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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Review of SSI Program Tools Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Review of SSI Program Tools SAY: This presentation provides an overview of all the program…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects as part of an o…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38632/psn-pdf
    May 13, 2009 - How safe are patients in primary care? May 13, 2009 Carlowe J. Nursing Times. April 28, 2009. https://psnet.ahrq.gov/issue/how-safe-are-patients-primary-care This article focuses on the National Health Service's interest in patient safety in general practice settings and efforts to expand research in this area. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38150/psn-pdf
    October 15, 2008 - Enhancing Surgical Systems. October 15, 2008 Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.   https://psnet.ahrq.gov/issue/enhancing-surgical-systems This special issue focuses on improving safety in surgery containing articles on performance, crew resource management, skills trainin…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40076/psn-pdf
    October 20, 2014 - Learning to Use Patient Stories. October 20, 2014 Cardiff, UK: NHS Wales; April 2010. https://psnet.ahrq.gov/issue/learning-use-patient-stories This report provides insights from participants in the 1000 Lives Campaign on how patient stories can focus attention on safety improvements and drive commitment to change…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35593/psn-pdf
    January 02, 2011 - Anesthesia Patient Safety Foundation Newsletter. January 2, 2011 Greenberg S, Banayan J, eds. Rochester, MN; Anesthesia Patient Safety Foundation. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter This quarterly newsletter reports on incidents, preventative measures, and research programs…
  7. effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-outcomes_disposition-comments.pdf
    January 15, 2015 - We encourage AHRQ to continue focusing on the non- interchangeable aspects of different SMI treatments
  8. digital.ahrq.gov/ahrq-funded-projects/maintaining-activity-and-nutrition-through-technology-assisted-innovation-prim/annual-summary/2012
    January 01, 2012 - Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care - 2012 Project Name Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care Principal Investigator Conroy, Margaret Organization University of Pittsburg…
  9. psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
    June 23, 2021 - Study Experience of learning from everyday work in daily safety huddles: a multi-method study. Citation Text: Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-…
  10. digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality/annual-summary/2011
    January 01, 2011 - Utilizing Health Information Technology to Improve Health Care Quality - 2011 Project Name Utilizing Health Information Technology to Improve Health Care Quality Principal Investigator Storch, Eric Organization University of South Florida Funding Mechanism PAR: HS08…
  11. psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
    April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit.  Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
  12. psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
    January 02, 2017 - Study Decisions about critical events in device-related scenarios as a function of expertise. Citation Text: Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. Copy Citat…
  13. psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise
    August 14, 2019 - Study How physicians think: a case-based diagnostic simulation exercise. Citation Text: Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010. Copy Citation …
  14. psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
    August 14, 2019 - Review Classic Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. Citation Text: Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impmenu.html
    December 01, 2017 - Menu of Implementation Strategies AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Menu of Implementation Strategies The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer healing repor…
  16. digital.ahrq.gov/sites/default/files/docs/publication/AppendixD_Comm_Tech_For_AA_Women.pdf
    June 16, 2021 - Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix D—Change in Stage of Change by Risk, Pilot-Testing (n=6) Appendix D: Change in Stage of Change by Risk, Pilot-Testing (n=6) RISK INITIAL STAGE Initial Value ENDING STAGE Ending Value Direction of Chan…
  17. psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
    March 29, 2023 - Study Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Citation Text: Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …
  18. psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
    May 18, 2022 - Commentary Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Citation Text: Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp…
  19. psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
    September 22, 2021 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. Citation Text: Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and qua…
  20. psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
    August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…