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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50776/psn-pdf
    January 08, 2020 - Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. January 8, 2020 Carayon P, Hoonakker P, Hundt AS, et al. Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73356/psn-pdf
    June 02, 2021 - Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021 Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health. May 20, 2021. https://psnet.ahrq.gov/issue/testing-and-labeling-medical-d…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42598/psn-pdf
    September 18, 2013 - Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? September 18, 2013 Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52. doi:10.1097/MCC.0b013e328364d53…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46978/psn-pdf
    April 04, 2018 - Using the patient safety huddle as a tool for high reliability. April 4, 2018 Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. https://psnet.ahrq.gov/issue/using-patient-safety-huddle-t…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46760/psn-pdf
    January 24, 2018 - Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. January 24, 2018 Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. B…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45609/psn-pdf
    November 16, 2016 - A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. November 16, 2016 Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000000536. https://psnet.ahrq.gov/…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44969/psn-pdf
    March 23, 2016 - Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children. March 23, 2016 Basco WT, Garner SS, Ebeling M, et al. Evaluating the Potential Severity of Look-Alike, Sound-Alike Drug Substitution Errors in Children. Acad Pediatr. 2016;16(2):183-191. doi:10.1016/j.acap.2015.06.014…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837513/psn-pdf
    June 22, 2022 - Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' June 22, 2022 Agency for Healthcare Quality and Research. Fed Register. June 3, 2022;87: 33795-33796.  https://psnet.ahrq.gov/issue/agency-information-collection-a…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38727/psn-pdf
    November 25, 2009 - FMEA team performance in health care: a qualitative analysis of team member perceptions. November 25, 2009 Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72486/psn-pdf
    November 18, 2020 - ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. November 18, 2020 ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5. https://psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside- pharmacy Mistakes in …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845657/psn-pdf
    March 08, 2023 - Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). March 8, 2023 Rockville, MD: Agency for Healthcare Research and Quality. February 15, 2023. RFA-HS-23-002. https://psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-base…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72606/psn-pdf
    December 23, 2020 - Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 2020. https://psnet.ahrq.gov/issue/best-practices-d…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72826/psn-pdf
    March 10, 2021 - Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis. March 10, 2021 Whaley C, Bancsi A, Ho JM-W, et al. Prescribers’ perspectives on including reason for use information on prescriptions and medication labels: a qualitative thema…

  14. Advancing Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/advancing-patient-safety.html
    March 01, 2024 - Advancing Patient Safety Advancing Patient Safety: A Decade of Evidence, Design, and Implementation This document highlights some of the Agency's contributions in advancing patient safety during the past decade. Advances in Patient Safety: From Research to Implementation This four-volume set from AHRQ and t…

  15. Using Root Cause Analysis to Improve Quality and Performance | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
    February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes  (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…

  16. Rosenthal, Daniel | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/rosenthal-daniel
    January 01, 2023 - Rosenthal, Daniel Health information technology automation of quality measurement: quality data set and data flow. Citation National Quality Forum (NQF). Health Information Technology Automation of Quality Measurement: Quality Data Set and Data Flow. NQF. http://www.qualityfor…

  17. CHIPRA 234: Access to Outpatient Dental Care for Children (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
    June 17, 2014 - • Rendering/billing provider NPI – consistently collected through the processing of administrative

  18. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
    April 01, 2022 - A Playbook for Preventing CLABSI and CAUTI in the ICU Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI A Playbook for Preventing CLABSI and CAUTI in the ICU Setting 2 Playbook AHRQ Safety Program for Intensi…

  19. Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
    January 01, 2020 - Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report 1. TITLE PAGE Title: Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) Principal Investigator: Michael Avidan, MBBCh Key Team Members: Arbi Ben Abdallah, PhD; Yixin Chen, PhD; Brad Fritz…

  20. The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department | PSNet

    psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
    October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
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