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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867676/psn-pdf
    February 26, 2025 - Responding to Patient Safety Events February 26, 2025 Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that occur in health care facilities require prompt action to ensure that further harm is mit…
  2. digital.ahrq.gov/program-overview/research-reports/2023-year-review/dhr-impact-reach
    January 01, 2023 - DHR Impact and Reach DHR is celebrating 20 years of investing in digital healthcare research that impacts the quality, safety, and equity of healthcare. In addition to funding the next generation of pioneers and trailblazers, DHR and its team of experts lead collaborative projects and init…
  3. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
    July 01, 2023 - Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care, Phase 2 Following the release of AHRQ’s Toolkit for Improving Perinatal Safety , a second bundle of AHRQ tools is available to improve the safety culture of labor and delivery (L&D) units. The second…
  4. www.ahrq.gov/news/newsletters/e-newsletter/969.html
    August 01, 2025 - Study Identifies Trends in Attention Deficit Hyperactivity Disorder Medication Misuse Issue Number 969 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. August 5, 2025 Today’s Headlines: Study Identifies Trends in Attention Deficit Hyperactivity Disorder Medic…
  5. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-call-script-ny.pdf
    October 01, 2015 - HealthyHearts NYC -- Call Script HealthyHearts NYC -- Call Script 1 CALL IS ANSWERED • Hi my name is NAME; I'm calling from NYC REACH at the New York City Department of Health and Mental Hygiene. I'm a colleague of PRACTICE OWNER who you might have worked with in the past. • May I speak with MAIN CONTACT…
  6. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
    May 19, 2020 - Health IT for Multiple Chronic Conditions Health IT for Multiple Chronic Conditions Lipika Samal, MD, MPH David Dorr, MD, MS Purpose People with Multiple Chronic Conditions (MCC) are especially prone to harm from lack of coordination and communication. Health Information Technology (HIT) solutions can bring t…
  7. www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-assess-reporting-project.pdf
    December 26, 2018 - Your Project Checklist: Assess Your Health Care Quality Reporting Project 1 TalkingQuality Your Project Checklist: Assess Your Health Care Quality Reporting Project This document contains checklists for the following sections of Assess Your Health Care Quality Reporting Project: • What To Evaluate • Element…
  8. www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-assess-reporting-project.doc
    December 26, 2018 - Assess Complete Checklist Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains twenty-two links. TalkingQuality Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains eighteen links. Your P…
  9. digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous
    July 31, 2025 - Evaluation of the SCALED (SCaling AcceptabLE cDs) Approach for the Implementation of Interoperable Clinical Decision Support for Venous Thromboembolism Prevention Project Description Publications Research Story A methodology for scaling patient-centered outcomes res…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
    May 01, 2015 - Tool 13: ED Care Plan Tool 13: ED Care Plan Purpose The purpose of the emergency department (ED) care plan is to create institutional memory across numerous providers; make easily visible prior recurrent presentations and related testing; identify a patient’s existing clinical, behavioral, and social services; and …
  11. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/index.html
    March 01, 2019 - Engaging Stakeholders to Improve the Quality of Children’s Health Care Implementation Guide Number 1 This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Progr…
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 6. Environment and Equipment Safety Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Over…
  13. digital.ahrq.gov/funding-mechanism/ahrq-patient-centered-outcomes-research-pcor-mentored-clinical-investigator-award
    January 01, 2023 - AHRQ Patient-Centered Outcomes Research (PCOR) Mentored Clinical Investigator Award (K08) Using Electronic Health Records to Support Decision-Making in Pediatric Obesity Care Description This project will evaluate and compare different tools within electronic health records to…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39455/psn-pdf
    May 28, 2014 - Pediatric Patient Safety in the Emergency Department. May 28, 2014 Krug SE, ed. Oakbrook Terrace, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123. https://psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-department This book presents tools, examples, strategi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36918/psn-pdf
    September 01, 2011 - Developing a culture of safety in ambulatory care settings. September 1, 2011 Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage. 2007;30(2):105-13. https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings The author discusses the issues involved in e…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37716/psn-pdf
    October 02, 2017 - The impact of transparency on patient safety and liability. October 2, 2017 Griffen D. The impact of transparency on patient safety and liability. Bull Am Coll Surg. 2008;93(3):19-23. https://psnet.ahrq.gov/issue/impact-transparency-patient-safety-and-liability This commentary describes how transparent disclosure o…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40159/psn-pdf
    January 19, 2011 - Shifting the learning curve. January 19, 2011 Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. https://psnet.ahrq.gov/issue/shifting-learning-curve This article describes how simulation can be used to promote patient safety by helping trainees develop skills in situati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40833/psn-pdf
    October 05, 2011 - Personal best. October 5, 2011 Gawande A. New Yorker. October 3, 2011. https://psnet.ahrq.gov/issue/personal-best This magazine article explores the role of coaches in helping high-performing professionals, such as musicians and athletes, improve their performance. By submitting to observation in the operating roo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38583/psn-pdf
    May 08, 2018 - Shared MDIs: can cross-contamination be avoided? May 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3. https://psnet.ahrq.gov/issue/shared-mdis-can-cross-contamination-be-avoided This article describes the risks of cross-contamination when using shared metered dose inhalers (MDIs) and…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42448/psn-pdf
    July 24, 2013 - Measure twice, cut once. July 24, 2013 Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. https://psnet.ahrq.gov/issue/measure-twice-cut-once This piece relates how focusing on quality, education, responsibility, and standardization can help clinicians ensure safe care.…