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  1. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - The real world of medicine doesn't fall neatly into lists like that.

  2. Taxonomic Guidance for Remedial Actions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
    December 23, 2004 - Taxonomic Guidance for Remedial Actions 75 Taxonomic Guidance for Remedial Actions Bruce Thomadsen, Shi-Woei Lin Abstract Objectives: This project developed a taxonomy to provide guidance in selecting remedial actions to address problems uncovered during root cause analyses of events in a medical setting. M…

  3. Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
    March 31, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Amy J.H. Kind, MD; Maureen A. Smith, MD, MPH, PhD Abstract Objectives: The Joint Commission mandates that six c…

  4. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet

    psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
    July 23, 2024 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications Save Save to your library Print Download PDF Sha…

  5. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
    June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 Video-Based Simulation: Facilitator Guide Mutual Support Task Assistance TeamSTEPPS Training Curriculum This page intentionally left blank. 3 Table of Contents SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4 TeamSTEPPS 4 V…

  6. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
    October 01, 2022 - 2022 National Healthcare Quality and Disparities Report Executive Summary e 2022 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2022 Nat…

  7. Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
    January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED A. Title Page Project Title: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED Principal Investigator Information: PRASHANT MAHAJAN, MBA, MD, MPH …

  8. EvidenceNOW Southwest Practice Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-6mon-post-intervention-sw.pdf
    April 03, 2017 - EvidenceNOW Southwest Practice Survey Information Sheet Date: 08-21-2015 Valid for Use Through: COMIRB APPROVED 09-Mar-2016 Study Title: EvidenceNOW Southwest Principal Investigator: W. Perry Dickinson, MD COMIRB No: 15-0403 Version Date: 08-21-2015 Version No: 2 You are being asked to be in this research st…

  9. RESEARCH FINDINGS #40: Uninsured All Year, 2013-2016: Estimates for Non-Elderly Adults by Selected Population Sub-groups and State Medicaid Expansion Status

    meps.ahrq.gov/data_files/publications/rf40/rf40.shtml
    January 01, 2019 - RESEARCH FINDINGS #40: Uninsured All Year, 2013-2016: Estimates for Non-Elderly Adults by Selected Population Sub-groups and State Medicaid Expansion Status   Skip to main content An official website of the Department of H…

  10. CDSiC Innovation Center: Quarterly Report (pdf file)

    cdsic.ahrq.gov/sites/default/files/2025-03/Innovation%20Center%20Q1%202025%20Progress%20Report_03.25.25.pdf
    January 01, 2025 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT M A R C H 2 0 2 5 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the Univer…

  11. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
    January 01, 2024 - Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety FINAL PROGRESS REPORT Systems Approach for Improving Region-Wide Patient Safety Carl A. Sirio, MD (Principal Investigator) Rober Weber, RPh Carlene Muto, MD Donna Keyser, PhD Jan Pringle, PhD Rangaraj Ramanujam, PhD John Jernig…

  12. In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE | PSNet

    psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
    August 31, 2020 - In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE August 31, 2020  Also Read the Essay Citation Text: In Conversation With.. Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE. PSNet [internet]. 2020.In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-…

  13. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet

    psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
    March 25, 2020 - SPOTLIGHT CASE Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Citation Text: Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…

  14. In Conversation With… Linda Aiken, PhD, RN | PSNet

    psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN March 1, 2018  Also Read an Essay Citation Text: In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  15. Missed Nursing Care: A Key Measure for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…

  16. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

    psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
    September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024  Also Read the Essay View more articles from the same authors. …

  17. App-D-Opioid-Chronic-Pain-Surveillance-Report-2 (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveillance-report-2.xlsx
    September 30, 2015 - Appendix Table D-1. RCTs Table D-1. Randomized controlled trials Author, Year Study Design Duration Setting Country Eligibility Criteria Interventions Sample Characteristics Screened Eligible Randomized Analyzed Results Adverse Events and Withdrawals Due to Adverse Events Sponsor Quality Hruschak, 2021 RCT Duration:…

  18. Proposed Governance and Data Management Policy for the Systematic Review Data Repository (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/data-repository-reviews_white-paper.pdf
    September 01, 2012 - Proposed Governance and Data Management Policy for the Systematic Review Data Repository Research White Paper Proposed Governance and Data Management Policy for the Systematic Review Data Repository Research White P…

  19. Procedure Manual Section 4. Evidence Review Development | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-4-evidence-review-development
    June 22, 2025 - Procedure Manual Section 4. Evidence Review Development Share to Facebook Share to X Share to WhatsApp Share to Email Print The evidence review development begins with finalization of topic scope, review approach, and research plan, as descri…

  20. CDSiC Innovation Center: Quarterly Report (pdf file)

    digital.ahrq.gov/sites/default/files/Innovation%20Center%20Q1%202025%20Progress%20Report_03.25.25.pdf
    June 09, 2025 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT M A R C H 2 0 2 5 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the Univer…
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