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  1. digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/advancing-research-evidence-into-clinical-practie-through-cds
    January 01, 2018 - Advancing Research Evidence into Clinical Practice through Clinical Decision Support (CDS) CDS helps clinicians, patients, and others on the care team by delivering the right information at the right time so they can make the best care decisions. When developed and implemented well, CDS us…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45128/psn-pdf
    June 15, 2016 - Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. June 15, 2016 Rafiei P, Walser EM, Duncan JR, et al. Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. J Vasc Interv Radiol. 2016;27(5):6…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73657/psn-pdf
    September 01, 2021 - Communication failures contributing to patient injury in anaesthesia malpractice claims. September 1, 2021 Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016/j.bja.2021.05.030. https://ps…
  4. digital.ahrq.gov/sites/default/files/docs/citation/r21hs021005-sorondo-final-report-2015.pdf
    January 01, 2015 - Evaluating the Effectiveness of a Health Information Technology Self-Management Program for Chronic Disease - Final Report TITLE PAGE Title of Project: Evaluating the Effectiveness of an HIT Self-­‐Management Program for Chronic Disease Patients Principal Investigator and Team Members: PI: Barbara Sorondo,…
  5. effectivehealthcare.ahrq.gov/sites/default/files/study-objectives-and-questions-chapter-1.pptx
    January 01, 2013 - Study Objectives and Questions for Observational Comparative Effectiveness Research Study Objectives and Questions for Observational Comparative Effectiveness Research Prepared for: Agency for Healthcare Research and Quality (AHRQ) www.ahrq.gov Study Objectives and Questions for Observational Comparative Effective…
  6. psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
    August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN August 1, 2005  Also Read an Essay Citation Text: In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74713/psn-pdf
    January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking January 26, 2022 Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking Disclosure of Relevant Financial Relationships: As a provider ac…
  8. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
  9. psnet.ahrq.gov/web-mm/moving-pains
    August 17, 2017 - SPOTLIGHT CASE Moving Pains Citation Text: Schell H, Wachter R. Moving Pains. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
    September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment Case Study Problem Addressed In many health care situations, there is not necessarily a “correct” decision. Often, multiple options are available, such as testing or treatment, where risks and expected outcomes must be balanced with patie…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records October 31, 2023 MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record Th…
  12. www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
    January 01, 2024 - Final Progress Report: Improving Quality With Outpatient Decision Support Title: Improving Quality With Outpatient Decision Support Principal Investigator: David W. Bates, MD Organization: Brigham and Women's Hospital, Boston, Massachusetts Federal Project Officer: Stanley Edinger Grant Number: 5 U18 HS011046 Grant S…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care May 26, 2021 https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care Summary The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge needs,…
  14. www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
    February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Two: Design of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Par…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49758/psn-pdf
    April 01, 2016 - Dropping to New Lows April 1, 2016 Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/dropping-new-lows Case Objectives State how to manage diabetes medications when patients are admitted to the hospital Describe a guideline-recommended insulin regimen for a hospitaliz…
  16. www.ahrq.gov/hai/clabsi-tools/guide.html
    January 01, 2020 - Guide: Purpose and Use of CLABSI Tools Purpose of the Tools These tools are designed to support your efforts to implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI) in your unit. When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Obstetric Hemorrhage Labor and Delivery Unit Safety—Obstetric Hemorrhage Purpose of the tool: This tool describes the key perinatal safety elements related t…
  18. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
    November 01, 2019 - Improving Communication and Teamwork Around Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Improving Communication and Teamwork Around Antibiotic Decision Making Acute Care Slide Title and Commentary Slide Num…
  19. psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…
  20. www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
    February 01, 2024 - Implementation Planning If your organization decides that implementing part or all of the TeamSTEPPS curriculum would be of value, carefully think through how to implement and sustain what you intend to teach. Successful and sustainable implementation begins with effective implementation planning. Basis of Im…