Screening, 1996 July 01, 1994 Recommendations made by the USPSTF are independent of the U.S. government. They should not be construe…

  6. Access to Outpatient Child and Adolescent Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-fullreport.pdf
    October 01, 2018 - Examining credentials for developmental-behavioral and neurodevelopmental pediatricians with <90 percent

  7. Methods-Guidance-Reporting-Bias Methods (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-reporting-bias_methods.pdf
    November 01, 2013 - Empirical Findings on the Value of Contacting Authors There are few papers examining the utility of … We are unaware of any reports examining the possible biases associated with contacting or not contacting … For example, if the review team were examining the comparative effectiveness of two drug eluting devices … controlled trials); other reviews may require the addition of observational studies, for example when examining … Recommendations for examining and interpreting funnel plot asymmetry in meta- analyses of randomised

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857580/psn-pdf
    August 09, 2024 - Patient Safety Research Summaries. August 9, 2024 Rockville, MD: Agency for Healthcare Research and Quality; 2023-2024.  https://psnet.ahrq.gov/issue/patient-safety-research-summaries The application of evidence in real situations helps to embed innovation across systems and sustain care improvement. This col…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34975/psn-pdf
    June 14, 2011 - Don't be fooled by the illusion of patient safety. June 14, 2011 Spath P. Don't be fooled by the illusion of patient safety. Hosp Peer Rev. 2005;30(5):69-71. https://psnet.ahrq.gov/issue/quality-cot-connection-dont-be-fooled-illusion-patient-safety The author examines the pros and cons of using root cause analysis …

  10. 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…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47594/psn-pdf
    March 17, 2023 - Prevention of perioperative medication errors. March 17, 2023 Nanji K. UpToDate. March 7, 2023. https://psnet.ahrq.gov/issue/prevention-perioperative-medication-errors Perioperative adverse drug events are common and understudied. This review examines factors that contribute to adverse drug events in the surgical …

  12. CHIPRA 241: Section 1, Table 1 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-1-table-1.pdf
    June 02, 2025 - CHIPRA 241: Section 1, Table 1 Table 1: Codes to Identify Outpatient Care Visits Description CPT HCPCS ICD-9-CM Diagnosis Office or other outpatient services 99201-99205, 99211-99215, 99241-99245 Preventive medicine 99381-99385, 99391-99395, 99401-99404, 99411-99412, 99420, 99429 G0438, G0439 Ge…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33957/psn-pdf
    February 05, 2018 - State Patient Safety Centers: A New Approach to Promote Patient Safety. February 5, 2018 Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004. https://psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety Six states have enacted legislation to su…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42427/psn-pdf
    July 17, 2013 - Residual anaesthesia drugs in intravenous lines—a silent threat? July 17, 2013 Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. https://psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38382/psn-pdf
    September 26, 2016 - Interruptions and blood transfusion checks: lessons from the simulated operating room. September 26, 2016 Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0b013e31818e841a. https://psne…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73548/psn-pdf
    July 27, 2021 - Diagnostic Errors in Primary Care. July 27, 2021 Betsy Lehman Center for Patient Safety. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care Case analysis provides important opportunities to highlight factors that culminate in diagnostic error. This website supports learning generated from the Primary-Care…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42331/psn-pdf
    June 05, 2013 - Using the ABCs of situational awareness for patient safety. June 5, 2013 Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. https://psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety This commentary exa…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39492/psn-pdf
    May 05, 2010 - Use of information technology in medication reconciliation: a scoping review. May 5, 2010 Bassi J, Lau F, Bardal S. Use of information technology in medication reconciliation: a scoping review. Ann Pharmacother. 2010;44(5):885-97. doi:10.1345/aph.1M699. https://psnet.ahrq.gov/issue/use-information-technology-medic…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41486/psn-pdf
    November 21, 2016 - Guide to Patient and Family Engagement: Environmental Scan Report. November 21, 2016 Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0042-EF. https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environm…

  20. 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…
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