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psnet.ahrq.gov/node/73499/psn-pdf
July 14, 2021 - Ethics & Governance of Artificial Intelligence for Health.
July 14, 2021
Health Ethics & Governance, World Health Organization. Geneva, Switzerland: World Health
Organization; 2021. ISBN: 9789240029200
https://psnet.ahrq.gov/issue/ethics-governance-artificial-intelligence-health
Advanced computing t…
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www.ahrq.gov/patients-consumers/patient-involvement/navigating-the-health-care-system.html
September 01, 2015 - Navigating the Health Care System
After having led AHRQ for a decade, Dr. Carolyn Clancy left the Agency in 2013 to begin work as Assistant Deputy Undersecretary for Health, Patient Safety, Quality, and Value at the Veterans Administration. First and foremost a physician, Dr. Clancy was at AHRQ for 23 years.
…
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psnet.ahrq.gov/node/47442/psn-pdf
October 03, 2018 - Speaking up for safety—it’s not simple.
October 3, 2018
Liberatore K. PA-PSRS Patient Saf Advis. 2018;15(3).
https://psnet.ahrq.gov/issue/speaking-safety-its-not-simple
Engaging patients and families in patient safety efforts is a key priority in health care. This poll of patients
from Pennsylvania explores action…
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How
To Improve Hospital Quality and Safety.
August 17, 2016
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
This toolkit provides resou…
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psnet.ahrq.gov/node/34915/psn-pdf
February 27, 2009 - Emergency department visits for outpatient adverse drug
events: demonstration for a national surveillance system.
February 27, 2009
Budnitz DS, Pollock DA, Mendelsohn AB, et al. Emergency department visits for outpatient adverse drug
events: demonstration for a national surveillance system. Ann Emerg Med. 2005;45(2…
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psnet.ahrq.gov/node/45321/psn-pdf
August 01, 2017 - Peer support for clinicians: a programmatic approach.
August 1, 2017
Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med.
2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297.
https://psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
Peer support programs can help …
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psnet.ahrq.gov/node/47220/psn-pdf
September 12, 2018 - Strategically Advancing Patient and Family Advisory
Councils in New York State Hospitals.
September 12, 2018
Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018.
https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-
hospitals
Hospital patien…
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psnet.ahrq.gov/node/46921/psn-pdf
May 02, 2018 - Medication errors: the school nurse as second victim.
May 2, 2018
Stillwater AR. Medication Errors: The School Nurse as Second Victim. NASN School Nurse.
2018;33(3):163-166. doi:10.1177/1942602x17747294.
https://psnet.ahrq.gov/issue/medication-errors-school-nurse-second-victim
Second victims can be found in a vari…
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psnet.ahrq.gov/node/866358/psn-pdf
July 24, 2024 - To improve health care, focus on fixing systems — not
people.
July 24, 2024
Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people.
Harvard Business Review. July 12, 2024;
https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
While a focus on the…
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www.ahrq.gov/evidencenow/tools/pdsa-form.html
November 01, 2018 - Fillable Plan Do Study Act (PDSA) Tool for Health Care Quality Improvement (QI)
Resource: Plan Do Study Act (PDSA) Form (PDF, 971 KB, 2 pages)
Practices can use this fillable Plan Do Study Act (PDSA) tool to design and test changes to improve health care quality. Using this form can be helpful to primary c…
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psnet.ahrq.gov/node/45196/psn-pdf
June 01, 2016 - Transforming Health Care: A Compendium of Reports
From the National Patient Safety Foundation's Lucian
Leape Institute.
June 1, 2016
Boston, MA: National Patient Safety Foundation; 2016.
https://psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-
foundations-lucian-leape
Sin…
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psnet.ahrq.gov/node/38062/psn-pdf
March 04, 2011 - Steering patients to safer hospitals? The effect of a tiered
hospital network on hospital admissions.
March 4, 2011
Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered
hospital network on hospital admissions. Health Serv Res. 2008;43(5 Pt 2):1849-68. doi:10.1111/j.1…
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psnet.ahrq.gov/node/44701/psn-pdf
June 07, 2016 - The problem with preventable deaths.
June 7, 2016
Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-
2015-004983.
https://psnet.ahrq.gov/issue/problem-preventable-deaths
A key goal of patient safety improvement is preventing error, but challenges remain in distinguishi…
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psnet.ahrq.gov/node/50671/psn-pdf
November 20, 2019 - Critical errors in infrequently performed trauma
procedures after training.
November 20, 2019
Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma
procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031.
https://psnet.ahrq.gov/issue/cri…
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psnet.ahrq.gov/node/73539/psn-pdf
July 28, 2021 - Developing critical thinking skills for delivering optimal
care
July 28, 2021
Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern
Med J. 2021;51(4):488-493. doi:10.1111/imj.15272.
https://psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-o…
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psnet.ahrq.gov/node/46422/psn-pdf
November 29, 2017 - Framework for direct observation of performance and
safety in healthcare.
November 29, 2017
Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety
in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407.
https://psnet.ahrq.gov/issue/framewor…
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psnet.ahrq.gov/node/46524/psn-pdf
October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program.
October 18, 2017
Rockville, MD: Agency for Healthcare Research and Quality; September 2017.
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
Pressure ulcers are a common hospital-acquired condition that can lead to patient h…
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www.ahrq.gov/nursing-home/resources/emotional-well-being.html
June 01, 2022 - Available Resources To Support the Emotional Well-Being of Nursing Home Staff
Resource: Available Resources To Support the Emotional Well-Being of Nursing Home Staff
These emotional wellness resources for nursing home staff list programs nursing home staff can access to help cope with the stress and emotions…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/aom.html
September 01, 2022 - The "Sometimes Antibiotics" Diagnoses: Acute Otitis Media in Children
After viewing or presenting this presentation, viewers will be able to—
Describe the pathophysiology and clinical presentation of acute otitis media (AOM).
Identify criteria for the diagnosis of AOM.
Use a clinical case to demonstra…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/cap.html
September 01, 2022 - The "Usually Antibiotics" Diagnoses: Community-Acquired Pneumonia
After viewing or presenting this presentation, viewers will be able to—
Describe the approach to diagnosing patients with community-acquired pneumonia, also knows as “CAP.”
Describe how to determine if patients with CAP warrant hospitaliz…