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9261. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
      March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Executive Summary Overview      How To Use This Guide Program Elements      Long-Term Care Safety Toolkit Modules      T.E.A…

9262. Personalized Clinical Decision Support to Improve Participation in Hospital at Home – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs027248-kowalkowski-final-report-2023.pdf
      January 01, 2023 - Personalized Clinical Decision Support to Improve Participation in Hospital at Home – Final Report Personalized Clinical Decision Support to Improve Participation in Hospital at Home Final Report Principal Investigators: Marc Kowalkowski, PhD Andrew McWilliams, MD, MPH Team Members: Shih-Hsiung Chou, Ph…

9263. Remote Patient Monitoring | PSNet
      psnet.ahrq.gov/perspective/remote-patient-monitoring
      March 15, 2023 - Remote Patient Monitoring Colton Hood, MD, MBI,Neal Sikka, MD,Cindy Manaoat Van, MHSA,Sarah E. Mossburg, RN, PhD | March 15, 2023  Also Read the Conversation View more articles from the same authors. Citation Text: Hood C, Sikka N, Van CM, et al. Remote Patien…

9264. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. Lynn Chevalier, Angelo Ruperto, Peg Dameron, Frederick J. Heigel, Ruth Leslie, Janet Mannion, Robert J. Panzer Abstract New Yor…

9265. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
      July 01, 2004 - Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings 225 Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings K. Arnold Chan for the HMO Research Network CERT Patient Safety Investigators Abstract Ten health m…

9266. In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
      March 15, 2023 - In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring March 15, 2023  Also Read the Essay Citation Text: In Conversation with.. Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring. PSNet [internet]. 2023.In Conve…

9267. Strength, Weakness, Opportunities, and Threats Analysis | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/swot-analysis
      January 01, 2023 - Strength, Weakness, Opportunities, and Threats Analysis Acronym SWOT Also Known As SWOT Analysis Description A strength, weakness, opportunities, and threats (SWOT) analysis is a strategic technique used to identify elements of strength, weakness, opportunity, and threats. The anal…

9268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60826/psn-pdf
      August 19, 2020 - Variation in electronic test results management and its implications for patient safety: a multisite investigation. August 19, 2020 Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J Am Med Inform Assoc. 2020;27(8):12…

9269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838322/psn-pdf
      October 12, 2022 - COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. October 12, 2022 Washington, DC: United States Government Accountability Office; September 14, 2022. Publication GAO-22-105133.  https://psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs…

9270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866400/psn-pdf
      January 01, 2025 - Medication administration in aged care facilities: a mixed- methods systematic review. July 31, 2024 Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed?methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. https://psnet.ahrq.gov/issue/medication-a…

9271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45453/psn-pdf
      November 02, 2016 - Creating highly reliable health care: how reliability- enhancing work practices affect patient safety in hospitals. November 2, 2016 Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759. https://psnet.ahrq.gov/issue/creating-highly-reliable-health-care-…

9272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854641/psn-pdf
      October 18, 2023 - Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. October 18, 2023 Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023. https://psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021 There are recognized systemic w…

9273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867534/psn-pdf
      March 10, 2025 - Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. January 15, 2025 Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. Food and Drug Administ…

9274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867595/psn-pdf
      January 22, 2025 - Resilience in nursing medication administration practice: a systematic review with narrative synthesis. January 22, 2025 Kellett PLR, Franklin BD, Pearce S, et al. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. BMJ Open Qual. 2024;13(4):e002711. doi:10.1136/b…

9275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867692/psn-pdf
      March 05, 2025 - Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. March 5, 2025 Rowland P, Lan MF, Wan C, et al. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in …

9276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46572/psn-pdf
      January 01, 2018 - Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. December 21, 2017 Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and …

9277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45807/psn-pdf
      February 08, 2017 - A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. February 8, 2017 Lo H-Y, Mullan PC, Lye C, et al. A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u212920.w5661. htt…

9278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34649/psn-pdf
      June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and …

9279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50404/psn-pdf
      January 01, 2020 - Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths October 2, 2019 Mitchell R, Faris M, Lystad R, et al. Using the WHO International Classification of patient safety framework to identify …

9280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47848/psn-pdf
      May 08, 2019 - A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. May 8, 2019 Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconciliation at a Health System. Qual Manag…