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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46496/psn-pdf
    October 11, 2017 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. October 11, 2017 Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organization…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44156/psn-pdf
    November 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. November 10, 2015 Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43127/psn-pdf
    April 23, 2014 - An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting. April 23, 2014 Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital settin…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43345/psn-pdf
    July 16, 2014 - Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. July 16, 2014 Fakih MG, Heavens M, Grotemeyer J, et al. Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. Ann Emerg Med. 2014;63(6):761-8.e1. doi:10.1016…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44181/psn-pdf
    June 03, 2015 - Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. June 3, 2015 Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/bmjqs-2014-003870. https://psnet.ah…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38098/psn-pdf
    March 03, 2011 - Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. March 3, 2011 Derkx HP, Rethans J-JE, Muijtjens AM, et al. Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. BMJ. 2008;337:a1264. doi:10.1136/bmj.a126…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837037/psn-pdf
    May 04, 2022 - Humanizing harm: using a restorative approach to heal and learn from adverse events. May 4, 2022 Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/hex.13478. https://psnet.ahrq.gov/issue/hum…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60973/psn-pdf
    September 30, 2020 - During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. September 30, 2020 ISMP Medication Safety Alert! Acute care edition. August 27, 2020;25(17). https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid- blaming-attitudes …
  10. Slide 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_synthesizingoutputs.pdf
    May 29, 2025 - Slide 1 Synthesizing the Outputs of Deliberative Forum Julia Abelson, PhD Department of Clinical Epidemiology & Biostatistics McMaster University Hamilton, Ontario CANADA 1 Linking deliberation objectives to outputs • What is the expected deliverable of the deliberation? -To elicit val…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45128/psn-pdf
    June 15, 2016 - Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. June 15, 2016 Rafiei P, Walser EM, Duncan JR, et al. Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. J Vasc Interv Radiol. 2016;27(5):6…
  12. digital.ahrq.gov/organization/group-health-cooperative
    January 01, 2023 - Group Health Cooperative Understanding and Honoring Patients with Multiple Chronic Conditions Description This project determined care priorities for patients with multiple chronic conditions based on patient needs, preferences, and capabilities and developed a set of recommen…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838641/psn-pdf
    October 19, 2022 - Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. https://psnet.ahrq.gov/issue/optimizing-pediatric-patient-s…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852698/psn-pdf
    August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation August 30, 2023 https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and- diagnostic-accuracy Summary Addressing diagnostic errors to improve outcomes and patient safety h…
  15. hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny10.pdf
    July 31, 2012 - Instructions for Extracting and Submitting Data Submission Instructions 2/22/2012 Page 1 Instructions for Extracting and Submitting Laboratory Data for the Study Using Clinically- Enhanced Claims Data to Guide the Selection of Coronary Procedures A Summary of the Steps…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/patfamengagement/patientandfamilyengagement_slides.pptx
    September 03, 2014 - PowerPoint Presentation Patient Engagement in Hemodialysis Facilities 1 Objectives Understand what patient and family engagement is in the context of end-stage renal disease (ESRD) Learn how to recognize and overcome obstacles to engaging patients and their families Equip your facility to engage patients in each …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73642/psn-pdf
    August 25, 2021 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021 Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect- unexpected …
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
    October 01, 2022 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Antibiotic Stewardship and MRSA Reduction ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Antibiotic Stewardship 1 Educational Objectives Understand the goals of antibiotic ste…
  19. www.ahrq.gov/sites/default/files/2024-10/landrigan3-report.pdf
    January 01, 2024 - Final Progress Report: Developing a Risk Index of Healthcare Provider Alertness To Improve Safety Developing a Risk Index of Healthcare Provider Alertness to Improve Safety Final Progress Report – May 31, 2011 Principal Investigator: Christopher P. Landrigan, M.D., M.P.H. Team Members: Dennis A. Dean, Scott A. …
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/measures-cg30-2309.pdf
    June 01, 2017 - Patient Experience Measures from the CAHPS Clinician & Group Survey Patient Experience Measures from the CAHPS Clinician & Group Survey CAHPS® Clinician & Group Survey and Instructions Patient Experience Measures from the CAHPS® Clinician & Group Survey Introduction ...................................…