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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43344/psn-pdf
    July 16, 2014 - Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. July 16, 2014 Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Value Health. 2014;17(4):340-349. doi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40800/psn-pdf
    December 09, 2014 - 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. December 9, 2014 Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf. 2012;21(9):729-36. doi:10.1136…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39566/psn-pdf
    January 03, 2017 - Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit. January 3, 2017 Timmel J, Kent P, Holzmueller CG, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm J Qual Saf. 2010;36(6):252-260. …
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
    April 01, 2022 - Central Venous Catheter Insertion Central Venous Catheter Insertion Avoiding Improper Placement Techniques AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 AHRQ Safety Program for Intensive Care Units: CLABSI/CAUTI 1 Disrupting the Lifecycle of a Cathet…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
    December 01, 2017 - Barrier Identification and Mitigation Tool AHRQ Safety Program for Surgery AHRQ Safety Program for Surgery Barrier Identification and Mitigation Tool Introduction Problem Statement Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guidel…
  6. www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
    December 01, 2017 - Barrier Identification and Mitigation Tool AHRQ Safety Program for Surgery Introduction Problem Statement Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guideline adherence may significantly improve patient safety…
  7. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
    November 01, 2024 - Diagnostic Safety Research 1 Diagnostic Safety Research at the Agency for Healthcare Research and Quality Diagnostic Error Diagnostic error is a significant and underrecognized threat to patient safety. Diagnostic errors are common, consequential, and costly and contribute to avoidable suffering and prevent…
  8. effectivehealthcare.ahrq.gov/sites/default/files/pdf/epc-making-sure-evidence-understood.pdf
    July 01, 2020 - Making Sure That Evidence Is Understood and Used Making Sure That Evidence Is Understood and Used: Engaging With the Agency for Healthcare Research and Quality in Evidence Reviews Why Engage With AHRQ? The Agency for Healthcare Research and Quality (AHRQ) wants to engage with organizations to promote the use…
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
    September 01, 2019 - 2018 National Healthcare Quality and DIsparities Report c2015 National Healthcare Quality and Disparities Report and National Quality Stategy 5th Anniversary Update NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT 2018 This document is in the public domain and may be used and reprinted without permission. Ci…
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
    January 01, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Rose Tyler AHRQ’s SOPS Program www.ahrq.gov/sops Rose Tyler User Network for AHRQ’s Surveys on Patient Safety Culture, Westat http://www.ahrq.gov/sops SOPS Surveys and Databases • Surveys of providers and staff about the extent to which their organizatio…
  11. www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide-references.html
    August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement References Previous Page   Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Using This Guide 1. Background and Introduction 2. Deve…
  12. www.uspreventiveservicestaskforce.org/home/getfilebytoken/d8DVjQhw6JgjWaBtED97s6
    Evidence Gaps Research Taxonomy Table: Research Gaps for Interventions for High Body Mass Index in Children and Adolescents 1 Evidence Gaps Research Taxonomy Table Topic: Research Gaps for Interventions for High Body Mass Index in Children and Adolescents To fulfill its mission to improve health by making …
  13. digital.ahrq.gov/sites/default/files/docs/resource/Real_Time_and_On_Time_Lessons_Learned_9_6_06.pdf
    June 16, 2021 - lessons learned, successes, and barriers for the ‘Real-Time’ and QIO ‘ON-Time’ projects 1 LESSONS LEARNED, SUCCESSES, AND BARRIERS FOR THE ‘REAL-TIME’ AND QIO ‘ON-TIME’ PROJECTS LESSONS LEARNED 1. Partnerships are effective to initiate and support change. Partnerships within facilities (multi-disciplina…
  14. www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-prescribe-opioids.pdf
    June 02, 2025 - Supporting Clinical Staff Who Prescribe Opioids to Older Adults: Providing Targeted Educational Sessions to Meet Needs Case Study Focus on High Leverage Change: Opioi…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients SAY: Today, we will give you an overview of the Science of Safety and identifying defects. Slide 1 Learning O…
  16. www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
    February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Perf…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33606/psn-pdf
    December 15, 2024 - Opioid Safety December 15, 2024 Opioid Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/opioid-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Bac…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50844/psn-pdf
    January 29, 2020 - Improving Patient Safety and Team Communication through Daily Huddles January 29, 2020 Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles Background Communicat…
  19. digital.ahrq.gov/sites/default/files/docs/page/2006WakefieldHalbeslebenWard_051311comp.pdf
    June 16, 2021 - Evaluation of Clinical Information Systems Expectations and Experience Evaluation of Clinical Information Systems Expectations and Experience Douglas S. Wakefield, PhD1 Jonathon R. B. Halbesleben, PhD1 Marcia M. Ward, PhD2 Qian Qiu, MA2 Jane Brokel, RN, PhD3 Donald Crandall, MD4 1 University of Missouri Cente…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854625/psn-pdf
    January 01, 2024 - Remote patient monitoring improves patient falls and reduces harm. October 18, 2023 Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749. https://psnet.ahrq.gov/issue/remote-patient-monitoring-…