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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43048/psn-pdf
    April 02, 2014 - Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. April 2, 2014 Dalton D, Williams N. London, UK: The Royal College of Surgeons of England; March 2014.  https://psnet.ahrq.gov/issue/building-culture-candour-review-thresh…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41546/psn-pdf
    December 29, 2014 - Using a logic model to design and evaluate quality and patient safety improvement programs. December 29, 2014 Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. doi:10.1093/intqhc/mzs029. https://…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40101/psn-pdf
    January 17, 2012 - Lessons learned from implementation of a computerized application for pending tests at hospital discharge. January 17, 2012 Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. J Hosp Med. 2011;6(1):16-21. doi:10.1002/jhm.794. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46369/psn-pdf
    September 06, 2017 - Critical Issues in Food Allergy: A National Academies Consensus Report. September 6, 2017 Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194. https://psnet.ahrq.gov/issue/critical-issues-food-allergy-natio…
  5. 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…
  6. 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 …
  7. 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 )…
  8. 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…
  9. 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 …
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39972/psn-pdf
    January 22, 2017 - Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. January 22, 2017 Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…
  16. 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…
  17. 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…
  18. www.ahrq.gov/cahps/surveys-guidance/hp/about/survey-measures.html
    September 01, 2020 - CAHPS Health Plan Survey 5.0 Measures For more information: Patient Experience Measures from the CAHPS Health Plan Survey (PDF, 308 KB) Getting Needed Care Q9          Easy for respondent to get necessary care, tests, or treatment Q18        Respondent got appointment with specialists as soon as needed …
  19. www.ahrq.gov/cahps/about-cahps/user-network/index.html
    May 01, 2016 - The CAHPS User Network The CAHPS User Network is the principal source of CAHPS survey products, information about CAHPS-related products and services, technical assistance for survey users, and networking opportunities for users and researchers. The User Network is funded by the U.S. Agency for Healthcare Resea…
  20. 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…