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  1. psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
    May 29, 2024 - Study Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. Citation Text: Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…
  2. psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
    November 17, 2014 - Study Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. Citation Text: Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing …
  3. psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
    October 16, 2012 - Study Promoting patient safety using an early warning scoring system. Citation Text: Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. Copy Citation Format: Google Scholar PubMed B…
  4. psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons
    October 19, 2022 - Study Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. Citation Text: Scherr K, Wilson DM, Wagner J, et al. Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. AACN Adv Crit Care. 2012;23(1):32-42. doi:10.1097/NCI.0b013e31824…
  5. www.ahrq.gov/pqmp/measures/timely-fluid-bolus.html
    August 01, 2021 - Timely fluid bolus for children with severe sepsis or septic shock Measure Domain:  Management of Acute Conditions Measure Sub-Domain:  Pediatric Sepsis Syndrome PQMP COE:  Q-METRIC Associated NQF # and Name:  None Products: Full Report  (PDF, 260 KB) Measure Technical Specifications and Other Suppo…
  6. www.ahrq.gov/pqmp/measures/children-with-disabilities-algorithm.html
    August 01, 2021 - Children with Disabilities Algorithm (CWDA) Measure Domain:  Management of Chronic Conditions Measure Sub-Domain:  Pediatric Algorithm PQMP COE:  CEPQM Associated NQF # and Name:  None Products: Full Report  (PDF, 212 KB) Measure Technical Specifications and Other Supporting Documents: Section 2, …
  7. www.ahrq.gov/pqmp/measures/post-partum-followup.html
    August 01, 2021 - Post-Partum Follow-Up and Care Coordination Measure Domain:  Perinatal Care Measure Sub-Domain:  Postpartum Care PQMP COE:  PMCOE Associated NQF # and Name:  None Products: Fact Sheet  (PDF, 335 KB) Full Report  (PDF, 169 KB) Measure Technical Specifications and Other Supporting Documents: Measu…
  8. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapg.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix G. Readiness Assessment Previous Page   Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods Participation Outcomes Adult Non-…
  9. www.ahrq.gov/topics/patient-centered-healthcare.html
    Topic: Patient-Centered Healthcare Patient-centered care partners with patients and families, welcomes their involvement, and personalizes care to preserve patients‘ normal routines as much as possible. A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37080/psn-pdf
    October 03, 2011 - Pharmacists' perceptions of computerized prescriber- order-entry systems. October 3, 2011 Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber- order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32. https://psnet.ahrq.gov/issue/pharmacists-perceptions-co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867145/psn-pdf
    November 13, 2024 - Technology, Education and Safety. November 13, 2024 Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742. https://psnet.ahrq.gov/issue/technology-education-and-safety-3 Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41641/psn-pdf
    August 29, 2012 - Patient safety and quality improvement: an overview of QI. August 29, 2012 Schriefer J, Leonard M. Patient safety and quality improvement: an overview of QI. Pediatr Rev. 2012;33(8):353-9; quiz 359-60. doi:10.1542/pir.33-8-353. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi This c…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35413/psn-pdf
    September 11, 2009 - Lessons learned: basic evidence-based advice for preventing medication errors in children. September 11, 2009 Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45478/psn-pdf
    October 26, 2016 - Core principles of quality improvement and patient safety. October 26, 2016 Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety This review discusses key patient safet…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73380/psn-pdf
    June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction. June 9, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; April 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of pediatric wron…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73860/psn-pdf
    September 22, 2021 - A system safety approach to assessing risks in the sepsis treatment process. September 22, 2021 Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sep…
  17. digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/citation/system
    January 01, 2023 - Work system barriers and facilitators of a team health information technology. Citation Hose BZ, Carayon P, Hoonakker PLT, Brazelton TB 3rd, Dean SM, Eithun BL, Kelly MM, Kohler JE, Ross JC, Rusy DA. Work system barriers and facilitators of a team health information technology. Appl Ergon. 2023 Nov;11…
  18. digital.ahrq.gov/ahrq-funded-projects/valuation-primary-care-integrated-telehealth/citation/differences-diagnosis-and
    January 01, 2023 - Differences in diagnosis and treatment using telemedicine versus in-person evaluation of acute illness. Citation McConnochie KM, Conners GP, Brayer AF, et al. Differences in diagnosis and treatment using telemedicine versus in-person evaluation of acute illness. Ambul Pediatr 2006 Jul-Aug;6(4):187-95;…
  19. digital.ahrq.gov/care-setting/urgent-care-center
    January 01, 2023 - Urgent Care Center Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgent care by …
  20. digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision/citation/survey
    January 01, 2023 - Survey-based work system assessment to facilitate large-scale dissemination of healthcare quality improvement programs. Citation Xie A, Koontz DW, Voskertchian A, Fackler JC, Milstone AM, Woods-Hill CZ. Survey-based work system assessment to facilitate large-scale dissemination of healthcare quality …