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3401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866908/psn-pdf
      October 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. October 9, 2024 Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.33940/001c.117084. https://psnet…

3402. Screening For Impaired Visual Acuity In Older Adults: Clinical Summary (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/n6zHNuxCoZRTdKJ_m2JFtU
      July 07, 2009 - Screening For Impaired Visual Acuity In Older Adults: Clinical Summary SCREENING FOR IMPAIRED VISUAL ACUITY IN OLDER ADULTS* CLINICAL SUMMARY OF U.S. PREVENTIVE TASK FORCE RECOMMENDATION Population Adults Age 65 and Older Recommendation Grade I: Insufficient Evidence Ris…

3403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45710/psn-pdf
      December 22, 2017 - Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? December 22, 2017 Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? BMJ Qual Saf. 2017;26(5):381-387. doi:10.1136/…

3404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837737/psn-pdf
      July 27, 2022 - Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. July 27, 2022 Lear R, Freise L, Kybert M, et al. Patients' willingness and ability to identify and respond to errors in their personal health records: mixed m…

3405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46459/psn-pdf
      August 20, 2018 - Readiness of US general surgery residents for independent practice. August 20, 2018 George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.0000000000002414. https://psnet.ahrq.gov/issue/readiness-us-general-surger…

3406. AHRQ Staff: Alaina Fournier | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/pcortf-snac/fournier.html
      November 01, 2022 - AHRQ Staff: Alaina Fournier Alaina Fournier, Ph.D., M.H.C.I. Health Scientist Administrator Patient-Centered Outcomes Research Trust Fund Office of the Director Agency for Healthcare Research and Quality Alaina Fournier, Ph.D., M.H.C.I is a health scientist administrator in the Agency for Healthcare Rese…

3407. Individual Mentored Clinical Investigator Career Development Award Program in Patient-Centered Outcomes Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdpa13180.html
      June 01, 2018 - Individual Mentored Clinical Investigator Career Development Award Program in Patient-Centered Outcomes Research AHRQ Training Projects Funded by PCOR Trust Fund PA-13-180 This program provides support for a sustained period of protected time for intensive research career development for individual investig…

3408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42232/psn-pdf
      May 08, 2013 - The Measurement and Monitoring of Safety. May 8, 2013 Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety Despite great effort, health care organizations are still learning how to identify safety problems, es…

3409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34804/psn-pdf
      January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. January 5, 2017 Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-8. https://psnet.ahrq.…

3410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73978/psn-pdf
      October 20, 2021 - Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. October 20, 2021 Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. Health Aff (Millwoo…

3411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45233/psn-pdf
      September 07, 2016 - Program director perceptions of surgical resident training and patient care under flexible duty hour requirements. September 7, 2016 Saadat L, Dahlke AR, Rajaram R, et al. Program Director Perceptions of Surgical Resident Training and Patient Care under Flexible Duty Hour Requirements. J Am Coll Surg. 2016;222(6):1…

3412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38295/psn-pdf
      May 27, 2010 - Narrative review: do state laws make it easier to say "I'm sorry"? May 27, 2010 McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816. https://psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry Multiple studi…

3413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73214/psn-pdf
      May 05, 2021 - Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. May 5, 2021 Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with …

3414. The Power of Patient Stories for Improving the Patient Experience webcast - Ginsberg (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-ahrq.pdf
      June 02, 2025 - The Power of Patient Stories for Improving the Patient Experience webcast - Ginsberg WELCOME FROM AHRQ Caren Ginsberg, PhD Director, CAHPS & SOPS Programs Center for Quality Improvement & Patient Safety, AHRQ Agency for Healthcare Research and Quality • AHRQ is: ► A research and science-based agency of the US …

3415. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/4_Gladys_Epting_slide_41-44.pdf
      January 15, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance ® Using CG-CAHPS at Academic Medical Centers Gladys J. Epting, PhD. University HealthSystem Consortium Francis Fulllam, MA, Rush University Medical Center Edward M. Karls, MBA, University…

3416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73704/psn-pdf
      September 15, 2021 - TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? September 15, 2021 Mirarchi FL, Cammarata C, Cooney TE, et al. TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? J Patient Saf. 2021;17(6):4…

3417. AHRQ’s Surveys on Patient Safety Culture® for New Users - Jonathan Bakdash (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-overview-webcast-bakdash.pdf
      June 02, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Jonathan Bakdash AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program Jonathan Bakdash, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ Agency for Healthcare Research and Quality • AHRQ is: ► A research and science-based agency of t…

3418. Appendix B. Your First Checklist Meeting Guide - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-b.html
      May 01, 2017 - Appendix B. Your First Checklist Meeting Guide - Implementation Guide The following document is a sample agenda and topics you should consider discussing when your implementation team meets for the first time to discuss the checklist project. Introductions Project Goal Using the checklist meaningfully…

3419. Figure 1. Chain of Self-management Support Effect (Text Description) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptmgmt/background-figure1-text.html
      July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Figure 1. Chain of Self-management Support Effect (Text Description) Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodo…

3420. On O.R. Off? | PSNet
      psnet.ahrq.gov/web-mm/or
      August 22, 2013 - This leads to greater challenges in catching the mistake, and the lack of predictability makes it harder