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  1. effectivehealthcare.ahrq.gov/sites/default/files/related_files/ambulatory-safety_disposition-comments.pdf
    October 19, 2016 - Disposition of Comments for Technical Brief 27 Patient Safety Source: https://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/ ?pageaction=displayproduct&productid=2322 Published Online: October 19, 2016 Technical Brief Disposition of Comments Report Research Review Title: Pati…
  2. effectivehealthcare.ahrq.gov/sites/default/files/norman.pdf
    May 29, 2025 - We feel like we're doing something great and helping our community out.
  3. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
    November 01, 2014 - One individual believed they were essential to helping view the process in a new light and to generating
  4. Updated Handouts (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/136331/Tricyclic%20Antidepressant%20Patient%20Handout.pdf
    July 18, 2023 - Updated Handouts Lowering the dose of your Tricyclic Antidepressant Adapted from “Antidepressant withdrawal: is there such a thing?”, Mayo Clinic. What is a Tricyclic Antidepressant? Medicine that helps with depression, sleep, and/or pain. The medication you are currently taking: ______________________________ Yo…
  5. cds.ahrq.gov/sites/default/files/cds/artifact/127731/FallPreventionFoundationalExercises.pdf
    July 18, 2023 - Exercise Handouts w/ Drawings Sit in a sturdy chair that will not move. Slowly stand up straight for a count of 3. Slowly sit down. Use your hands to push up, if needed. As you get stronger, try to stand without using your hands. 1. 2. 3. 4. 5. Stand up tall facing a sturdy table or kitchen sink. Hold onto the tabl…
  6. www.ahrq.gov/data/resources/index.html?page=5
    Data Resources The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and other resources to help a variety of health care organizations, providers and others make care safer in all health care settings. Results 51-53 of 53 Resources displayed Pagination « first …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34094/psn-pdf
    September 27, 2017 - Surveillance of medical device-related hazards and adverse events in hospitalized patients. September 27, 2017 Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;291(3):325-34. https://psnet.ahrq.gov/issue/surveillance-medical…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73091/psn-pdf
    March 31, 2021 - Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. March 31, 2021 Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141. doi:10.1097…
  9. digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-wv
    January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / West Virginia Project Description Project Details - Completed Contract Number 290-05-0015-RTI-010 Funding Mechanism(s) Health Information Security and Privac…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45235/psn-pdf
    September 19, 2016 - Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses. September 19, 2016 Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42(8):37…
  11. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide172.html
    October 01, 2014 - 172. Systems Strategy 2. Provide education, resources, and feedback to promote provider intervention Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation.   Action Strategies for implementation Health care systems should ensure that clinicians have sufficient t…
  12. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide192.html
    October 01, 2014 - 192. Specific Populations and Other Topics (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Evidence of effectiveness of tobacco dependence interventions in specific populations Population of Smokers Review of Evidence Hospitalized patients …
  13. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide197.html
    October 01, 2014 - 197. Specific Populations and Other Topics (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Evidence of effectiveness of tobacco dependence interventions in specific populations Population of Smokers Review of Evidence Psychiatric disorders i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36280/psn-pdf
    May 27, 2011 - Types of unintended consequences related to computerized provider order entry. May 27, 2011 Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56. https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849121/psn-pdf
    May 17, 2023 - Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. May 17, 2023 Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi:10.1136/bmjoq-2022-002020. https://psne…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72684/psn-pdf
    January 27, 2021 - National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. January 27, 2021 Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event. J Obstet Gynecol Neonatal Nurs. 2021;50(1):88-101. doi:1…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72757/psn-pdf
    February 17, 2021 - Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. February 17, 2021 Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and k…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867591/psn-pdf
    January 22, 2025 - Biased language in simulated handoffs and clinician recall and attitudes. January 22, 2025 Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. https://psnet.ahrq.gov/issue/bias…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867684/psn-pdf
    March 05, 2025 - Development of a preliminary patient safety classification system for generative AI. March 5, 2025 Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017918. https://psnet.ahrq.gov/issue/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836861/psn-pdf
    April 06, 2022 - How health systems decide to use artificial intelligence for clinical decision support. April 6, 2022 Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:10.1056/cat.21.0416. https://psnet…