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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41817/psn-pdf
    November 07, 2012 - The economic burden of patient safety targets in acute care: a systematic review. November 7, 2012 Mittmann N, Matlow A. The economic burden of patient safety targets in acute care: a systematic review. Drug Healthc Patient Saf. 2012. doi:10.2147/dhps.s33288. https://psnet.ahrq.gov/issue/economic-burden-patient-sa…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39464/psn-pdf
    February 17, 2011 - Evaluation of a redesign initiative in an internal-medicine residency. February 17, 2011 McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. https://psnet.ahrq.gov/issue/evaluation-redesign…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44622/psn-pdf
    November 04, 2015 - Medical errors in dentistry. November 4, 2015 Nagelberg R. RDH. September 2015;35:79-85. https://psnet.ahrq.gov/issue/medical-errors-dentistry Little is currently known about the types of safety issues in dentistry. This magazine article discusses common adverse events in dental care and recommends strategies to i…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41294/psn-pdf
    June 01, 2012 - Reducing specimen identification errors. June 1, 2012 Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303. https://psnet.ahrq.gov/issue/reducing-specimen-identification-errors This commentary describes a hospital safet…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40212/psn-pdf
    April 04, 2011 - Creating effective quality-improvement collaboratives: a multiple case study. April 4, 2011 Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. https://psnet.ahrq.gov/issue/creatin…

  6. Clinical Recommendation: Statins in Primary Prevention of CVD | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/heart-health/cholesterol/uspstf.html
    September 01, 2018 - Clinical Recommendation: Statins in Primary Prevention of CVD Resource title: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication: The U.S. Preventive Services Task Force Recommendation Resource description: This clinical recommendation summarizes the use of stat…

  7. Wrong-patient orders in obstetrics. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights/citation/wrong
    January 01, 2023 - Wrong-patient orders in obstetrics. Citation Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, Applebaum JR, Schechter CB, Adelman JS, Goffman D. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021 Aug 1;138(2):229-235. doi: 10.1097/AOG.0000000000004474. PMID: 34237762. Link https://pub…

  8. Planning for Sustainability | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/enhanced-recovery/planning.html
    June 01, 2023 - Planning for Sustainability Tools and Resources To Help Hospitals Sustain an ISCR Program You have reached sustainability when the Improving Surgical Care and Recovery (ISCR) pathway components are part of daily practice and little to no effort is needed to change behavior. The tools included in this section …

  9. How Does Infection Prevention Fit Into a Safety Program? | PSNet

    psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
    March 01, 2014 - In some ways, because they are more easily measured than other harms, such as diagnostic errors, they

  10. Final Progress Report: Solutions for Vertigo presentations in the Emergency Department (SOLVE) Project (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/kerber-report.pdf
    January 01, 2025 - Model discrimination was measured with the c-statistic, including 95% confidence intervals (CI).

  11. peds20151711 1..8 (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/72ybMHDdg9WyFzrYMBF4ch
    August 01, 2015 - Treatment harms were generally not measured or reported; the 2 included studies reported few data on

  12. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
    January 01, 2004 - If we only measured beliefs, or only focused on the kinds of errors that were actually reported, our

  13. A user-center designed anticoagulation shared decision-making tool for stroke prevention in atrial fibrillation - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs026322-dorsch-final-report-2021.pdf
    January 01, 2021 - Anticoagulation intentions will be measured by the question: “Based on how you feel about this decision

  14. Ptsd-Adult-Treatment Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-adult-treatment_executive.pdf
    April 01, 2013 - models to estimate pooled effects.19 For continuous outcomes (e.g., scales for symptom reduction) measured … Also, our network meta-analysis was based on a single outcome (reduction of PTSD symptoms as measured

  15. Chronic-Kidney-Disease-Anemia-2011 Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-kidney-disease-anemia-2011_executive.pdf
    January 01, 2011 - Key Question 1 outcomes included mortality, morbidity, quality of life measured using standardized scales … Mortality – Morbidity (e.g., cardiac or liver toxicity and infection) – Quality of life, measured

  16. - (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cystic-fibrosis-hgh_appendixes.pdf
    January 01, 2009 - Assessing the usefulness of outcomes measured in a cystic fibrosis treatment trial.

  17. Disposition of Comments for CER 167 Renal Masses (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/renal-cancer_disposition-comments.pdf
    February 24, 2016 - that ablation had the shortest LOS lowest EBL and fewest conversions which is a metric that can’t be measured

  18. Disposition of Comments_Blood-Based Tests for Multiple Cancer Screening: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cell-free-dna-disposition-comments.pdf
    May 14, 2025 - is the summary measure of an outcome for the study (e.g. effect of screening on cancer mortality, measured … For many who receive positive findings, anxiety has been measured, but anxiety also has been consistently … clinical utility of MCSTs should focus on non- mortality measures of patient benefit as well as directly measured

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853080/psn-pdf
    August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges August 30, 2023 Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…

  20. AHRQ Safety Program for MRSA Prevention

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Learning From Defects ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Learning From Defects 1 Educational Objectives Describe a process to help teams learn from defects Explore …
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