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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60760/psn-pdf
    August 12, 2020 - Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID- 19 era. August 12, 2020 Ramnath VR, McSharry DG, Malhotra A. Do No Harm. Chest. 2020;158(3):873-876. doi:10.1016/j.chest.2020.05.548. https://psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equ…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72697/psn-pdf
    February 03, 2021 - Culture of safety: impact on improvement in infection prevention process and outcomes. February 3, 2021 Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y. https://psnet.ahr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34730/psn-pdf
    October 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34592/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. January 4, 2017 Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;28(12):646-50. https://psnet.ahrq.gov…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-sops101-webcast-2023-intro.pdf
    January 01, 2023 - An Overview of the SOPS® Surveys for New Users - INTRO An Overview of the SOPS® Surveys for New Users Webcast November 1, 2023 2:00-3:00 PM ET Webcast Technical Info • Audio issues • Poor Connection • Use Q&A: For Questions or Other Problems • Event Website: https://events.westat.com/sops ► Download present…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44803/psn-pdf
    January 27, 2016 - Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting. January 27, 2016 Farag AA, Anthony MK. Examining the Relationship Among Ambulatory Surgical Settings Work Environment, Nurses' Characteristics, and Medication Errors Reporting. …
  7. digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/management
    January 01, 2023 - Management of fall risk among older adults in diverse primary care settings. Citation Shear K, Rice H, Garabedian PM, Bjarnadottir R, Lathum N, Horgas AL, Harle CA, Dykes PC, Lucero R. Management of fall risk among older adults in diverse primary care settings. J Appl Gerontol. 2023 Jun 30:73346482311…
  8. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-13.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.13. Project Team Composition—Pediatric Continuity of Care Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Heal…
  9. digital.ahrq.gov/principal-investigator/lattie-emily-gardiner
    January 01, 2023 - Lattie, Emily Gardiner "Our job is to be so temporary": Designing digital tools that meet the needs of care managers and their patients with mental health concerns. Citation Kornfield R, Lattie EG, Nicholas J, Knapp AA, Mohr DC, Reddy M. "Our job is to be so temporary": Design…
  10. digital.ahrq.gov/technology/laboratory-information-system
    January 01, 2023 - Laboratory Information System Completeness and timeliness of notifiable disease reporting: a comparison of laboratory and provider reports submitted to a large county health department. Citation Dixon BE, Zhang Z, Lai PTS, et al. Completeness and timeliness of notifiable disea…
  11. Slide 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_educatingsessionparticipants.pdf
    May 29, 2025 - Slide 1 Educating Session Participants Susan Dorr Goold, MD, MHSA, MA Professor of Internal Medicine and Health Management and Policy University of Michigan 1 Educating Session Participants • Deliberative procedures usually inform, educate participants • Materials should be …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46988/psn-pdf
    April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
  13. psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
    May 28, 2014 - Most patients will be well managed on over-the-counter medications such as 8-hour extended-release acetaminophen
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
    March 01, 2018 - HHSA 290201300003C Managed and prepared by: Westat, Rockville, MD Joann Sorra, Ph.D.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866579/psn-pdf
    August 28, 2024 - Most patients will be well managed on over-the-counter medications such as 8-hour extended-release acetaminophen
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation   Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Nursing Home's Pressure Ulcer Prevention Implementation Scripted Exercise #…
  17. TND-0775-150722 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0775-150722.pdf
    May 12, 2015 - TND-0775-150722 Treatments for Adults with Schizophrenia Nomination Summary Document Results of Topic Selection Process & Next Steps § This topic will go forw…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/celebrating-success.pdf
    April 01, 2022 - Making It Work Tip Sheet: Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit This “Making It Work”…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33588/psn-pdf
    March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events March 15, 2025 Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events PSNet primers are regu…
  20. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p012-ef.pdf
    January 01, 2015 - Measure: Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care Measure: Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care Measure Developer: Center of Excellence for Pediatric Quality Measurement (CEPQM) Numerator Denominator Exclusions …