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7001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33932/psn-pdf
      May 27, 2011 - Preventable anesthesia mishaps: a study of human factors. May 27, 2011 Cooper JB, Newbower RS, Long CD, et al. Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors This study reports on the ret…

7002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48159/psn-pdf
      July 31, 2019 - Fatigue in radiology: a fertile area for future research. July 31, 2019 Taylor-Phillips S, Stinton C. Fatigue in radiology: a fertile area for future research. Br J Radiol. 2019;92(1099):20190043. doi:10.1259/bjr.20190043. https://psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research Physician fatigu…

7003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48075/psn-pdf
      June 19, 2019 - A mismatch made in America. June 19, 2019 Butcher L. Managed Care. June 2019;28:37-39. https://psnet.ahrq.gov/issue/mismatch-made-america Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient errors. This magazine article reports on the complex nature of addressing …

7004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850349/psn-pdf
      June 14, 2023 - Cognitive biases in internal medicine: a scoping review. June 14, 2023 Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review. Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120. https://psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review…

7005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47165/psn-pdf
      June 13, 2018 - Changing how we think about healthcare improvement. June 13, 2018 Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement In learning organizations, leadership behavior creates a s…

7006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60589/psn-pdf
      June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020 Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information. June 23, 2020. https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…

7007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45673/psn-pdf
      December 07, 2016 - Report on the Safe Use of Pick Lists in Ambulatory Care Settings. December 7, 2016 Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016. https://psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings Standard term selection tools—like pick lists or drop-d…

7008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45506/psn-pdf
      November 30, 2016 - Is an indication-based prescribing system in our future? November 30, 2016 ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. https://psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future Health information technology has enhanced prescribers' ability to document the purpose o…

7009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46025/psn-pdf
      July 11, 2017 - Measuring to improve medication reconciliation in a large subspecialty outpatient practice. July 11, 2017 Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-223. doi:10.1016/j.jcjq.2017.02.005…

7010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44255/psn-pdf
      November 09, 2015 - Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. November 9, 2015 Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;41(4):499-504. doi:10.1097/DSS.00…

7011. Using Data to Reduce Disparities and Improve Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/reduce-disparities.html
      February 01, 2025 - Using Data to Reduce Disparities and Improve Quality Resource: Using Data to Reduce Disparities and Improve Quality: A Guide for Health Care Organizations (PDF, 1 MB; 14 pages) This brief recommends strategies that primary care practices and health care organizations can use to effectively organize and inter…

7012. How to Implement a Team-Based Model in Primary Care: Learning Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/practice-team.html
      November 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide Resource: The Practice Team This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…

7013. Assess Your Health Care Quality Reporting Project | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/assess/index.html
      September 01, 2019 - Assess Your Health Care Quality Reporting Project Reporting comparative quality information to consumers is typically not a one-time event but an ongoing activity. For this reason, evaluation is a key part of your work, an aspect that has to be thought about and, in some cases, acted upon from the outset. An …

7014. Let’s Talk About It: Preventing HIV with PrEP | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/lets-talk-about-it-discussion-guides/lets-talk-about-it-preventing-hiv-prep
      June 01, 2025 - Let’s Talk About It: Preventing HIV with PrEP Share to Facebook Share to X Share to WhatsApp Share to Email Print Download English PDF Download Spanish PDF   Let's Talk About IT: Preventing HIV with PrEP  (PDF File, 351 KB;  PDF Help )…

7015. News | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/index.html
      News AHRQ Press Releases The latest news from AHRQ AHRQ News Now Weekly newsletter on Agency research and program activities …

7016. Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/enhanced-recovery/overview.html
      June 01, 2023 - Overview Tools and Resources To Help Hospitals Choose an ISCR Program This section gives a high-level overview of the Improving Surgical Care and Recovery (ISCR) program to support hospitals in implementing evidence-based enhanced recovery pathways. The Overview lists the tools and materials, organized in the…

7017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45952/psn-pdf
      May 31, 2017 - Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. May 31, 2017 Shiralkar U. Boca Raton, FL: CRC Press; 2017. ISBN: 9781498724036. https://psnet.ahrq.gov/issue/surgeon-heal-thyself-optimising-surgical-performance-managing-stress Stress, information overload, and high-risk decisions are prev…

7018. 209. Specific Populations and Other Topics - Pregnant Smokers (Continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide209.html
      October 01, 2014 - 209. Specific Populations and Other Topics - Pregnant Smokers (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Clinical practice Rationale Motivate quit attempts by providing educational messages about the impact of smoking on both maternal and…

7019. 59. The "5 A's" Model for Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide59.html
      October 01, 2014 - 59. The "5 A's" Model for Treating Tobacco Use and Dependence Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Ask about tobacco use. Identify and document tobacco use status for every patient at every visit. Advise to quit. In a clear, strong and personalized manne…

7020. 76. For the Patient Who Has Recently Quit (Continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide76.html
      October 01, 2014 - 76. For the Patient Who Has Recently Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Addressing problems encountered by former smokers A patient who previously smoked might identify a problem that negatively affects health or quality of life. Specifi…