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  1. CDSiC Stakeholder Community and Outreach Center: Quarterly Report (pdf file)

    digital.ahrq.gov/sites/default/files/StakeholderCtr2023Q1Report3_final.pdf
    September 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report STAKEHOLDER CENTER PROGRESS REPORT M A R C H 2 0 2 3 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 7…

  2. Impact of System Failures on Healthcare Workers | PSNet

    psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
    August 30, 2023 - Annual Perspective Impact of System Failures on Healthcare Workers George Zangaro, PhD, RN, FAAN, Cindy Manaoat Van, MHSA, Sarah Mossburg, RN, PhD | March 21, 2023  View more articles from the same authors. Citation Text: Zangaro G, Van CM, Mossburg S. Imp…

  3. Slow Down: Right Drug, Wrong Formulation | PSNet

    psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
    October 13, 2018 - Slow Down: Right Drug, Wrong Formulation Citation Text: Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndN…

  4. Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet

    psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
    July 23, 2024 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 31, 2023 Innovation Contact …

  5. Medication Administration Errors | PSNet

    psnet.ahrq.gov/primer/medication-administration-errors
    December 15, 2024 - Medication Administration Errors Citation Text: MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X…

  6. Cost of Disparities Fact Sheet (pdf file)

    hcup-us.ahrq.gov/reports/race/CostsofDisparitiesIB.pdf
    June 24, 2011 - Cost of Disparities Fact Sheet MAINTAIN AND EXPAND THE HEALTHCARE COST AND UTILIZATION PROJECT (HCUP) Contract No. HHSA-290-2006-00009-C June 24, 2011 Prepared by: Carrie Hanlon, MA, and Larry Hinkle Submitted to: Submitted by: Jenny Schnaier, Proje…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846563/psn-pdf
    March 21, 2023 - Impact of System Failures on Healthcare Workers March 21, 2023 Zangaro G, Van CM, Mossburg S. Impact of System Failures on Healthcare Workers . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers Introduction The March 2022 conviction of RaDonda Vaught, a former nu…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50928/psn-pdf
    February 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential…

  9. Chronic Mental Health: Improving Outcomes through Ambulatory Care Coordination - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017838-baker-final-report-2013.pdf
    January 01, 2013 - Chronic Mental Health: Improving Outcomes through Ambulatory Care Coordination - Final Report Grant Final Report Grant ID: R18HS017838 Chronic Mental Health: Improving Outcomes through Ambulatory Care Coordination Inclusive Project Dates: 10/01/08 – 09/30/13 Principal Investigator: Wende Baker, M.Ed. Tea…

  10. Development of a Job Task Analysis Tool for Assessing the Work of Physicians in the Intensive Care Unit (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/KSchultzetal2006HFES_JobTaskAnalysis.pdf
    January 01, 2005 - Development of a Job Task Analysis Tool for Assessing the Work of Physicians in the Intensive Care Unit DEVELOPMENT OF A JOB TASK ANALYSIS TOOL FOR ASSESSING THE WORK OF PHYSICIANS IN THE INTENSIVE CARE UNIT Kara Schultz*~, Jason Slagle±, Roger Brown†, Steve Douglas*, Brian Frederick*, Manisha Lakhani*, Jesse …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865778/psn-pdf
    May 29, 2024 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement May 29, 2024 Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/navigating-complications-unint…

  12. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet

    psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
    February 23, 2022 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement Citation Text: Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…

  13. The Other Side | PSNet

    psnet.ahrq.gov/web-mm/other-side
    May 01, 2007 - SPOTLIGHT CASE The Other Side Citation Text: Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  14. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…

  15. PowerPoint Presentation

    effectivehealthcare.ahrq.gov/sites/default/files/ebc-webinar-slides.pptx
    June 01, 2014 - PowerPoint Presentation Welcome! Reminder: You will need a phone to take part in this discussion. Click “Audio” at the top of this WebEx screen and then click “Teleconference.” Enter the phone number where you’d like to be called in the second box and click “Call Me.” You will be called within two minutes after …

  16. Getting the Diagnosis Both Right and Wrong | PSNet

    psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
    May 29, 2024 - Getting the Diagnosis Both Right and Wrong Citation Text: Olson AP. Getting the Diagnosis Both Right and Wrong. 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…

  17. STATISTICAL BRIEF #409: Heart Disease among Elderly Americans: Estimates for the U.S. Civilian Noninstitutionalized Population, 2010

    meps.ahrq.gov/data_files/publications/st409/stat409.shtml
    June 01, 2013 - STATISTICAL BRIEF #409: Heart Disease among Elderly Americans: Estimates for the U.S. Civilian Noninstitutionalized Population, 2010   Skip to main content An official website of the Department of Health & Human Service…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865376/psn-pdf
    March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures March 27, 2024 Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33769/psn-pdf
    June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed? June 1, 2014 Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed Perspective In 1981, a cancer patient named Paula Carroll founded…

  20. Thin Air | PSNet

    psnet.ahrq.gov/web-mm/thin-air
    March 01, 2006 - SPOTLIGHT CASE Thin Air Citation Text: Gaba DM. Thin Air. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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