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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34652/psn-pdf
    March 04, 2011 - Epidemiology of medical error. March 4, 2011 Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7. https://psnet.ahrq.gov/issue/epidemiology-medical-error This article summarizes the epidemiology of medical errors. The authors provide findings from benchmark studies to…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40772/psn-pdf
    November 23, 2011 - Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. November 23, 2011 Carney BT, West P, Neily J, et al. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Am J Med Qual. 2011;26(6):480-4. do…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46915/psn-pdf
    April 16, 2018 - Postoperative opioid prescribing: Getting it RIGHTT. April 16, 2018 Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707- 711. doi:10.1016/j.amjsurg.2018.02.001. https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt Use of mnemonics to rec…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46711/psn-pdf
    July 01, 2019 - The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. July 1, 2019 Washington, DC: America's Health Insurance Plans; 2019. https://psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety- and-reduced-risk Gu…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50905/psn-pdf
    February 19, 2020 - Patient activation related to fall prevention: a multisite study February 19, 2020 Christiansen TL, Lipsitz S, Scanlan M, et al. Patient activation related to fall prevention: a multisite study . Jt Comm J Qual Patient Saf. 2020. doi:10.1016/j.jcjq.2019.11.010. https://psnet.ahrq.gov/issue/patient-activation-relat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72829/psn-pdf
    March 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert…

  7. Exhibit 3.19. Major Factors that Facilitate Lean Success | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-19.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.19. Major Factors that Facilitate Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Ca…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46440/psn-pdf
    September 20, 2017 - Why do people stop taking their meds? Cost is just one reason. September 20, 2017 Hobson K. Health Shots. National Public Radio. September 8, 2017. https://psnet.ahrq.gov/issue/why-do-people-stop-taking-their-meds-cost-just-one-reason Medication regimen nonadherence can result in patient harm. This news article re…

  9. Exhibit 6.15. Major Factors that Inhibited Lean Success | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.15. Major Factors that Inhibited Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Cas…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73685/psn-pdf
    September 08, 2021 - Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. September 8, 2021 Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Anthropol Med. 2021;28(2):1…

  11. Table 4.4. Distribution of LVPHO Practices in Recruitment Pool and Practices Participating in the SATIS-PHI/CRC Intervention, by Practice Affiliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-4.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Table 4.4. Distribution of LVPHO Practices in Recruitment Pool and Practices Participating in the SATIS-PHI/CRC Intervention, by Practice Affiliation Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorect…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47159/psn-pdf
    August 01, 2018 - Safety II behavior in a pediatric intensive care unit. August 1, 2018 Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018. https://psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit The tradit…

  13. Tool 3 Continued | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72662/psn-pdf
    January 20, 2021 - Interventions to engage patients and families in patient safety: a systematic review. January 20, 2021 Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/0193945920980770. https://psnet.ahrq.gov/iss…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47970/psn-pdf
    May 01, 2019 - Can we import improvements from industry to healthcare? May 1, 2019 Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039. https://psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare Principles from high-risk industries can be appli…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41546/psn-pdf
    December 29, 2014 - Using a logic model to design and evaluate quality and patient safety improvement programs. December 29, 2014 Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. doi:10.1093/intqhc/mzs029. https://…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72582/psn-pdf
    December 16, 2020 - Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. December 16, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Report No 19-08542-11. https://psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died I…

  18. Alttext1 F7

    cahpsdatabase.ahrq.gov/files/2017CAHPSHealthPlanChartbook/ALTText1_F7.htm
    October 25, 2017 - 2017 CAHPS Health Plan Survey CHIP Heat map showing percentage distribution of 2017 Children’s Health Insurance Program (CHIP) respondents by state in descending order State Percentage Distribution CO 15.8% PA 11.9% TX 9.8% LA 9.3% WA 8.8% KS 8.5% K…

  19. Alttext1 F1

    cahpsdatabase.ahrq.gov/files/2017CAHPSHealthPlanChartbook/ALTText1_F1.htm
    October 25, 2017 - 2017 CAHPS Health Plan Survey Adult Medicaid Heat map showing percentage distribution of 2017 Adult Medicaid respondents by state in descending order State Percentage Distribution MI 9.1% MN 7.8% OR 7.5% MD 7.5% CA 5.8% PA 5.8% IN 5.1% OH 3…

  20. Alttext1 F4

    cahpsdatabase.ahrq.gov/files/2017CAHPSHealthPlanChartbook/ALTText1_F4.htm
    October 25, 2017 - 2017 CAHPS Health Plan Survey Child Medicaid Heat map showing percentage distribution of 2017 Child Medicaid respondents by state in descending order State Percentage Distribution MD 9.6% NY 8.7% WA 6.0% OR 5.0% CA 5.0% MI 4.7% KS 4.5% OH …
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