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  1. StartSmart: Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024738-gance-cleveland-final-report-2019.pdf
    January 01, 2019 - The University of Colorado Health System (UCH and four partner institutions) has 4,500 deliveries per

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853080/psn-pdf
    August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges August 30, 2023 Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…

  3. Screening for Asymptomatic Carotid Artery Stenosis in the General Population: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZgcL6cF6JsFzwRRhaSnqc9
    December 01, 2022 - Screening for Asymptomatic Carotid Artery Stenosis in the General Population: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Letters RESEARCH LETTER Screening for Asymptomatic Carotid Artery Stenosis in the General Population: Updated Evidence Report and Systematic Review fo…

  4. Executive Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/sum.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology Evalua…

  5. Schwitzer_ECCS2012 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/schwitzer_eccs2012.pdf
    July 23, 2012 - Schwitzer_ECCS2012 Slide 1: Addressing  Tensions  When Popular Media and Evidence-­‐Based Care Collide Gary  Schwitzer Publisher,  HealthNewsReview.org Slide 2: Infoxication We are drowning people who are thirsty for just a sip of balanced infor…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863641/psn-pdf
    February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training February 28, 2024 Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49580/psn-pdf
    March 21, 2009 - Medication Reconciliation Victory After an Avoidable Error March 21, 2009 Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error The Case A 91-year-old woman, previously active and indepen…

  8. AHRQ Safety Program for MRSA Prevention

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Learning From Defects ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Learning From Defects 1 Educational Objectives Describe a process to help teams learn from defects Explore …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49844/psn-pdf
    October 01, 2018 - Diffusion of Responsibility Leads to Danger October 1, 2018 Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger The Case A 70-year-old man was sent to the emergency department (ED) from a nursing facility…

  10. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - Presentation: Program Overview Learn From Defects in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-34-EF January 2017 Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this ses…

  11. CHIPRA 119 Section 2, Detailed Measure Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
    June 02, 2025 - CHIPRA 119 Section 2, Detailed Measure Specifications CAPQuaM PQMP Perinatal MEASURE 4 Detailed Measure Specifications A. Description Divides low birthweight neonates who are admitted to a Level 2 or higher nursery into five strata based upon their admission temperature and calculates the proportion of infants in…

  12. Implementation Change Management | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
    June 01, 2023 - Implementation Change Management The change management process must be carefully and strategically organized to attain widespread acceptance. To achieve an environment truly committed to patient safety, a successful TeamSTEPPS implementation requires a change in unit and organizational culture. This culture mus…

  13. Did We Forget Something? | PSNet

    psnet.ahrq.gov/web-mm/did-we-forget-something
    April 28, 2021 - Did We Forget Something? Citation Text: Gibbs VC. Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  14. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
    September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators References Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators I…

  15. Central, not Epidural | PSNet

    psnet.ahrq.gov/web-mm/central-not-epidural
    August 28, 2024 - Central, not Epidural Citation Text: Simmons D. Central, not Epidural. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  16. Chapter 6. Comparing Your Results | Agency for Healthcare Research and Quality

    www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap6.html
    June 01, 2014 - Medical Office Survey on Patient Safety Culture Chapter 6. Comparing Your Results Previous Page Next Page Table of Contents Medical Office Survey on Patient Safety Culture Executive Summary Chapter 1. Introduction Chapter 2. Survey Administration Statistics Chapter 3. Medical Office Characte…

  17. Screening for Hepatitis B Infection in Pregnant Women: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/pFEM-gRfk6-Qj7grXkZQzC
    February 11, 2019 - Screening for Hepatitis B Infection in Pregnant Women: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Letters RESEARCH LETTER Screening for Hepatitis B Infection in Pregnant Women: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Hepati…

  18. 130-Ss-Swiss-Cheese-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects: Applying the “Swiss cheese model” of System Failure Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects: Applying the “Swiss C…

  19. Therapies for Clinically Localized Prostate Cancer (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_clinician.pdf
    January 01, 2016 - Therapies for Clinically Localized Prostate Cancer Therapies for Clinically Localized Prostate Cancer Background A National Institutes of Health (NIH) panel that convened in 2011 recommended that AS—a strategy with curative intent that involves regular monitoring of PSA levels and repeat biopsies—should be offer…

  20. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet

    psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
    March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport Citation Text: MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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