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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Recommendations and Areas for Future Research Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The The…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49412/psn-pdf
    September 01, 2003 - Shake Well September 1, 2003 Flynn EA. Shake Well. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/shake-well The Case A 35-year-old patient on the neurology service was receiving carbamazepine for a seizure disorder. Daily serum drug levels consistently fell below the therapeutic range, which led the physi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49524/psn-pdf
    November 01, 2006 - Secured But Not Always Safe November 1, 2006 Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/secured-not-always-safe The Case An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative osteoarthritis. She received spinal …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50615/psn-pdf
    October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR October 30, 2019 Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr The Case  Two male patients of similar age arrived at the same …
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-hsops-identifiable-conf-agreement.pdf
    January 01, 2024 - Hospital Survey on Patient Safety Culture Database: Hospital-Identifiable Research Abstract Form SOPS Hospital Survey Confidentiality Agreement – April 2024 Page 1 of 4 Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture Database CONFIDENTIALITY AGREEMENT FOR D…
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-5-appendix-1.pdf
    October 12, 2013 - CHIPRA 148: Section 5, Appendix 1 Appendix 1. Guidelines and Measure-Specific Testing Results Use of First-Line Psychosocial Care in Children and Adolescents on Antipsychotics Guidelines Supporting Use of Psychosocial Interventions for Children and Adolescents on Antipsychotics Guideline (Date) Population Recomm…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49647/psn-pdf
    February 01, 2012 - Amended Lab Results: Communication Slip February 1, 2012 Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip The Case A 25-year-old woman in her first pregnancy was seen at 33 weeks' gestation with new onset hypertension an…
  8. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
    October 01, 2011 - Spotlight Case [MONTH] 2003 Spotlight Case Mobility Lost in the ICU * * Source and Credits This presentation is based on the October 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33780/psn-pdf
    July 01, 2015 - Safety and Medical Education January 1, 2014 Ranji SR. Safety and Medical Education. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/safety-and-medical-education Annual Perspective 2014 As the patient safety field has grown, so too has the appreciation for the need to improve safety in medical educatio…
  10. pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
    March 01, 2020 - Choosing a Patient Safety Organization Choosing a Patient Safety Organization Background You are committed to making healthcare safer and better for your patients. One of the challenges to achieving this goal is the concern that patient safety information that you or your organization create as part of the ca…
  11. www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication
    January 29, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Evidence Summary Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication January 29, 2019 Recommendations made by the USPSTF are independent of the U.S…
  12. www.ahrq.gov/news/newsletters/e-newsletter/942.html
    December 01, 2024 - COVID-19 Surges Tied to Higher Risks for All Hospital Patients, AHRQ Study Finds Issue Number 942 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. December 17, 2024 Editor’s Note: Due to the Christmas and New Year’s holidays, AHRQ News Now will not publish ag…
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1 The Five Principles of Effective Primary Care-Based Care Coordination fo…
  14. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas4.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas 4. How Do Existing Measures of Clinical-Community Relationships Align with the Measurement Framework? Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was …
  15. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
    January 01, 2014 - Creative Strategies to Improve Patient Care Experience - Part 3 Nemhard Creative Strategies to Improve Patient Care Experience Presenters (from the Yale Team) Ingrid Nembhard, PhD, MS Associate Professor The Wharton School University of Pennsylvania Yuna Lee, PhD, MPH Assistant Professor Mailman School of Publ…
  16. www.ahrq.gov/sites/default/files/publications/files/bozicstudysnapshot.pdf
    February 01, 2015 - Snapshot: The IHA Bundled Episode Payment and Gainsharing Demonstration AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT The IHA Bundled Episode Payment and Gainsharing Demonstration* M. Susan Ridgely, David De Vries, Kevin Bozic, and Peter S. Hussey Background Traditional fee-for-service (FFS) payment systems create…
  17. www.ahrq.gov/cahps/news-and-events/events/2020-meeting-summary.html
    December 01, 2020 - Advancing Methods of Implementing and Evaluating Patient Experience Improvement Using CAHPS® Surveys: Summary of Presentations Summary of Meeting Highlights On October 7, 2020, the Agency for Healthcare Research and Quality (AHRQ) convened an invitation-only research meeting to discuss improving patient exper…
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/pso-brochure.pdf
    March 01, 2020 - Choosing a Patient Safety Organization Choosing a Patient Safety Organization Background You are committed to making healthcare safer and better for your patients. One of the challenges to achieving this goal is the concern that patient safety information that you or your organization create as part of the ca…
  19. www.ahrq.gov/ncepcr/communities/pbrn/history/index.html
    November 01, 2024 - History and Funding of PBRNs What Is a PBRN?   AHRQ defines a primary care practice-based research network, or PBRN, as a group of ambulatory practices devoted principally to the primary care of patients, and affiliated in their mission to investigate questions related to community-based practice and to improve…
  20. psnet.ahrq.gov/primer/alert-fatigue
    March 15, 2025 - Alert Fatigue Citation Text: Alert Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…