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  1. digital.ahrq.gov/sites/default/files/docs/publication/r21hs020982-schoenthaler-final-report-2015.pdf
    January 01, 2015 - Integrating health IT systems into CBOs can increase their capacity to manage and coordinate the multiple
  2. S16 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s16.pdf
    October 01, 2007 - ORIGINAL ARTICLE Creating and Synthesizing Evidence With Decision Makers in Mind Integrating Evidence
  3. psnet.ahrq.gov/perspective/risk-management-and-patient-safety
    December 01, 2010 - It's a matter of where you focus initially, and then integrating the clinical and legal implications.
  4. www.ahrq.gov/patient-safety/reports/hotline/appd.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Appendix D. Hotline Site Visit Interview Protocol Previous Page   Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixd.pdf
    February 01, 2014 - Appendix D. Hotline Site Visit Interview Protocol Appendix D. Hotline Site Visit Interview Protocol Interviewee(s): Interviewee(s) title and location: Number to call if person is late or does not show: Interviewee(s)’ department (circle): 1. Implementation/operation of Health Care Safety …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49730/psn-pdf
    April 01, 2015 - Transition to Nowhere April 1, 2015 Farrell TW. Transition to Nowhere. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/transition-nowhere The Case A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension, and chronic kidney disease was admitted to the hospital …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49824/psn-pdf
    March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay The Case A 35-year-old woman with no prior cardiac history calle…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49514/psn-pdf
    July 01, 2006 - One ACE Too Many July 1, 2006 Juurlink DN. One ACE Too Many. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/one-ace-too-many The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure presented to the emergency department (ED) with chest pain. An acut…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - Application of Safety-II Principles August 28, 2024 Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/application-safety-ii-principles Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
  10. Slide 1 (ppt file)

    digital.ahrq.gov/sites/default/files/docs/implementation/Porter.ppt
    June 16, 2021 - Slide 1 Patient-centered HIT: a pediatric case study Stephen C. Porter MD, MPH, MS Assistant Professor, Harvard Medical School Affiliate Faculty, Harvard-MIT Division of Health Sciences and Technology Faculty, Division of Emergency Medicine,Children’s Hospital Boston Email: stephen.porter@childrens.harva…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33827/psn-pdf
    February 01, 2017 - New Insights About Team Training From a Decade of TeamSTEPPS February 1, 2017 Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps Perspective Ten years ago, the Ag…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73387/psn-pdf
    March 17, 2021 - COVID-19 and the Built Environment June 30, 2021 Joseph A, Scanlon MM, Fitall E, et al. COVID-19 and the Built Environment. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/covid-19-and-built-environment Introduction The “built environment” in healthcare refers to the hospital structure and any other fix…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33868/psn-pdf
    October 01, 2018 - Safety in the Retail Pharmacy October 1, 2018 Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-retail-pharmacy Perspective There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each year.(1) Many patients interact w…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49598/psn-pdf
    February 01, 2010 - Medication Reconciliation Pitfalls February 1, 2010 Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls The Case A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was brought to the eme…
  15. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
    December 01, 2015 - PowerPoint Presentation Spotlight Harm From Alarm Fatigue This presentation is based on the December 2015 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Michele M. Pelter, RN, PhD, and Barbara J. Drew, RN, PhD, University of California, San …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50393/psn-pdf
    September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet September 1, 2019 Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet Perspective Progress in any field requires scholarship and dissem…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar5_pu_riskassesst-tools.pdf
    January 01, 2012 - Using Pressure Ulcer Risk Assessment Tools in Care Planning Using Pressure Ulcer Risk Assessment Tools in Care Planning Presented by Elizabeth A. Ayello Ph.D., RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN Excelsior College School of Nursing Welcome! Thank you for joining this webinar about how to use pressure ulcer…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep2.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Evaluation of Measures in the Scan 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 Met…
  19. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
    October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Slide Presentation Slide 1: Best Practices in Pressure Injury Prevention ADD Hospital Name Module 3 Slide 2: Best Practices Best practices are those care processes—based on literature and expert opinion—that represent the best ways we curren…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsresources.pdf
    July 01, 2014 - Supplemental Resources on Self-Management Support External Resources On Self-Management Support For Clinicians and Staff Background, resources, and tools • AHRQ’s Self‐Management Support Resource Library has basic information about self‐management support plus links to a wide range of practical tools, technique…