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  1. psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters
    October 05, 2011 - Book/Report Foundations of Safety Science: a century of understanding accidents and disasters. Citation Text: Foundations of Safety Science: a century of understanding accidents and disasters. Dekker S. Taylor & Francis Group, Boca Raton, FL: CRC Press; 2019. ISBN:  978113848178…
  2. effectivehealthcare.ahrq.gov/sites/default/files/module-i-ahrqs-vision-for-theory-and-principles-of-stakeholder-engagement.pdf
    August 10, 2017 - Home | AHRQ Effective Health Care Program Skip Navigation U.S. Department of Health & Human Services About Us Careers Contact Us Español FAQ Email Updates Search ahrq.gov …
  3. psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
    July 12, 2023 - Newspaper/Magazine Article Independent double checks: undervalued and misused. Citation Text: Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.   Copy Citation Save Save to your lib…
  4. digital.ahrq.gov/care-setting/veteran-affairs-medical-center
    January 01, 2023 - Veteran Affairs Medical Center A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide Description This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US m…
  5. psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
    January 22, 2017 - Commentary Falls prevention at Mayo Clinic Rochester: a path to quality care. Citation Text: Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44. Copy Citation Format: Google Scholar PubMed BibTeX End…
  6. psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
    January 22, 2020 - Book/Report Inadvertent Administration of an Oral Liquid Medicine into a Vein. Citation Text: Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. Copy Citation Save Save to your …
  7. psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
    September 05, 2012 - Book/Report Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. Citation Text: Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. Tuc…
  8. psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
    June 24, 2020 - Newspaper/Magazine Article Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. Citation Text: Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. O'Donnell J. USA Today. September 8, 2020 …
  9. psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
    May 25, 2022 - Book/Report Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Citation Text: Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcar…
  10. psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
    July 15, 2015 - Book/Report Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic. Citation Text: Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pan…
  11. effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-adults-prisons_disposition-comments.pdf
    August 21, 2013 - Disposition of Comments Report for Interventions for Adult Offenders With Serious Mental Illness Comparative Effectiveness Research Review Disposition of Comments Report Research Review Title: Interventions for Adult Offenders With Serious Mental Illness Draft review available for public comment from Se…
  12. www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
    January 01, 2024 - Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care Final Report TIPI Systems to Reduce Errors in Emergency Cardiac Care Principal Investigator: Harry P. Selker, MD, MSPH Tufts-New England Medical Center, Boston, MA Dates of Project: September 15, 2000, to August 31, 2004 Project Offi…
  13. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
    June 01, 2013 - Spotlight Case July 2008 Spotlight Case Emergency Error 1 2 Source and Credits This presentation is based on the June 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Nicholas Symons, MBChB, MSc, Imperial College London Editor, AHRQ WebM&M: Robe…
  14. digital.ahrq.gov/sites/default/files/docs/survey/engaging-diverse-patients-in-hit-use.pdf
    January 01, 2004 - Engaging diverse patients in health information technology use University of California, San Francisco; San Francisco, California This is a questionnaire designed to be completed by individuals with chronic care needs in patient homes. The tool includes questions to assess the current state of patient portals,…
  15. www.ahrq.gov/sites/default/files/2024-10/li-chang-report.pdf
    January 01, 2024 - Final Progress Report: Systematic Evaluation of Operating Room Scheduling Across the Perioperative Process Systematic Evaluation of Operating Room Scheduling Across the Perioperative Process Principal Investigator: Wei Li, PhD, PE University of Kentucky Co-Investigators: Phillip K. Chang, MD UK Healthcare Team Membe…
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention How To Integrate a CUSP Approach ICU & Non-ICU Slide Title and Commentary Slide Number and Slide How to Integrate a CUSP Approach SAY: Welcome to this presentation about the Comprehensive Unit-based Safety Program, or CUSP. This presentation discusses how to integrate a CUSP…
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
    February 01, 2010 - Spotlight Case July 2008 Spotlight Case Adolescent Diabetes: A Routine Visit? Source and Credits This presentation is based on the February 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
    August 24, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 7: Resolution Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process. 1 Objectives Define the CANDOR Resolution component and its importance in the CANDOR process. List the steps of the resolution pr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61080/psn-pdf
    October 28, 2020 - Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. October 28, 2020 DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring …
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Publication No. 17-0003-18-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Elect…