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  1. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 2 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…
  2. effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-bias_methods.pdf
    July 01, 2012 - Methods Guide for Medical Test Reviews 5-1 Chapter 5 Assessing Risk of Bias as a Domain of Quality in Medical Test Studies P. Lina Santaguida, B.Sc.P.T., Ph.D., M.Sc., McMaster University Crystal M. Riley, M.A., Nanyang Technological University, Singapore David B. Matchar, M.D., Duke University; Duke-…
  3. www.ahrq.gov/policymakers/hrqa99c.html
    October 01, 2014 - Healthcare Research and Quality Act of 1999 (continued 2) Text of the Act that reauthorizes the former Agency for Health Care Policy and Research, now the Agency for Healthcare Research and Quality (AHRQ). PART C—GENERAL PROVISIONS SEC. 921. ADVISORY COUNCIL FOR HEALTHCARE RESEARCH AND QUALITY. (a) ESTABLISHM…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45705/psn-pdf
    January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy. January 23, 2017 Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846164/psn-pdf
    March 15, 2023 - Crowding in the Emergency Department: Challenges for the Care of Children. March 15, 2023 Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971. https://psnet.ahrq.gov/issue/crowdin…
  6. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
    October 01, 2014 - 68. For the Patient Willing To Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Strategy A5. Arrange —Ensure follow-up contact   Action Strategies for implementation Arrange for follow-up contacts, either in person or via telephone …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45564/psn-pdf
    October 03, 2017 - Fostering transparency in outcomes, quality, safety, and costs. October 3, 2017 Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039. https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852286/psn-pdf
    August 09, 2023 - Guidelines on Human Factors in Critical Situations 2023. August 9, 2023 Bijok B, Jaulin F, Picard J, et al. Guidelines on human factors in critical situations 2023. Anaesth Crit Care Pain Med. 2023;42(4):101262. doi:10.1016/j.accpm.2023.101262. https://psnet.ahrq.gov/issue/guidelines-human-factors-critical-situatio…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73075/psn-pdf
    March 24, 2021 - Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. March 24, 2021 ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6. https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety- challenges Skin patches are a conveni…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867639/psn-pdf
    February 26, 2025 - Framing diagnostic error: an epidemiological perspective. February 26, 2025 Hunter MK, Singareddy C, Mundt KA. Framing diagnostic error: an epidemiological perspective. Front Public Health. 2024;12:1479750. doi:10.3389/fpubh.2024.1479750. https://psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspec…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47601/psn-pdf
    December 21, 2018 - Clinical decision support in the era of artificial intelligence. December 21, 2018 Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intellige…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45164/psn-pdf
    May 25, 2016 - Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. May 25, 2016 Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016. https://psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm Checklists are a recommended method to reduce omissions in …
  13. www.ahrq.gov/topics/childrens-health-insurance-program-reauthorization-act-chipra.html
    Topic: Children's Health Insurance Program Reauthorization Act (CHIPRA) Listing of content related to the topic Children's Health Insurance Program Reauthorization Act (CHIPRA) Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38317/psn-pdf
    September 01, 2016 - Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. September 1, 2016 Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jamia.M2687. https://psnet.ahrq.go…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48045/psn-pdf
    June 05, 2019 - Obstetric practice guidelines: labor's love lost? June 5, 2019 Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. https://psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost Guidelines play a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46691/psn-pdf
    December 06, 2017 - Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. December 6, 2017 Washington, DC: United States Government Accountability Office; November 2017. Publication GAO-18- 63. https://psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-rep…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73452/psn-pdf
    June 30, 2021 - Administration of concentrated potassium chloride for injection during a code: still deadly! June 30, 2021 ISMP Medication Safety Alert! Acute care edition. June 3, 2021; 26(11): 1-5. https://psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still- deadly Concentrated …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47459/psn-pdf
    October 10, 2018 - People, processes, health IT and accurate patient identification. October 10, 2018 Quick Safety. October 1, 2018;(45):1-2. https://psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification This newsletter article reviews common problems related to patient identification and recommends st…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43749/psn-pdf
    December 10, 2014 - Alarm management: first things first: using reliable data to eliminate unnecessary alarms. December 10, 2014 Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45. https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary- alarms Spotlightin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35017/psn-pdf
    August 24, 2017 - The Field Guide to Human Error Investigations, Third Edition. August 24, 2017 Dekker S. Boca Baton, FL: CRC Press; 2017. https://psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition This revised and reorganized book provides a primer on how human error causes mishaps and often illustrates dee…