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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34763/psn-pdf
    March 07, 2005 - The Limits of Safety: Organizations, Accidents and Nuclear Weapons. March 7, 2005 Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214. https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons Two competing paradigms dominate the study of the hazards associate…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47930/psn-pdf
    May 01, 2019 - Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. May 1, 2019 McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to improve Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods study. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73364/psn-pdf
    January 01, 2022 - Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. June 9, 2021 Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacother. 2022;56(1):52-59. doi:10.1177/10…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41647/psn-pdf
    July 02, 2014 - Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. July 2, 2014 Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. Acad Med. 2012;…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43072/psn-pdf
    November 21, 2016 - Physician attitudes toward family-activated medical emergency teams for hospitalized children. November 21, 2016 Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192. https://psnet.a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39543/psn-pdf
    May 19, 2010 - Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. May 19, 2010 Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0026. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38673/psn-pdf
    April 30, 2014 - New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. April 30, 2014 Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg. 2009;144(5):394-8. doi:10.1001/archsurg.2009.78. https://psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lectu…
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-overview-webcast-bakdash.pdf
    June 02, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Jonathan Bakdash AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program Jonathan Bakdash, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ Agency for Healthcare Research and Quality • AHRQ is: ► A research and science-based agency of t…
  9. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.doc
    January 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 1 Antibiogram Factsheet What is an antibiogram? Antibiograms aggregate information about susceptibility patterns of organisms to commonly prescribed antibiotics. Antibiograms display the organisms present in clinical specimens sent by the prescribing clinician (physician, nurs…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37792/psn-pdf
    February 15, 2011 - Exploring organizational context and structure as predictors of medication errors and patient falls. February 15, 2011 Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e3181695671.…
  11. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T4-Implementation_Planning_Sample_Agenda_final.docx
    October 01, 2016 - Tool 4. Implementation Planning Sample Agenda Agenda for Antimicrobial Stewardship Planning Date: Time: Participant’s Name Discipline Initials a                                     a Initials or signatures are only necessary if requested by State Survey Agency staff. Nursing Home Ant…
  12. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T4-Implementation_Planning_Sample_Agenda_final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 1. Start an Antimicrobial Stewardship Program Tool 4. Implementation Planning Sample Agenda Agenda for Antimicrobial Stewardship Planning Date: __________________________________ Time: _________________________…
  13. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T4-Antibiogram_Factsheet_Phase_1.doc
    January 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 1 Antibiogram Factsheet What is an antibiogram? Antibiograms aggregate information about susceptibility patterns of organisms to commonly prescribed antibiotics. Antibiograms display the organisms present in clinical specimens sent by the prescribing clinician (physician, nurs…
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/sopsvaluewebcast-intro.pdf
    January 09, 2018 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - INTRO New AHRQ SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast January 9, 2018 2:00-3:00 ET Our Focus Today • Describe the development of the new SOPSTM Value and Efficiency Supplemental Items …
  15. www.ahrq.gov/ncepcr/research/behavioral-health/index.html
    February 01, 2024 - Behavioral Health and Substance Use Disorders Behavioral health problems, which include mental health and substance use disorders, are among the most common conditions seen in primary care settings. Behavioral health conditions often affect medical illnesses. Integrated behavioral healthcare blends primary care…
  16. www.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
    March 01, 2021 - AHRQ Quality and Safety Review System (QSRS) Mission AHRQ has developed and tested an improved patient safety surveillance system to replace the Medicare Patient Safety Monitoring System (MPSMS). The new system is known as the Quality and Safety Review System (QSRS). The QSRS relies on clinical information re…
  17. www.uspreventiveservicestaskforce.org/home/getfilebytoken/URK4KUpCK3gafGrdaLzYDJ
    Low-Dose Aspirin for the Prevention of Morbidity and Mortality From Preeclampsia: Clinical Summary of USPSTF Recommendation LOW-DOSE ASPIRIN USE FOR THE PREVENTION OF MORBIDITY AND MORTALITY FROM PREECLAMPSIA CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION Population Asymptomatic pregna…
  18. www.ahrq.gov/cpi/about/nac/snac-zimmerman.html
    December 01, 2021 - SNAC Member: Jaime Zimmerman, M.P.H., PMP  Senior Program Advisor Designated Management Official, National Advisory Council Office of the Director Agency for Healthcare Research and Quality Jaime Zimmerman, M.P.H., PMP, serves as a senior program advisor in the Office of the Director at the Agency for Heal…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Investigating a Defect Worksheet Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred: ________________ Date Investigation Initiated: ___________ Use the Learning From …
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Investigating a Defect Worksheet Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred: ________________ Date Investigation Initiated: ___________ Use the Learning From …