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  1. www.ahrq.gov/research/findings/postpartumdep.html
    June 01, 2018 - Efficacy and Safety of Screening for Postpartum Depression Patients who receive screening for postpartum depression show some improved outcomes compared with patients who receive no screening, according to a new review from AHRQ’s Effective Health Care Program, but the overall effect of the improvement on long-…
  2. www.ahrq.gov/topics/quality-care.html
    Quality of Care AHRQ has information on the National Quality Strategy, data on health care quality, details on quality measurement projects, and AHRQ resources on quality. National Quality Strategy The National Quality Strategy is a national effort to align public- and private-se…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866528/psn-pdf
    August 14, 2024 - First with Kids: Medication Errors. August 14, 2024 First L. NBC5. First with Kids: Medication Errors. August 1, 2024. https://psnet.ahrq.gov/issue/first-kids-medication-errors Medication mistakes involving children are common. This news segment provides suggestions for parents to help improve the safety of medica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37767/psn-pdf
    June 01, 2022 - Hospital Survey on Patient Safety Culture 2.0. June 1, 2022 Rockville, MD: Agency for Healthcare Research and Quality; 2019. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20 The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey and accompanying toolkit were developed to collect …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41916/psn-pdf
    December 12, 2012 - Process indicators of quality clinical pharmacy services during transitions of care. December 12, 2012 Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi:10.1002/phar.1214. https://psnet.ahr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39222/psn-pdf
    January 13, 2010 - Surgical site signing and "time out": issues of compliance or complacence. January 13, 2010 Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. https://psnet.ahrq.gov/issue/surgical-site-signin…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43086/psn-pdf
    March 26, 2014 - International Comparisons: A Focus on Quality of Care. March 26, 2014 Ottawa, ON: Canadian Institute for Health Information; January 23, 2014. https://psnet.ahrq.gov/issue/international-comparisons-focus-quality-care This report compared the quality of care in Canada with 34 other countries to identify areas in whi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43682/psn-pdf
    November 19, 2014 - Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis. November 19, 2014 Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203(3):476-593. https://psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis Articles in this special issue discuss common pitfalls in musculoskeletal imaging that can con…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41872/psn-pdf
    December 12, 2012 - Staffing matters—every shift. December 12, 2012 West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussion 28. doi:10.1097/01.NAJ.0000423501.1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44553/psn-pdf
    October 07, 2015 - A medical detective story: why doctors make diagnostic errors. October 7, 2015 Landro L. Wall Street Journal. September 26, 2015. https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39034/psn-pdf
    November 25, 2009 - AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. November 25, 2009 Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e. https://psnet.ahrq.gov/issue/ahrqs-hospital…
  12. PROMPTLY REMOVE (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-f.docx
    June 02, 2025 - PROMPTLY REMOVE AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix F. Urinary Catheter Decision-Making Algorithm Is there a urinary catheter in place? Does the patient meet criteria for catheter placement? Avoid catheter placement. Accepted Urinary Catheter Placement Indications 1. Acute urinary retentio…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855439/psn-pdf
    December 07, 2023 - Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. November 15, 2023 American Hospital Association. December 7, 2023. https://psnet.ahrq.gov/issue/bringing-systemness-focus-quality-safety-and-patient-experience Health care organizations require a systems approach to address patient safety ch…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42345/psn-pdf
    June 12, 2013 - With money at risk, hospitals push staff to wash hands. June 12, 2013 Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Healthcare. Clinical Infectious Diseases. 2011;54(1). doi:10.1093…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46620/psn-pdf
    January 30, 2018 - Where should patient safety be installed? January 30, 2018 Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17. doi:10.1002/jhrm.21285. https://psnet.ahrq.gov/issue/where-should-patient-safety-be-installed Organizational structure influences the prioritization of safe…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47371/psn-pdf
    September 26, 2018 - When I say…diagnostic error. September 26, 2018 Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. https://psnet.ahrq.gov/issue/when-i-saydiagnostic-error Inconsistent terminology use in research, education, and measurement strategy development hinders progress and understanding in eme…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-6-table-6-7.pdf
    June 02, 2025 - CHIPRA 230: Section 6, Tables 6 and 7 Table 6: Agreement and Kappa Statistics for Inter-Rater Reliability Variable Description Records Reviewed For IRR (N) N Agreed (%) Kappa Statistic Documentation of BMI percentile 59 58 (98) 0.982 Documentation of weight classification 59 55 (93) 0.924 …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38084/psn-pdf
    September 24, 2008 - How patients perceive a doctor's caring attitude. September 24, 2008 Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns. 2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022. https://psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude This study co…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38324/psn-pdf
    January 14, 2009 - Effectiveness of random and focused review in detecting surgical pathology error. January 14, 2009 Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5D7MYKDWF. https://psnet.ahrq.gov/is…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45134/psn-pdf
    August 10, 2016 - Patient Safety: Exploring Quality of Care in the US. August 10, 2016 ProPublica, Inc. New York, NY. 2012-2016. https://psnet.ahrq.gov/issue/patient-safety-exploring-quality-care-us This website provides resources exploring patient safety challenges from various perspectives, including feature length articles and m…