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  1. digital.ahrq.gov/sites/default/files/docs/survey/baseline-clinician-survey-keystone-health-information-exchange-keyhie.pdf
    September 26, 2011 - Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE) Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE) Geisinger Health System, Danville PA This is a questionnaire designed to be completed by clinical staff across a health care system setting. The…
  2. 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 …
  3. psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
    October 26, 2022 - Diagnosing a Missed Diagnosis Citation Text: Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850675/psn-pdf
    June 14, 2023 - Patient and Family Roles in Safety June 14, 2023 Johnson B, Lee M, Mossburg S. Patient and Family Roles in Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/patient-and-family-roles-safety Moving From Engagement to Partnership Involving patients and families in healthcare decisions about patient c…
  5. psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
    January 01, 2019 - Spotlight Missed Opportunities for Suicide Risk Assessment Source and Credits • This presentation is based on the November 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Glen Xiong, MD & Debra Kahn, MD ○ Editors in Chief, AHRQ We…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_haguide.pdf
    January 14, 2016 - Health Assessment Module User Guide Health Assessment Module User Guide Reducing Barriers to Quality Assurance in Primary Care via Maintenance of Certification Modules Prepared for: Agency for Healthcare Research and Quality 540 Gaither Road Rockville, Maryland 20780 http://www…
  7. www.ahrq.gov/prevention/resources/depression/depsum1.html
    April 01, 2013 - Screening for Depression in Adults Summary of the Evidence The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemoprevention. They summarize the more detailed Systematic Evid…
  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. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose October 31, 2023 Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/weight-and-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72811/psn-pdf
    September 01, 2022 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors Originally published on March 3, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during- initial-treatment Summar…
  11. www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study PATIENT SAFETY e Issue Brief 20 Learning from AHRQs’ Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study This page intentionally left blank. e Issue Brief 2…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49676/psn-pdf
    February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/sustainability-slides-spanish.pptx
    January 01, 2005 - Módulo 6: Sostenibilidad Módulo 6: Sostenibilidad Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo AHRQ Pub. No. 16(17)-0003-03-EF Marzo de 2017 Sostenibilidad | ‹#› 1 Objetivos Definir la sostenibilidad y comprender la importanc…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
    March 07, 2014 - The Integration of Hospitalists into U.S. Academic Medical Centers Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship 1 CAPT Arjun Srinivasan, MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality Promotion Scott Flanders, MD Professor of Med…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
    March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Public…
  16. www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
    January 01, 2024 - Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation Grant Number: U18 HS16634-01 Grant Period: 9-30-2006 to 10-1-2008 No-cost extension: 10-1-2008 to 9-30-2009 Reporting Period: Close-Out Report Title of Project: Improving Resuscitation Team Response to Inpatient Cri…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33841/psn-pdf
    September 01, 2017 - In Conversation With… Andrew Gettinger, MD September 1, 2017 In Conversation With… Andrew Gettinger, MD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md Editor's note: Dr. Gettinger is the Chief Medical Information Officer and the Executive Director of the Office of Cli…
  18. www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
    December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Learning From Defects through Sensemaking Slide 2: Learning Objectives Describe difference between first-order and second-order problem-solving. L…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations AHRQ Publication No. 17-0003-22-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care In Situ Simulation…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50949/psn-pdf
    February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens February 26, 2020 Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens The Case Case #1: A 56-year-old man was admitted to…