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  1. Workplace Safety Supplemental Item Set for Hospital SOPS. | PSNet

    psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops
    December 24, 2008 - Measurement Tool/Indicator Workplace Safety Supplemental Item Set for Hospital SOPS. Citation Text: Workplace Safety Supplemental Item Set for Hospital SOPS. Rockville, MD: Agency for Healthcare Research and Quality; 2021. Copy Citation Save Save to your library…

  2. Delivering the right diet to the right patient every time. | PSNet

    psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time
    March 27, 2018 - Government Resource Delivering the right diet to the right patient every time. Citation Text: Delivering the right diet to the right patient every time. Wallace SC. PA-PSRS Patient Saf Advis. 2015;12:62-70. Copy Citation Save Save to your library Print D…

  3. Safer Sign Out. | PSNet

    psnet.ahrq.gov/issue/safer-sign-out
    April 22, 2020 - Tools/Toolkit Safer Sign Out. Citation Text: Safer Sign Out. Emergency Medicine Patient Safety Foundation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  4. Supplemental-Shareddecisionmaking-Cgcahps-Child-2358-5A (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-shareddecisionmaking-cgcahps-child-2358-5a.docx
    June 02, 2025 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Shared Decisionmaking Population Version: Child Supplemental Items for the CAHPS® Clinician & Group Survey 3.0 Topic: Shared Decisionmaking Population Version: Child Language: English Users of the CAHPS® Clinician & Group Survey are free to incorporate supp…

  5. Preventing Medication Errors: A $21 Billion Opportunity. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-21-billion-opportunity
    December 03, 2008 - Fact Sheet/FAQs Preventing Medication Errors: A $21 Billion Opportunity. Citation Text: Preventing Medication Errors: A $21 Billion Opportunity. Washington, DC: National Priorities Partnership and National Quality Forum; December 2010. Copy Citation Save Save…

  6. The Child HCAHPS® Survey Database Flyer (pdf file)

    cahpsdatabase.ahrq.gov/files/CH/Child-HCAHPS-DB-FlyerUpdate.pdf
    April 11, 2025 - The Child HCAHPS® Survey Database Flyer The Child HCAHPS® Survey Database: Comparative Data for Hospitals Administering the Child HCAHPS Survey The Opportunity The Agency for Healthcare Research and Quality (AHRQ) invites all users of the Child Hospital Consumer Assessment of Healthcare Providers and Systems (…

  7. Training Education | PSNet

    psnet.ahrq.gov/training-education
    October 01, 2025 - Training and Education Overview PSNet offers an unparalleled set of resources for patient safety training and education. In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases and complete the interactive learning modules for continuing medical education (CME), maintenan…

  8. Project ECHO: Extension for Community Healthcare Outcomes Through Telemedicine (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesArora2010.pdf
    June 01, 2007 - Project ECHO: Extension for Community Healthcare Outcomes Through Telemedicine                                                                                                                                                                                                                                          …

  9. Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. | PSNet

    psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
    June 15, 2005 - Newspaper/Magazine Article Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Citation Text: Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Connolly C. Washington Post. March…

  10. Massachusetts General Hospital | Digital Healthcare Research

    digital.ahrq.gov/organization/massachusetts-general-hospital
    January 01, 2023 - Massachusetts General Hospital Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning Description This research uses large language models and machine learning to retrospectively analyze electronic health …

  11. USA, GA, Atlanta | Digital Healthcare Research

    digital.ahrq.gov/location/usa-ga-atlanta
    January 01, 2023 - USA, GA, Atlanta Improving Influenza Vaccine Uptake in Acute Care Settings Description This research developed and evaluated three clinical decision support interventions to promote influenza vaccinations among hospitalized children and found that the tools increased vaccine u…

  12. Medical error reporting system still a year off. | PSNet

    psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
    July 10, 2013 - Newspaper/Magazine Article Medical error reporting system still a year off. Citation Text: Medical error reporting system still a year off. Hansen D. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  13. ASHP IV Adult Continuous Infusions. | PSNet

    psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions
    February 08, 2006 - Organizational Policy/Guidelines ASHP IV Adult Continuous Infusions. Citation Text: ASHP IV Adult Continuous Infusions. Bethesda, MD: American Society of Health-System Pharmacists; 2016. Copy Citation Save Save to your library Print Download PDF …

  14. Two steps forward and one step back for patient safety? | PSNet

    psnet.ahrq.gov/issue/two-steps-forward-and-one-step-back-patient-safety
    June 10, 2018 - Newspaper/Magazine Article Two steps forward and one step back for patient safety? Citation Text: Two steps forward and one step back for patient safety? ISMP Medication Safety Alert! Acute Care Edition. June 30, 2005;10.   Copy Citation Save Save to your…

  15. Using Human Factors Engineering to Improve Patient Safety, Second edition. | PSNet

    psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition
    May 18, 2016 - Book/Report Using Human Factors Engineering to Improve Patient Safety, Second edition. Citation Text: Using Human Factors Engineering to Improve Patient Safety, Second edition. Gosbee JW, Gosbee LL. Oakbrook, IL: Joint Commission; 2010. ISBN: 9781599404110. Copy Citation …

  16. Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. | PSNet

    psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-patterns
    March 27, 2005 - Newspaper/Magazine Article Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. Citation Text: Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. Collins TR. The Hospitalist. July 2011. Copy Citation …

  17. National Patient Safety Goals. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-goals
    May 30, 2012 - Organizational Policy/Guidelines National Patient Safety Goals. Citation Text: National Patient Safety Goals. The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…

  18. Sentinel Event. | PSNet

    psnet.ahrq.gov/issue/sentinel-event
    May 30, 2012 - Multi-use Website Classic Sentinel Event. Citation Text: Sentinel Event. The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  19. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
    May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066. …

  20. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201501.html
    March 01, 2015 - AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital Search All Impact Case Studies March 2015 Nacogdoches Memorial Hospital, a 216-bed Level III trauma center in Nacogdoches, Texas, saw 30-day all-cause readmissions drop from 18.6 percent to 16.6 percent in the six-month …
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