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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837694/psn-pdf
    July 20, 2022 - Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. July 20, 2022 Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient har…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47066/psn-pdf
    July 11, 2018 - The association between nurse staffing and omissions in nursing care: a systematic review. July 11, 2018 Griffiths P, Recio-Saucedo A, Dall'Ora C, et al. The association between nurse staffing and omissions in nursing care: A systematic review. J Adv Nurs. 2018;74(7):1474-1487. doi:10.1111/jan.13564. https://psnet…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860383/psn-pdf
    January 10, 2024 - Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. January 10, 2024 Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5. https://psnet.ahrq.gov/issue/addressing-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862609/psn-pdf
    February 14, 2024 - Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. February 14, 2024 King L, Belan I, Clark RA, et al. Hospital testing of the effectiveness of co-designed educational materials to improve patient a…

  5. Smoking Cessation | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/smoking-cessation
    January 01, 2023 - Smoking Cessation Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive Voice Recognition Technology Description This study evaluated a smoking cessation program using interactive voice recognition technology and found…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838177/psn-pdf
    September 28, 2022 - Exploring care left undone in pediatric nursing. September 28, 2022 Bagnasco A, Rossi S, Dasso N, et al. Exploring care left undone in pediatric nursing. J Patient Saf. 2022;18(6):e903-e911. doi:10.1097/pts.0000000000001044. https://psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing Care left undone…

  7. Supporting Consumers in Using Information on Health Care Quality | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/explain/support/index.html
    July 01, 2016 - Supporting Consumers in Using Information on Health Care Quality The ultimate goal for comparative quality reports is for consumers and patients to use them. All of the recommendations in this Web site are intended to help you plan, design, and disseminate your report in a way that maximizes the likelihood th…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46994/psn-pdf
    October 31, 2018 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018 Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226. doi:10.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48034/psn-pdf
    May 22, 2019 - Chasing zero harm in radiation oncology: using pre- treatment peer review. May 22, 2019 Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre- treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. https://psnet.ahrq.gov/issue/chasing-zero-harm-ra…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855423/psn-pdf
    November 15, 2023 - Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. November 15, 2023 Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 2023;35(4):mzad086. doi:10.1093/in…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865705/psn-pdf
    May 01, 2024 - Healthcare team resilience during COVID-19: a qualitative study. May 1, 2024 Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. https://psnet.ahrq.gov/issue/healthcare-team-resilience-during…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841759/psn-pdf
    December 21, 2022 - Sources of nurse-sensitive inpatient safety improvement. December 21, 2022 Dynan L, Smith RB. Sources of nurse?sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979. https://psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement Nurses play a …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45571/psn-pdf
    January 18, 2017 - How communication among members of the health care team affects maternal morbidity and mortality. January 18, 2017 Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6):878-884. doi:10.1016/j.jogn.2016.03…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72578/psn-pdf
    December 16, 2020 - Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings. December 16, 2020 Roberts SCM, Beam N, Liu G, et al. Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings. J …

  15. University Of Arizona | Digital Healthcare Research

    digital.ahrq.gov/organization/university-arizona
    January 01, 2023 - University Of Arizona Enabling Large-Scale Research on Autism Spectrum Disorders Through Automated Processing of EHR Using Natural Language Understanding Description This research used natural language processing and machine learning to develop algorithms to recognize diagnost…

  16. Recruiting/Selecting Participants (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/delilberative-methods-design-goold.pdf
    May 29, 2025 - Recruiting/Selecting Participants Slide 10 Recruiting/Selecting Participants Susan Dorr Goold, MD, MHSA, MA Professor of Internal Medicine and Health Management and Policy University of Michigan Slide 11 Alternatives to Random Sampling  Substantive representation o Based on extent to which groups a…

  17. Slide 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_synthesizingoutputs.pdf
    May 29, 2025 - Slide 1 Synthesizing the Outputs of Deliberative Forum Julia Abelson, PhD Department of Clinical Epidemiology & Biostatistics McMaster University Hamilton, Ontario CANADA 1 Linking deliberation objectives to outputs • What is the expected deliverable of the deliberation? -To elicit val…

  18. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
    January 01, 2024 - Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error AHRQ Grant Final Project Report Title of Project Using Public Deliberation to Define Patient Roles in Reducing Diagnostic Error Principle Investigator Tina Nabatchi, PhD, Associate Professor, Maxwell School of Ci…

  19. Evaluating the Impact of an ACPOE/CDS System on Outcomes (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
    January 01, 2007 - E-prescribing has emerged as a viable option for reducing errors, while increasing efficiency.2 However

  20. Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use | PSNet

    psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
    September 13, 2023 - Inappropriate medication use, increasing risk of adverse events: An estimated 12 to 40 percent of community-dwelling
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