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  1. 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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33664/psn-pdf
    March 01, 2008 - In Conversation with...Bradley T. Rosen, MD, MBA March 1, 2008 In Conversation with..Bradley T. Rosen, MD, MBA. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba Editor's note: Dr. Rosen is Medical Director of the Inpatient Specialty Program (ISP) Hospitalist service…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60172/psn-pdf
    March 01, 2021 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly- reduc…

  4. 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 …

  5. 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…

  6. Antibiotic Stewardship Program Development: Part 2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
    November 01, 2019 - Antibiotic Stewardship Program Development: Part 2 AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Antibiotic Stewardship Program Development: Part 2 Acute Care Slide Title and Commentary Slide Number and Slide Title Slide Antibiotic …

  7. 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…

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

    cdsic.ahrq.gov/sites/default/files/2023-05/StakeholderCtr2023Q1Report3_final.pdf
    January 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…

  9. 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…

  10. 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 …

  11. 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…

  12. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - Implementation Guide for the CANDOR Process Communication and Optimal Resolution Toolkit Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…

  13. 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…

  14. 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…

  15. 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…

  16. Innovations | PSNet

    psnet.ahrq.gov/innovations
    February 26, 2025 - Innovations The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …

  17. IDENTIFYING AND ADDRESSING SOCIAL NEEDS IN PRIMARY CARE SETTINGS (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/social-needs-tool.pdf
    May 01, 2021 - IDENTIFYING AND ADDRESSING SOCIAL NEEDS IN PRIMARY CARE SETTINGS NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH 1 IDENTIFYING AND ADDRESSING SOCIAL NEEDS IN PRIMARY CARE SETTINGS Should our primary care practice screen for social needs? Social determinants of health (SDOH) are widely r…

  18. 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…

  19. 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…

  20. Final Progress Report: Conference: Physician-Level Interventions: What Works to Improve Quality of Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-04/wolfson-report.pdf
    January 01, 2024 - Final Progress Report: Conference: Physician-Level Interventions: What Works to Improve Quality of Care Conference: Physician-Level Interventions: What Works to Improve Quality of Care Principal Investigator: Daniel Wolfson Team Members: Christine Cassel, Ann Greiner, Eric Holmboe Organization: American Board of…
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