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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42868/psn-pdf
    October 31, 2014 - Communication-and-resolution programs: the challenges and lessons learned from six early adopters. October 31, 2014 Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early adopters. Health Aff (Millwood). 2014;33(1):20-29. doi:10.1377/hlth…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46990/psn-pdf
    July 25, 2018 - Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. July 25, 2018 Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted by Speech Recognition Software and Professional Transcriptionists. JAMA Netw…
  3. www.ahrq.gov/policy/social-media/comments/index.html
    August 01, 2018 - AHRQ Comment Policy Social Media Policies and Tools Social Media Policies and Tools for Comments This policy applies to public comments and content submitted to Agency for Healthcare Research and Quality (AHRQ) sites. AHRQ encourages the public to share comments on the content of this or any AHRQ Web site t…
  4. www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-provider-info-items.html
    March 01, 2017 - Supplemental Items for the CAHPS Cancer Care Survey: Information from Providers Population version: Adult Download these items: English ( Word [28 KB]) Users of the CAHPS ® Cancer Care Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, a…
  5. www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-pcmh-items-cg-survey30-adult.html
    December 01, 2018 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Patient-Centered Medical Home Population version: Adult Download these items: English ( Word , 29.84 KB ) Read about the Patient-Centered Medical Home Item Set . Users of the CAHPS Clinician & Group Survey are free to incorporate supp…
  6. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/murphy-ja-et-al-1997
    January 01, 1997 - Murphy JA et al. 1997 "Nursing process redesign with the implementation of a computer based patient record in the ambulatory setting." Reference Murphy JA, Ahlstrom JS. Nursing process redesign with the implementation of a computer based patient record in the ambulatory setting. Stud Health Technol In…
  7. www.uspreventiveservicestaskforce.org/home/getfilebytoken/n4sdjxShTApRE6UxvyYuzG
    November 01, 2008 - Colorectal cancer incidence and mortality show health disparities, with a disproportionate burden occurring … , diverticulitis, severe abdominal pain, and cardiovascular events—are signifi- cantly more common, occurring
  8. effectivehealthcare.ahrq.gov/sites/default/files/pulmonary-horizon-scan-high-impact-1412.pdf
    October 01, 2015 - The most common adverse reactions occurring in patients treated with pirfenidone compared with placebo … The most common adverse reactions occurring in patients treated with nintedanib compared with placebo … significant for death from any cause (p=0.01) or from IPF (p=0.006).27 The most common adverse reactions occurring … compared with placebo (HR, 0.38; 95% CI, 0.19 to 0.77; p=0.005).28 The most common adverse reactions occurring
  9. effectivehealthcare.ahrq.gov/sites/default/files/pdf/colorectal-cancer-screening_research-protocol.pdf
    May 18, 2011 - These cases predominantly occur in the colon, with only 30 percent of cases occurring in the rectum
  10. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
    January 01, 2021 - • Each additional IV infusion can increase the likelihood of an error occurring due to increasing
  11. hcup-us.ahrq.gov/reports/statbriefs/sb212-MRSA-Hospital-Stays-California-2013.pdf
    January 01, 2013 - Patients with multiple MRSA admissions were identified as those with two or more hospitalizations occurring
  12. www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening-2012
    March 15, 2012 - consecutive negative HPV results within 10 years before cessation of screening, with the most recent test occurring
  13. effectivehealthcare.ahrq.gov/products/care-adults-down-syndrome/protocol
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
    February 01, 2005 - maternal triage in the labor and delivery service and the occurrence of LOAV ≥ 5 days among deliveries occurring … In contrast, no such relationship was evident among deliveries occurring at less than 36 weeks.
  15. www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
    September 01, 2012 - However, in this case, the assumption that effective communication is occurring without an interpreter … LEP patients, we can develop a culture of patient safety that will prevent errors like these from occurring
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
    December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Handouts: Overview of On-Time (continued) Implementation Steps and Timeline Implementation Steps Estimated Duration / Time 1. Verify Nursing Home Readiness Leadership agrees to identify a change team champion and e…
  17. digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
    January 01, 2009 - Comprehensive Information Technology (IT) Solution for Quality and Patient Safety - 2009 Project Name Comprehensive Information Technology (IT) Solution for Quality and Patient Safety Principal Investigator Jose, Jim Organization Children's Healthcare of Atlanta, Inc. …
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
    March 01, 2009 - The Science of Improving Patient Safety 1 2 Describe the historical and contemporary context of the Science of Safety Explain how system design affects system results List the principles of safe design and identify how they apply to technical work and teamwork Indicate how teams make wise decisions when the…
  19. Saworksheet (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
    June 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Healing 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Self-Assessment Worksheet for Pressure Ulcer Healing This self-assessment tool is an im…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance.pptx
    April 01, 2022 - Urinary Catheter Maintenance Indwelling Urinary Catheter Maintenance Maintaining Awareness and Proper Care of Catheters in Place AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Disrupting the Life Cycle of a Catheter Device Disrupting the Life Cyc…