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3341. NAC Member Biography: Joan Gelrud | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/organization/nac/gelrud.html
      February 01, 2025 - NAC Member Biography: Joan Gelrud Joan L. Gelrud, R.N., M.S.N., CPHQ, FACHE Special Advocate for Children Maryland Health Care Commission Baltimore, MD (Retired) Luminis Health Chief Quality and Population Health Officer Joan L. Gelrud, R.N., M.S.N., CPHQ, FACHE , recently retired as Luminis Health’s chief qual…

3342. Evidence-Based Decisionmaking | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/chronic-care/decision/index.html
      April 01, 2018 - Evidence-Based Decisionmaking Evidence-based practice is the use of the best available evidence together with a clinician's expertise and a patient's values and preferences in making health care decisions. The Prevention and Chronic Care Program works to expand the available evidence base for evidence-based pra…

3343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46267/psn-pdf
      December 21, 2017 - Pictograms, units and dosing tools, and parent medication errors: a randomized study. December 21, 2017 Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237. https://psnet.ahrq.gov/is…

3344. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37368/psn-pdf
      January 10, 2017 - Effective implementation of work-hour limits and systemic improvements. January 10, 2017 Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29. https://psnet.ahrq.gov/issue/effective-implementation-wo…

3345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851349/psn-pdf
      July 12, 2023 - Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. July 12, 2023 Rowily AA, Jalal Z, Paudyal V. Contributory factors and patient harm including deaths…

3346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837692/psn-pdf
      July 20, 2022 - Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. July 20, 2022 Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing during the Agen…

3347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837424/psn-pdf
      June 15, 2022 - Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. June 15, 2022 Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. J Allergy Clin Im…

3348. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/index.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits The Agency for Healthcare Research and Quality (AHRQ) created On-Time Preventable Hospital and Emergency Department Visits to help nursing homes with electronic medical records identify residents at risk for ev…

3349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864858/psn-pdf
      March 20, 2024 - Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi- institutional evaluation. March 20, 2024 Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-Institutional evaluation. J A…

3350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50914/psn-pdf
      February 19, 2020 - Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service February 19, 2020 Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise co…

3351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44035/psn-pdf
      May 06, 2015 - Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. May 6, 2015 Heinemann L, Fleming A, Petrie …

3352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852274/psn-pdf
      August 09, 2023 - Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England. August 9, 2023 Green MA, McKee M, Hamilton OKL, et al. Associations between self-reported healthcare disruption due to covid-19 and avoidable hosp…

3353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34685/psn-pdf
      September 29, 2017 - The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. September 29, 2017 Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. JAMA. 1998;280(11):1000-1005. https://psnet.a…

3354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36975/psn-pdf
      March 24, 2011 - Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? March 24, 2011 Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4. …

3355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60012/psn-pdf
      March 03, 2020 - Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. March 3, 2020 Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. BMJ. 2020;368:m12…

3356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38343/psn-pdf
      December 09, 2014 - Liability associated with obstetric anesthesia: a closed claims analysis. December 9, 2014 Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. https://psnet.ahrq.gov/issue/liability-ass…

3357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866864/psn-pdf
      October 02, 2024 - Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). October 2, 2024 Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the P…

3358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72649/psn-pdf
      January 20, 2021 - Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. January 20, 2021 Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. Patient Safety. 2020;2(4):24-39. …

3359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46283/psn-pdf
      April 24, 2018 - Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial. April 24, 2018 Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-3200. https://psnet.ahrq.gov/issue/d…

3360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42721/psn-pdf
      December 12, 2014 - Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. December 12, 2014 Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. J Pediatr Hematol Oncol. 2014;…