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  1. pbrn.ahrq.gov/evidencenow/tools/cvd-risk-calculator.html
    February 01, 2022 - SHARE: More topics in this section EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Tools for Change Key Driver Diagram Full Description of Key Drivers More about the Diagram Search for Tool…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
  3. www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
    February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes  (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60064/psn-pdf
    March 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. March 18, 2020 Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation- report Maternal care saf…
  5. digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-disease-management-using-personal-health-record-system/final-report
    January 01, 2023 - Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report Citation Tang P. Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report. (Prepared by Palo Alto Medical Foundation Research Institute under Grant No. R18 HS017179). …
  6. www.ahrq.gov/ncepcr/about/primary-care-research-conference-proceedings.html
    January 01, 2023 - AHRQ’s 30th Anniversary Primary Care Research Conference: Proceedings In December 2020, AHRQ held a Primary Care Research conference, which marked the 30th anniversary of the first primary care research conference convened in 1990 by the nascent Agency for Healthcare Policy and Research. The purpose of the 1990…
  7. psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
    March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Institute for Healthcare Improvement (IHI) …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39819/psn-pdf
    April 04, 2011 - Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. April 4, 2011 Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43186/psn-pdf
    May 19, 2014 - ASPEN parenteral nutrition safety consensus recommendations: translation into practice. May 19, 2014 Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294. https://psnet.ahr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60266/psn-pdf
    April 29, 2020 - Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. April 22, 2020 Armstrong Institute for Patient Safety and Quality. April 29, 2020. https://psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers As the COVID-19 pandemic evolves…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35023/psn-pdf
    March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. March 4, 2011 Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47887/psn-pdf
    August 07, 2019 - Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. August 7, 2019 Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972. doi:10.1177/0193945918815462. h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43425/psn-pdf
    July 03, 2016 - Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? July 3, 2016 Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38887/psn-pdf
    August 26, 2009 - Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. August 26, 2009 Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Quality and Safety in Health Ca…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40878/psn-pdf
    March 02, 2012 - Neonatal intensive care unit safety culture varies widely. March 2, 2012 Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635. https://psnet.ahrq.gov/issue/neonatal-intensive-ca…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851067/psn-pdf
    June 28, 2023 - Assessing medication safety in settings not designated solely for pediatric patients. June 28, 2023 ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5. https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients Pediatric patients are at increa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46324/psn-pdf
    August 09, 2017 - IHI Framework for Improving Joy in Work. August 9, 2017 Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40962/psn-pdf
    December 14, 2011 - American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. December 14, 2011 Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvement and Patient Safety program: …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34890/psn-pdf
    February 17, 2011 - Electronic alerts to prevent venous thromboembolism among hospitalized patients. February 17, 2011 Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42191/psn-pdf
    June 25, 2013 - Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. June 25, 2013 Watts RG, Parsons K. Chemotherapy medication errors in a pediatric cancer treatment center: pro…