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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
    March 01, 2017 - Resident and Family Engagement: What is my role as a leader? • Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners. • Effective resident and family partnerships are demonstrated by including the residents and family a…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf
    January 01, 2018 - Community-Acquired Pneumonia in the Primary Care Setting Community-Acquired Pneumonia in the Primary Care Setting Background on Community-Acquired Pneumonia Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately 6 million cases are reported annually, resulting i…
  3. www.ahrq.gov/diagnostic-safety/research/index.html
    November 01, 2024 - Research on Diagnostic Safety and Quality Since 2007, AHRQ has invested in research to discover findings that advance the knowledge of diagnostic safety and to develop practical tools and resources to improve diagnostic safety. AHRQ funds research to better understand how diagnostic errors happen and what can b…
  4. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthplan-key-drive-diagram.pdf
    June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram Transcranial Doppler Screening for Children with Sickle Cell Anemia Health Plan - Key Driver Diagram Key Drivers Strateg…
  5. psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
    January 01, 2015 - Review Patient safety and medical liability: current status and an agenda for the future. Citation Text: Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785. Cop…
  6. psnet.ahrq.gov/issue/sleep-quality-and-fatigue-among-prehospital-providers
    March 14, 2018 - Study Sleep quality and fatigue among prehospital providers. Citation Text: Patterson D, Suffoletto BP, Kupas DF, et al. Sleep quality and fatigue among prehospital providers. Prehosp Emerg Care. 2010;14(2):187-93. doi:10.3109/10903120903524971. Copy Citation Format: DOI …
  7. psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
    March 03, 2011 - Commentary Renewal of surgical quality and safety initiatives: a multispecialty challenge. Citation Text: Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52. Copy Citation Format: Google Scholar PubMe…
  8. psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
    August 26, 2011 - Commentary Patient safety and quality in surgery. Citation Text: McCafferty MH, Polk HC. Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
  9. psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
    May 31, 2023 - Study Interception of potential adverse drug events in long-term psychiatric care units. Citation Text: Sawamura K, Ito H, Yamazumi S, et al. Interception of potential adverse drug events in long-term psychiatric care units. Psychiatry Clin Neurosci. 2005;59(4):379-84. Copy Citation …
  10. psnet.ahrq.gov/issue/performing-wrong-procedure
    April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  11. psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
    January 03, 2017 - Study The cost of serious fall-related injuries at three midwestern hospitals. Citation Text: Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/perioperative-pharmacology-framework-perioperative-medication-safety
    December 19, 2012 - Commentary Perioperative pharmacology: a framework for perioperative medication safety. Citation Text: Hicks RW, Wanzer LJ, Goeckner BL. Perioperative Pharmacology: A Framework for Perioperative Medication Safety. AORN J. 2010;93(1):136-145. doi:10.1016/j.aorn.2010.08.020. Copy Citat…
  13. psnet.ahrq.gov/issue/family-centered-rounds
    April 24, 2018 - Commentary Family-centered rounds. Citation Text: Mittal V. Family-centered rounds. Pediatr Clin North Am. 2014;61(4):663-70. doi:10.1016/j.pcl.2014.04.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  14. psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
    February 10, 2021 - Press Release/Announcement FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. Citation Text: FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…
  15. psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
    July 14, 2010 - Commentary Disclosing unanticipated outcomes to patients: the art and practice. Citation Text: Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W. Copy Citation Save Save to your library …
  16. psnet.ahrq.gov/issue/agenda-research-ambulatory-patient-safety
    December 22, 2008 - Meeting/Conference Proceedings An Agenda for Research in Ambulatory Patient Safety. Citation Text: An Agenda for Research in Ambulatory Patient Safety. Hammons T; Piland NF; Small SD; Hatlie MJ; Burstin HR; Medical Group Management Association; MGMA Copy Citation Save …
  17. psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
    December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…
  18. psnet.ahrq.gov/issue/student-perceptions-clinical-quality-and-safety
    September 01, 2021 - Study Student perceptions of clinical quality and safety. Citation Text: Swamy L, Badke C, Suguness A, et al. Student Perceptions of Clinical Quality and Safety. Am J Med Qual. 2016;31(6):601. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
  19. psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
    March 21, 2018 - Commentary Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Citation Text: Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…
  20. psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
    October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…