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  1. www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
    January 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5 Co-investigators: Paul R. Rosenbaum, Ph.D5,6 Patrick S. Romano, MD, MPH7 Project Manager: Bijan A. Niknam, BS1 Orit Even-Shoshan, MS1,5 Senior Statis…
  2. www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
    January 01, 2024 - Inter-rater reliability was assessed on the first five patients enrolled and randomly checked once per month … Fidelity to the intervention was monitored weekly in the first month and then monthly thereafter, assuring
  3. www.ahrq.gov/sops/about/faq/index.html
    June 01, 2022 - Surveys on Patient Safety Culture® (SOPS®) Program Frequently Asked Questions Search or browse for answers to questions about the AHRQ Surveys on Patient Safety Culture® (SOPS®) Program, surveys, supplemental item sets, and the SOPS Databases. Send additional questions to SafetyCultureSurveys@westat.com.   …
  4. psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
    October 31, 2023 - attacks against hospital workers increased from 13.5 events per 1,000 emergency department accesses per month
  5. psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
    October 31, 2023 - attacks against hospital workers increased from 13.5 events per 1,000 emergency department accesses per month
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
    March 15, 2008 - Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach Kathryn Kraft Leonhardt, MD, MPH; Patti Pagel, RN; Deborah Bonin, RHIA, CPHQ; D. Paul Moberg, PhD; Mitchell L. Dv…
  7. digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources
    January 01, 2023 - Patient Readiness to Use Internet Health Resources Project Final Report ( PDF , 444.98 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No…
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
    December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Pressure Ulcer Prevention Handouts (continued) Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Change Team's Process of Choosing On-Time Reports, Incorporating Them Into Huddles and Meetings, and Pilot…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33799/psn-pdf
    January 01, 2015 - Burnout Among Health Professionals and Its Effect on Patient Safety January 1, 2015 Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety Annual Perspective 2015 Bur…
  10. digital.ahrq.gov/sites/default/files/docs/survey/electronic-behavior-health-records-nebraska.pdf
    June 16, 2021 - Sharing Electronic Behavior Health Records: A Nebraska Perspective Sharing Electronic Behavior Health Records: A Nebraska Perspective Southeast Nebraska Behavioral Health Information Network, Inc., Lincoln NE This is a questionnaire designed to be completed by physicians, implementers, and nurses across a hea…
  11. digital.ahrq.gov/ahrq-funded-projects/enhancing-quality-patient-care-equip-project
    January 01, 2023 - Enhancing Quality in Patient Care (EQUIP) Project Project Final Report ( PDF , 61.74 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No s…
  12. www.ahrq.gov/news/newsletters/e-newsletter/903.html
    March 01, 2024 - AHRQ Stats: Relationship Between Electronic Nicotine Use and General Health Issue Number 903 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. March 5, 2024 AHRQ Stats: Relationship Between Electronic Nicotine Use and General Health Among young adults who rep…
  13. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-planning.html
    May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Planning for Sustainability Previous Page Next Page Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Pro…
  14. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
    February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 2. Analyze Care Delivery Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
    April 01, 2014 - Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease Q‐METRIC SCD Measure 16, ED Pain Assessment U18HS020516 Page 1 Submitted April 2014 Table 5: Evidence Supporting Emergency Department Pain Assessment for Children with Sickle Cell Disease Type of Evi…
  16. integrationacademy.ahrq.gov/about/initiatives/opioid/grantees/colorado
    February 01, 2023 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  17. digital.ahrq.gov/ahrq-funded-projects/dissemination-wiseapp-improving-health-outcomes-across-settings
    January 01, 2024 - Dissemination of the WiseApp for Improving Health Outcomes Across Settings Project Description Publications By adapting WiseApp for Spanish-speaking patients living with HIV, this research has the potential to improve medication adherence, potentially slowing progression …
  18. www.ahrq.gov/news/newsletters/e-newsletter/940.html
    December 01, 2024 - AHRQ-Funded Studies Consider Tramadol Use and Safety Trends Issue Number 940 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. December 3, 2024 AHRQ Stats: Trends in Severe Maternal Morbidity The rate of severe maternal morbidity increased 40 percent between 20…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
    May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4i Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33574/psn-pdf
    March 15, 2025 - Ambulatory Care Safety March 15, 2025 Ambulatory Care Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/ambulatory-care-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Las…