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  1. Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. | PSNet

    psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve
    November 16, 2022 - Study Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. Citation Text: Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Canc…

  2. A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effects-resident-duty-hour-restrictions-surgery-impact-resident-wellness
    March 19, 2018 - Review Classic A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes. Citation Text: Ahmed N, Devitt KS, Keshet I, et al. A systematic review of the effects of resident duty …

  3. An initiative to reduce insulin-related adverse drug events in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital
    March 24, 2021 - Study An initiative to reduce insulin-related adverse drug events in a children's hospital. Citation Text: Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds…

  4. AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201522.html
    August 01, 2015 - AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals Search All Impact Case Studies August 2015 Three California hospitals are among those in the San Francisco-based Dignity Health system using AHRQ's Re-Engineered Discharge (RED) Toolkit to reduce hospital readmissions and improve car…

  5. Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet

    psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data
    March 15, 2017 - Study Missed diagnosis of cancer in primary care: insights from malpractice claims data. Citation Text: Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.…

  6. Prologue: Laying the Foundation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
    June 02, 2025 - Prologue: Laying the Foundation Prologue Laying the Foundation Kerm Henriksen, PhD The volume starts with papers that look to the future and examine the past with respect to patient safety; however, its overarching theme is assessment. An underlying premise to any volume that focuses on assessment is tha…

  7. Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System. | PSNet

    psnet.ahrq.gov/issue/racial-disparities-frequency-patient-safety-events-results-national-medicare-patient-safety
    December 18, 2014 - Study Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System. Citation Text: Metersky M, Hunt D, Kliman R, et al. Racial disparities in the frequency of patient safety events: results from the National Medicare …

  8. HealthCare Information Technology Capability Survey (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/healthcare-information-technology-capability-survey.pdf
    June 16, 2021 - HealthCare Information Technology Capability Survey HealthCare Information Technology Capability Survey University of Iowa, Iowa city IA This is a questionnaire designed to be completed by administrators in an ambulatory setting. The tool includes questions to assess the current state of enterprise systems. …

  9. No Blood, Please | PSNet

    psnet.ahrq.gov/web-mm/no-blood-please
    January 14, 2011 - No Blood, Please Citation Text: Liang BA. No Blood, Please. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  10. Pharmacotherapy Training | The Academy

    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy-training
    January 01, 2020 - 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…

  11. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
    December 01, 2009 - Spotlight Case [MONTH] 2003 Spotlight Case Standard Deviations Source and Credits This presentation is based on the December 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: James E. Sabin, MD Harvard Medical School; Harvard Pilgrim Heal…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49652/psn-pdf
    May 01, 2012 - Double Dose at Transfer May 1, 2012 Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/double-dose-transfer The Case A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department (ED) for left lower extremity pain, swelling, and erythe…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74021/psn-pdf
    October 25, 2021 - In Conversation With... Georgia Galanou Luchen, Pharm. D. October 25, 2021 In Conversation With.. Georgia Galanou Luchen, Pharm. D. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d Editor’s Note: Georgia Galanou Luchen, Pharm. D., is the Director of Member Rela…

  14. Mutual Support: Obstetric Hemorrhage (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
    July 01, 2023 - Mutual Support: Obstetric Hemorrhage SPPC‐II Toolkit                                                               Hospital AIM Team Leads SPPC II Mutual  Support Obstetric  Hemorrhage Module 5 of 8 ‐ SCRIPT Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the diffe…

  15. Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology (pdf file)

    www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
    January 01, 2024 - Scales presented the case of a 75-year-old non-ambulatory female nursing home resident who was referred … people experience urinary incontinence during their final year of life.33, 34 A Canadian study of nursing … home residents found that 80% of study participants ranked urinary incontinence as their most burdensome … Hoben M, Chamberlain SA, Knopp-Sihota JA et al: Impact of symptoms and care practices on nursing home

  16. AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
    July 20, 2020 - about the extent to which their organizational culture supports patient safety Hospital (2004) Nursing … Home (2008) Medical Office (2009) Community Pharmacy (2012) Ambulatory Surgery Center (2015 … Research Datasets • For research purposes only • De-identified Data Requests ► Hospital, medical office, nursing … home, community pharmacy, and ambulatory surgery database data are available • Hospital-Identifiable

  17. Electronic Err | PSNet

    psnet.ahrq.gov/web-mm/electronic-err
    April 01, 2014 - Electronic Err Citation Text: Tang PC. Electronic Err. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49833/psn-pdf
    June 01, 2018 - Perils in Diagnosing a Stroke June 1, 2018 Schindler JL. Perils in Diagnosing a Stroke. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/perils-diagnosing-stroke The Case A 75-year-old man with a history of hypertension, diabetes, chronic back pain, and opioid use disorder was brought to the emergency depart…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49728/psn-pdf
    March 01, 2015 - Medication Mix-Up: From Bad to Worse March 1, 2015 Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse The Case A 69-year-old man with chronic kidney disease and essential hypertension was admitted to the hospital with chest …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49778/psn-pdf
    December 01, 2016 - One Dose, Two Errors December 1, 2016 Filice GA. One Dose, Two Errors. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/one-dose-two-errors The Case A 65-year-old woman was admitted to the intensive care unit (ICU) with severe sepsis and respiratory failure secondary to community-acquired pneumonia. The pati…
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