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  1. psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
    September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…
  2. psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
    November 16, 2022 - Study A resident-led institutional patient safety and quality improvement process. Citation Text: Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387. Cop…
  3. psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets
    March 04, 2011 - Study Hospital responses to the Leapfrog Group in local markets. Citation Text: Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499. Copy Citation Format: DOI Goog…
  4. psnet.ahrq.gov/issue/power-collaboration-patient-safety-programs-building-safe-passage-patients-nurses-and
    April 21, 2021 - Commentary The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. Citation Text: Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building safe passage for patients, nurse…
  5. psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
    July 31, 2012 - Book/Report Committed to Safety: Ten Case Studies on Reducing Harm to Patients. Citation Text: Committed to Safety: Ten Case Studies on Reducing Harm to Patients. McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006. Copy Citation Save Save to you…
  6. psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
    February 10, 2015 - Study Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Citation Text: Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thoma…
  7. psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
    May 24, 2015 - Organizational Policy/Guidelines Joint Statement on Multiple Patients Per Ventilator. Citation Text: Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…
  8. digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates/adhd-diagnosis-and-assessment
    January 01, 2023 - ADHD Diagnosis and Assessment Template Executive Summary The Partners Pediatric Attention Deficit and Hyperactivity Disorder (ADHD) Diagnosis & Assessment Template was designed to aid in the documentation of ADHD symptoms and adherence with clinical guidelines in the assessment and managem…
  9. digital.ahrq.gov/sites/default/files/docs/page/adhd_dx_assessment_final_1.pdf
    June 16, 2021 - Pediatric Documentation Templates ADHD Diagnosis & Assessment Template Executive Summary The Partners Pediatric Attention Deficit and Hyperactivity Disorder (ADHD) Diagnosis & Assessment Template was designed to aid in the documentation of ADHD symptoms and adherence with clinical guid…
  10. psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
    February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …
  11. psnet.ahrq.gov/issue/measurement-and-monitoring-safety
    October 01, 2024 - Book/Report The Measurement and Monitoring of Safety. Citation Text: The Measurement and Monitoring of Safety. Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. Copy Citation Save Save to your library Prin…
  12. www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/40th-anniversary-timeline
    January 01, 2006 - 40th Anniversary Timeline Share to Facebook Share to X Share to WhatsApp Share to Email Print Celebrating 40 Years of Prevention Guidance For 40 years, the U.S. Preventive Services Task Force (USPSTF or Task Force) has improved the…
  13. psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
    November 12, 2014 - Review What to do with healthcare incident reporting systems. Citation Text: Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. Copy Citation Format: DOI Google Scholar BibTeX E…
  14. digital.ahrq.gov/ahrq-funded-projects/physicians-experiences-using-commercial-e-prescribing-systems
    January 01, 2023 - Physicians' Experiences Using Commercial E-Prescribing Systems Project Description Publications Project Details - Completed Contract Number 290-05-0007-1 Funding Mechanism(s) Health Information Technology Community Tracking …
  15. psnet.ahrq.gov/issue/eradicating-central-line-associated-bloodstream-infections-statewide-hawaii-experience
    January 15, 2014 - Study Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. Citation Text: Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/106286061…
  16. psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
    March 13, 2019 - Study Emerging Classic Sleep and alertness in a duty-hour flexibility trial in internal medicine. Citation Text: Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …
  17. digital.ahrq.gov/project-background
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  18. psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    July 01, 2011 - Becoming a Patient Safety Organization Rory Jaffe, MD, MBA | July 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60169/psn-pdf
    March 25, 2020 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020 Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-erro…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/chlorhexidine-bathing.pdf
    April 01, 2022 - Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Chlorhexidine Bathing and Perineal Cleaning This “Making It Work” tip sheet provides additional information to help intensive care un…