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6961. Checklist for Working with the NIS
      hcup-us.ahrq.gov/db/nation/nis/nischecklist.jsp
      September 01, 2025 - Checklist for Working with the NIS An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Update…

6962. Checklist for Working with the NEDS
      hcup-us.ahrq.gov/db/nation/neds/nedschecklist.jsp
      November 01, 2024 - Checklist for Working with the NEDS An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updat…

6963. Using Geographic Information to Target Health Disparities: State Experience
      hcup-us.ahrq.gov/reports/race/GeographicInfoIB.jsp
      June 01, 2016 - Using Geographic Information to Target Health Disparities: State Experience An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us …

6964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846448/psn-pdf
      March 22, 2023 - Understanding patient and clinician reported nonroutine events in ambulatory surgery. March 22, 2023 Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.0000000000001089. https://psnet.ahrq.g…

6965. Exhibit 4.13. Identify and Choose Priority Problem | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-13.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.13. Identify and Choose Priority Problem Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. …

6966. Network of Patient Safety Databases (NPSD) Dashboards | PSO
      pso.ahrq.gov/common-formats/npsd-dashboards
      November 01, 2024 - SHARE: More topics in this section Data Common Formats Network of Patient Safety Databases (NPSD) Dashboards Network of Patient Safety Databases (NPSD) Chartbooks Network of Patient Safety Databases (NPSD) Data Spotlights About …

6967. Transcranial Doppler Screening for Children with Sickle Cell Anemia: State Medicaid Program - Key Driver Diagram (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/state-key-drive-diagram.pdf
      June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: State Medicaid Program - Key Driver Diagram Transcranial Doppler Screening for Children with Sickle Cell Anemia State Medicaid Program - Key Driver Diagram Global Aim To reduce the incidence of stroke in children wi…

6968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46187/psn-pdf
      December 06, 2017 - A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. December 6, 2017 Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for p…

6969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845302/psn-pdf
      March 01, 2023 - Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. March 1, 2023 Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional communication skills – results of an int…

6970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865919/psn-pdf
      May 22, 2024 - Potentially avoidable hospitalizations among historically marginalized nursing home residents. May 22, 2024 Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312. doi:10.1001/jamanetworkopen.2024.9…

6971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61101/psn-pdf
      November 04, 2020 - Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. November 4, 2020 Farnborough, UK; Healthcare Safety Investigation Branch. October 2020 https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following- thrombol…

6972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50429/psn-pdf
      September 04, 2019 - Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. September 4, 2019 Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Single Academic Medical Center. …

6973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/856637/psn-pdf
      November 29, 2023 - Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow- Up Care at the Phoenix VA Health Care System in Arizona. November 29, 2023 Washington DC; VA Office of the Inspector General; October 31, 2023; Report no. 22-03599-07. https://psnet.ahrq.gov/issue/deficiencies-…

6974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44276/psn-pdf
      July 08, 2015 - 2014 Guide to State Adverse Event Reporting Systems. July 8, 2015 Hanlon C, Sheedy K, Kniffin T, Rosenthal J. Portland, ME: National Academy for State Health Policy; 2015. https://psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems State reporting systems were advocated early in the patient safety…

6975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45898/psn-pdf
      August 16, 2017 - Estimating hospital-related deaths due to medical error: a perspective from patient advocates. August 16, 2017 Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364. http…

6976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73186/psn-pdf
      April 28, 2021 - Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. April 28, 2021 Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Am J Cardiol. 2020;144:52-59. doi:10.1016/j.amjcard.2020.12.062. https://psnet.ahrq.go…

6977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72643/psn-pdf
      January 13, 2021 - Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. January 13, 2021 London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.   https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…

6978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61077/psn-pdf
      October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.  https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…

6979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45217/psn-pdf
      June 15, 2016 - Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. June 15, 2016 Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project, 2000-2008. J Patient Saf. 2016;12…

6980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45781/psn-pdf
      July 02, 2017 - Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. July 2, 2017 Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. J Eval Clin Pract. 2017;23(3):582-5…