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  1. psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
    May 25, 2016 - Book/Report Guide to Reducing Unintended Consequences of Electronic Health Records. Citation Text: Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …
  2. psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
    October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…
  3. psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
    November 13, 2024 - Commentary Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. Citation Text: Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…
  4. www.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools Search All Impact Case Studies May 2015 St. Joseph's Hospital, a 72-bed facility in Breese, Illinois, has improved care and increased satisfaction among patients by using three evidence-based resources from AHRQ: The Hospital Consumer Asses…
  5. psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
    June 15, 2022 - Newspaper/Magazine Article CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. Citation Text: CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…
  6. psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
    January 22, 2017 - Commentary View the world through a different lens: shadowing another provider. Citation Text: Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. Copy Citation For…
  7. psnet.ahrq.gov/issue/partnership-patients
    October 30, 2019 - Government Resource Partnership for Patients. Citation Text: Partnership for Patients. Washington, DC: US Department of Health and Human Services. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…
  8. psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
    February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …
  9. psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
    February 18, 2011 - Commentary Critical conversations: a call for a nonprocedural "time out." Citation Text: Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853. Copy Citation Format: DOI Google Sch…
  10. psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0
    May 02, 2017 - Book/Report National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Citation Text: National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046. Cop…
  11. psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
    September 27, 2022 - Commentary The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Citation Text: Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024. Copy Ci…
  12. hcup-us.ahrq.gov/db/vars/key_nrd/nrdnote.jsp
    August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…
  13. psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
    December 12, 2018 - Newspaper/Magazine Article IV push medications survey results—part 1 and part 2. Citation Text: IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. Copy Citation Save …
  14. psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
    December 01, 2012 - June 14, 2017 Moving beyond readmission penalties: creating an ideal process to improve … January 5, 2011 Understanding patient-centred readmission factors: a multi-site, mixed-methods
  15. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
    November 01, 2019 - Sustaining Stewardship Activities Acute Care AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Sustaining Stewardship Activities Acute Care Slide Title and Commentary Slide Number and Slide Sustaining Stewardship Activities Acute Care SAY: …
  16. effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.pdf
    July 01, 2023 - The ACA established the Hospital Readmission Reduction Program which started a process to reduce hospital
  17. Untitled (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/thromboembolism-update_research-protocol.pdf
    February 17, 2016 - leading to transfusion §   Major bleeding leading to reoperation §   Major bleeding leading to readmission …   o As  defined  by  authors   o Fatal  bleeding   o Resulting  in  transfusion,  reoperation,  or  readmission …   o Resulting  in  reoperation   o Resulting  in  readmission   o Surgical  site  /  joint  bleeding
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73515/psn-pdf
    August 01, 2022 - MOQI sought to improve transitional care between hospitals and the nursing homes to prevent hospital readmission
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
    September 18, 2011 - Cx_Site_Matchinteger for example culture site hip for hip operation Re_Admitinteger readmission on postop … day ___; null if no readmission PostOp_AbxInteger Whether an antibiotic was given postop day 3-30
  20. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.html
    March 01, 2025 - families for discharge from the hospital, improve patient and family satisfaction, and decrease hospital readmission … We got her a commode and averted a readmission.”