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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44042/psn-pdf
    November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a statewide collaborative. November 3, 2015 Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39729/psn-pdf
    September 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. June 14, 2011 Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …

  4. Module 3: Conversations Around Device Necessity | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
    February 01, 2023 - Module 3: Conversations Around Device Necessity Preventing CAUTI in the ICU Setting Slide Presentation Slide 1 AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 3: Conversations Around Device Necessity AHRQ Pub No. 15-0073-4-EF September 2015 Slide 2 …

  5. Am I Ready to Become an Advisor? | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/become-an-adviser.html
    July 01, 2023 - Am I Ready to Become an Advisor? AHRQ Safety Program for Perinatal Care Are you thinking about becoming a patient and family advisor? Review the checklist below and check those statements with which you agree. If there are statements with which you do not agree, these may be things to work on befo…

  6. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/introduction.html
    July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Introduction Previous Page Next Page Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies This toolkit presents a child…

  7. Written Statement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-written-statement.pdf
    June 02, 2025 - Written Statement WRITTEN STATEMENT TO: AGENCY FOR HEALTHCARE RESEARCH AND QUALITY FROM: PEDIA TRlC MEASUREMENT CENTER OF EXCELLENCT (PMCoE) SUBJECT: WRITTEN STATEMENT GUARANTEEING PUBLIC AVAILABILITY OF PICU MEASURE "APPROPRIATENESS OF RED CELL TRANSFUSIONS" DATE: 2/22/2016 Should the U.S. Department of …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35572/psn-pdf
    February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…

  9. Exhibit 7.1. Care management conceptual model* | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-1.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Exhibit 7.1. Care management conceptual model* Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39670/psn-pdf
    July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39405/psn-pdf
    March 31, 2010 - ED overcrowding is associated with an increased frequency of medication errors. March 31, 2010 Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. https://psnet.ahrq.gov/issue/ed-ov…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850162/psn-pdf
    June 07, 2023 - Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. June 7, 2023 Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechn…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43349/psn-pdf
    July 16, 2014 - Multifaceted interventions improve adherence to the surgical checklist. July 16, 2014 Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. https://psnet.ahrq.gov/issue/multifaceted-interventions-imp…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42474/psn-pdf
    September 19, 2015 - A new, evidence-based estimate of patient harms associated with hospital care. September 19, 2015 James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46547/psn-pdf
    April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. April 16, 2018 Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44904/psn-pdf
    June 01, 2016 - Does time pressure have a negative effect on diagnostic accuracy? June 1, 2016 ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098. https://psnet.ahrq.gov/issue/does-time-pressure-have-negative-e…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47704/psn-pdf
    April 03, 2019 - Changes in practice among physicians with malpractice claims. April 3, 2019 Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981. https://psnet.ahrq.gov/issue/changes-practice-among-physicians-malpract…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36384/psn-pdf
    January 05, 2017 - Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. January 5, 2017 Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. https://psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-re…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73110/psn-pdf
    April 07, 2021 - Does one size fit all? Assessing the need for organizational second victim support programs. April 7, 2021 Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;17(3):e247-e254. doi:10.1097/pts.0000000000000321. https://psnet.ahrq.gov/iss…
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