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  1. psnet.ahrq.gov/web-mm/harm-alarm-fatigue
    February 14, 2018 - SPOTLIGHT CASE Harm From Alarm Fatigue Citation Text: Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  2. Title Page (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015409-overhage-final-report-2009.pdf
    January 01, 2009 - Title Page Grant Final Report Grant ID: R01 HS 015409 Value of Health Information Exchange in Ambulatory Care Inclusive dates: 09/01/04 - 09/31/09 Principal Investigator: J. Marc Overhage, MD, PhD; Director, Regenstrief Institute Medical Informatics; Regenstrief Professor of Medicine,…
  3. hcup-us.ahrq.gov/datainnovations/clinicaldata/SampleVHIandhospitalcontractforAHRQstudy.pdf
    September 30, 2007 - SUBCONTRACTOR AGREEMENT CLINICAL DATA SHARING AGREEMENT THIS CLINICAL DATA SHARING AGREEMENT (this “Agreement”) is entered into as of the ___ day of ___________, 2008, by and between Virginia Health Information, Inc., a Virginia nonstock corporation (“VHI”) and XXXX), and recites and provides as follows: …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33637/psn-pdf
    August 01, 2006 - In Conversation with...Lucian Leape, MD August 1, 2006 In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md Dr. Robert Wachter, Editor, AHRQ WebM&M: What kind of career did you fashion for yourself prior to getting involved in safety an…
  5. psnet.ahrq.gov/web-mm/one-dose-two-errors
    September 29, 2017 - One Dose, Two Errors Citation Text: Filice GA. One Dose, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  6. psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
    January 01, 2019 - Spotlight Missed Opportunities for Suicide Risk Assessment Source and Credits • This presentation is based on the November 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Glen Xiong, MD & Debra Kahn, MD ○ Editors in Chief, AHRQ We…
  7. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
    January 01, 2010 - Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Grant Final Report Grant ID: 5R18HS017037 Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Inclusive Dates: 09/30/07 – 09/29/10 Principal Investigator: Ste…
  8. A_ReferenceLibrary (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_1.pdf
    February 16, 2006 - A_ReferenceLibrary Appendix A: Reference Library APPENDIX A: REFERENCE LIBRARY PURPOSE: This reference library is intended to provide a focused subset of key papers, presentations, and other resources to aid readers in understanding the critical issues underlying the purpose of the Privacy and Securit…
  9. effectivehealthcare.ahrq.gov/sites/default/files/ebc-webinar-slides.pptx
    June 01, 2014 - PowerPoint Presentation Welcome! Reminder: You will need a phone to take part in this discussion. Click “Audio” at the top of this WebEx screen and then click “Teleconference.” Enter the phone number where you’d like to be called in the second box and click “Call Me.” You will be called within two minutes after …
  10. effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-mental-health_research-protocol.pdf
    September 01, 2016 - Transparency of Reporting Requirements: Strategies to Improve Mental Health Care for Children and Adolescents Source: www.effectivehealthcare.ahrq.gov Published online: September 1, 2016 Evidence-based Practice Center Methodology Report Protocol Project Title: Transparency of Reporting Requirements Rep…
  11. psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
    June 24, 2010 - Methicillin-Resistant Staphylococcus aureus Gary A. Noskin, MD | April 1, 2008  View more articles from the same authors. Citation Text: Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
  12. psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
    May 01, 2011 - SPOTLIGHT CASE The Wrong Shot: Error Disclosure Citation Text: Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Sch…
  13. psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
    November 01, 2003 - CVC Placement: Speak Now or Do Not Use the Line Citation Text: Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
    March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…
  15. psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
    September 01, 2017 - Missed Patient Assignment: Is Anyone There? Citation Text: Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49669/psn-pdf
    November 01, 2012 - Transfusion Overload November 1, 2012 Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfusion-overload Case Objectives Understand that the traditional transfusion thresholds of hemoglobin below 10 g/dL and hematocrit below 30% are not supported by the evidence.…
  17. www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
    December 01, 2012 - Facilitator Notes CUSP Toolkit, Apply CUSP The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit, including TeamSTEPPS®…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/034-importance-mrsa-prevention-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Importance of MRSA Prevention ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Importance of MRSA Prevention 1 Educ…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33668/psn-pdf
    May 01, 2008 - In Conversation with…David W. Bates, MD, MSc May 1, 2008 In Conversation with…David W. Bates, MD, MSc. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc Editor's note: Dr. David Bates is a Professor at Harvard Medical School, Medical Director of Clinical and Quality …
  20. Puh-Assessment (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressure Ulc…