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  1. Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs025232-holden-final-report-2019.pdf
    January 01, 2019 - Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care - Final Report FINAL PROGRESS REPORT Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care Ric…

  2. heart-failure-readmission-protocol-130611 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_research-protocol.pdf
    June 10, 2013 - heart-failure-readmission-protocol-130611 Source: www.effectivehealthcare.ahrq.gov Published online: June 10, 2013 Evidence-based Practice Center Systematic Review Protocol Project Title: Transitional Care Interventions To Prevent Heart Failure Readmissions I. Background and Objectives for the Sys…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38760/psn-pdf
    July 08, 2009 - Nurses' perceptions of safety culture in long-term care settings. July 8, 2009 Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. https://psnet.ahrq.gov/issue/nurses-perceptions-safety-culture…

  4. The Final Check: Say it Out Loud. | PSNet

    psnet.ahrq.gov/issue/final-check-say-it-out-loud
    July 31, 2023 - Multi-use Website The Final Check: Say it Out Loud. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 1, 2012 This Web site provides resources to help reduce incidence of …

  5. Notification of Breach Routine Use Language | Agency for Healthcare Research and Quality

    www.ahrq.gov/policy/electronic/privacy/pii.html
    October 01, 2014 - Notification of Breach Routine Use Language Notice of HHS response plan for the new requirements regarding safeguarding against and responding to the breach of personally identifiable information. October 9, 2007 TO: HHS Privacy Act Contacts FROM: Robert Eckert Director FOI/Privacy Acts Division Off…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42270/psn-pdf
    December 31, 2014 - Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. December 31, 2014 Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. J Am Med Info Asso. 2013;20(e1):…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44710/psn-pdf
    May 09, 2017 - The vulnerabilities of computerized physician order entry systems: a qualitative study. May 9, 2017 Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. doi:10.1093/jamia/ocv135. https://psn…

  8. Key Subject Area Index | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

  9. CEO/Senior Leader Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
    July 01, 2023 - CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive (C…

  10. Overview | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Overview Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Resour…

  11. Ventilator-Associated Events and Outcome Measures Module | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/vae.html
    December 01, 2017 - Ventilator-Associated Events and Outcome Measures Module This module has tools and slide sets to help units accomplish three goals: Monitor ventilator-associated events and outcome measures. Reduce ventilator-associated events (VAE). Make evidence-based determinations about the care of ventilated patien…

  12. NICU Family Information Packet, Appendix B, Nephrocalcinosis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Nephrocalcinosis Nephrocalcinosis Characteristics ■ Renal lithiasis in which calcium deposits form in the renal parenchyma and result in reduced kidney function and hematuria. ■ Seen with renal ultrasound, or occasionally on plain radiographs of the kidneys. ■ Resul…

  13. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vae-tool.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event Data Collection Tool Date __________ Month __________ Hospital __________ Unit __________ Use this tool to track your progress i…

  14. Key Subject Area Index | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37707/psn-pdf
    March 02, 2011 - Bar-coding surgical sponges to improve safety: a randomized controlled trial.   March 2, 2011 Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5. https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46910/psn-pdf
    January 23, 2019 - Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. January 23, 2019 Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48150/psn-pdf
    August 21, 2019 - Communication between primary and secondary care: deficits and danger. August 21, 2019 Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. https://psnet.ahrq.gov/issue/communication-between-primary…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41610/psn-pdf
    January 25, 2017 - Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. January 25, 2017 Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. CMAJ. 2012;184(13):E709-718. doi:10.1503/cmaj.112153. https://…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47170/psn-pdf
    May 30, 2018 - Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. May 30, 2018 Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experience. J Patient Saf. 2018;14(2):87-9…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…
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