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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36508/psn-pdf
    December 06, 2011 - Patient Safety. December 6, 2011 Matlow A, Laxer RM, eds. Pediatr Clin North Am. 2006;53(6):1053-1276. https://psnet.ahrq.gov/issue/patient-safety-3 This special issue examines patient safety through the perspectives of parents, hospital leadership, human factors experts, and clinicians. https://psnet.ahrq.gov/is…
  2. digital.ahrq.gov/principal-investigator/dziorny-adam-c
    January 01, 2023 - Dziorny, Adam C. ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization Description The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilizat…
  3. digital.ahrq.gov/principal-investigator/shah-sareen-s
    January 01, 2023 - Shah, Sareen S. ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization Description The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilizati…
  4. www.ahrq.gov/sops/bibliography/index.html?page=1
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 51-100 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  5. www.ahrq.gov/es/sops/bibliography/index.html?page=1
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 51-100 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49742/psn-pdf
    September 01, 2015 - A Fumbled Handoff to Inpatient Rehab September 1, 2015 Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab The Case An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
  7. digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/smoking-pre-visit-call
    January 01, 2023 - Smoking (Pre-Visit Call, Assessment) Description Sample integrated voice response (IVR) prompts and logic used in a smoke cessation counseling program. Document Type Script Document Source Conversational Information Technology (IT) for Better, Safer Pediatric Primary Care …
  8. digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/smoking-pre-visit-call-0
    January 01, 2023 - Smoking (Pre-Visit Call, Counseling) Description Sample integrated voice response (IVR) prompts and logic used in a smoke cessation counseling program. Document Type Script Document Source Conversational Information Technology (IT) for Better, Safer Pediatric Primary Care …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35738/psn-pdf
    July 15, 2010 - Patient safety: lessons learned. July 15, 2010 Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90. https://psnet.ahrq.gov/issue/patient-safety-lessons-learned The author summarizes the systemwide approaches to safety that can be learned from high reliability organizations such as aviatio…
  10. www.ahrq.gov/topics/quality-indicators-qis.html
    Topic: Quality Indicators (QIs) AHRQ Quality Indicators (Qis) are standardized, evidence-based measures of health care quality that can be used with readily available hospital inpatient administrative data to measure and track clinical performance and outcomes. AHRQuality…
  11. hcup-us.ahrq.gov/reports/statbriefs/sb309-sepsis-race-2016-2022-addendum.pdf
    January 01, 2022 - with varying age and sepsis criteria: 1) maternal regardless of age, 2) adults 18 years and older, 3) pediatrics
  12. effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
    May 29, 2025 - Table B-1. Evidence Table Table B-1. Details of included studies Author, Year Study Design Country Setting/Transition Adult, Adolescent, or Pediatric Patients Inclusion/Exclusion Criteria Condition Caregiver Details Patient Age, Years (Mean, Unless Specified) Caregiver Age, Years (Mean, Unless Specified) Patient Fe…
  13. www.ahrq.gov/coronavirus/grants.html
    March 01, 2022 - COVID-19 Research Grant Awards The U.S. Department of Health and Human Services (HHS), through the Agency for Healthcare Research and Quality (AHRQ), announced the approval of 28 research grants designed to explore essential questions about the delivery of healthcare during the COVID-19 pandemic. Research proje…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33986/psn-pdf
    March 07, 2005 - Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. March 7, 2005 Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI https://psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims A recap of ongoing research studying the important transitions, or "handoffs" of care, that occur…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39704/psn-pdf
    July 21, 2010 - Identifying medication errors in surgical prescription charts. July 21, 2010 Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. https://psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts This study used manual chart review to estima…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35779/psn-pdf
    July 20, 2010 - Our story. July 20, 2010 King S. Our story. Pediatr Radiol. 2006;36(4):284-6. https://psnet.ahrq.gov/issue/our-story The author tells the story of medical errors that led to the death of her daughter Josie in 2001 and discusses the activities her family has undertaken to prevent similar incidents from happening to…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38438/psn-pdf
    February 25, 2009 - Minimising medication errors in children. February 25, 2009 Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child. 2009;94(2):161-4. doi:10.1136/adc.2007.116442. https://psnet.ahrq.gov/issue/minimising-medication-errors-children This review identifies factors that contribute to…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39415/psn-pdf
    March 31, 2010 - ISMP's Guidelines for Standard Order Sets. March 31, 2010 Horsham, PA: Institute for Safe Medication Practices; March 2010. https://psnet.ahrq.gov/issue/ismps-guidelines-standard-order-sets To ensure the safety and effectiveness of standard order sets, this guide provides recommendations on content, design, approv…
  19. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
    January 01, 2019 - Pediatrics. 2015;135(5):e1292-9. doi: 10.1542/peds.2014-2418. PubMed PMID: 25869374. 2.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39689/psn-pdf
    May 07, 2018 - DTaP–Tdap mix-ups now affecting hundreds of patients. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2. https://psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients This piece reports on examples of confusion between adult and pediatric immunizations and states tha…