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  1. www.uspreventiveservicestaskforce.org/home/getfilebytoken/jhFZhsK8x-mHaN9wU9zhaF
    Screening for Chronic Obstructive Pulmonary Disease: Clinical Summary Figure. Screening for Chronic Obstructive Pulmonary Disease: Clinical Summary Population Asymptomatic adults who do not present with respiratory symptoms Recommendation Do not screen for chronic obstructive pulmonary disease (COPD). …
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/resources.html
    December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Additional Resources On-Time Prevention Program for Long Term Care: Clinical Decision Support . Case Studies : Illustrates use and benefits of the program. Publications: Olsho LEW, Spector WD, Williams CS, et al. Evaluation o…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73370/psn-pdf
    June 09, 2021 - Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. June 9, 2021 Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self?reported quality of patient care and adverse events during COVID?19: a cros…
  4. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/tabular-task-analysis
    January 01, 2023 - Tabular Task Analysis Acronym TTA Description A tabular task analysis (TTA) is conducted to evaluate a task or scenario with regard to the necessary task steps and the interface used. The analysis evaluates specific elements of the bottom-level task steps within a hierarchical task analysis …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40325/psn-pdf
    December 18, 2014 - Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. December 18, 2014 Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 2011;127(3):436-444. doi:10.1542/p…
  6. digital.ahrq.gov/organization/university-texas-health-science-center-houston
    January 01, 2023 - University of Texas Health Science Center - Houston Opportunistic Decision Making Information Needs and Workflow in Emergency Care - 2012 Principal Investigator Zhang, Jiajie Project Name Opportunistic Decision Making Information Needs and Workflow in Emergency C…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41876/psn-pdf
    December 04, 2016 - Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. December 4, 2016 Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837424/psn-pdf
    June 15, 2022 - Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. June 15, 2022 Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. J Allergy Clin Im…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73206/psn-pdf
    May 05, 2021 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). May 5, 2021 Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. 2021;174(7):927-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842760/psn-pdf
    January 18, 2023 - Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. January 18, 2023 Sterling MR, Lau J, Rajan M, et al. Self?reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. J Am Geriatr Soc. 2023…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60933/psn-pdf
    September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020 Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - 1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45575/psn-pdf
    November 09, 2016 - Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. November 9, 2016 Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of faculty-resident improvement p…
  13. www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.html
    October 01, 2014 - Gurses, Ayse Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: Johns Hopkins University, Baltimore Grant Title: Improving the Safety of Care Transitions for Cardiac Surgery Pati…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44527/psn-pdf
    March 18, 2016 - Measuring and improving patient safety through health information technology: the Health IT Safety Framework. March 18, 2016 Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(4):226-32. doi:10.1136/bmjqs-2015-00448…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73064/psn-pdf
    March 24, 2021 - Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021 Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors: Findings from two national surveillance systems, United S…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73445/psn-pdf
    June 30, 2021 - Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021 Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. doi:10.1136/bmjqs-2020- 012620. https:…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860715/psn-pdf
    January 17, 2024 - Development of prescribing indicators related to opioid- related harm in patients with chronic pain in primary care- a modified e-Delphi study. January 17, 2024 Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care—…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37531/psn-pdf
    February 22, 2011 - Patient safety and telephone medicine: some lessons from closed claim case review. February 22, 2011 Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-007-0491-y. https://psnet.ahrq.g…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38260/psn-pdf
    April 22, 2011 - Information exchange among physicians caring for the same patient in the community. April 22, 2011 van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430. https://psnet.ahrq.gov/issue/informa…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34758/psn-pdf
    January 29, 2019 - Normal Accidents: Living with High-Risk Technologies. January 29, 2019 Perrow C. Princeton NJ: Princeton University Press; 1999. https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies Though less often cited than high-reliability theory in the health care literature, normal accidents theor…