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  1. Followup to the PSML Demonstration Projects | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/followup.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Followup to the PSML Demonstration Projects Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Less…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42693/psn-pdf
    December 23, 2016 - Preventing unintended retained foreign objects. December 23, 2016 Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects Sentinel event alerts are issued periodically by The Joint Commission to identify common …

  3. Additional Benefits of Simulation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/simulation-issue-brief6.html
    July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Additional Benefits of Simulation Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Practices Use Sim…

  4. Table 1. Characteristics of Case-Finding Instruments Used to Detect Depression in Adults in Primary Care Settings | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/depression/depsumtab1.html
    April 01, 2013 - Table 1. Characteristics of Case-Finding Instruments Used to Detect Depression in Adults in Primary Care Settings Screening for Depression in Adults: Summary of the Evidence The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical set…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40871/psn-pdf
    October 26, 2011 - Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. October 26, 2011 Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452. doi:10.1002/jhm.919. https://ps…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46616/psn-pdf
    July 02, 2019 - Medication-related clinical decision support alert overrides in inpatients. July 2, 2019 Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc. 2018;25(5):476-481. doi:10.1093/jamia/ocx115. https://psnet.ahrq.gov/issue/medication-rel…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45344/psn-pdf
    January 23, 2017 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. January 23, 2017 Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a ne…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38948/psn-pdf
    September 16, 2009 - Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety." September …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43486/psn-pdf
    September 01, 2016 - Indication alerts intercept drug name confusion errors during computerized entry of medication orders. September 1, 2016 Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One. 2014;9(7):e101977. doi:10.1371/journal.pone…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45065/psn-pdf
    June 01, 2016 - Variation in quality of urgent health care provided during commercial virtual visits. June 1, 2016 Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/jamainternmed.2015.8248. https://ps…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42788/psn-pdf
    January 19, 2014 - Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. January 19, 2014 Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544. https://psnet.ahrq.gov/issue…

  12. CHIPRA 201: Section 5, Table 3 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-5-table-3.pdf
    February 19, 2016 - CHIPRA 201: Section 5, Table 3 Table 3: Evidence in Support of Education for Proper Use of New Medication Delivery Devices for Children with Asthma TYPE OF EVIDENCE KEY FINDINGS LEVEL OF EVIDENCE (USPSTF RANKING*) CITATION(S) Clinical guidelines The Expert Panel recommends that clinicians d…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45684/psn-pdf
    January 01, 2020 - A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. June 29, 2017 Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. J Patient Sa…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46774/psn-pdf
    April 12, 2019 - Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. April 12, 2019 Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery. JAMA. 2018;319…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43341/psn-pdf
    July 23, 2014 - Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014 Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…

  16. Section 6A (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-6-a.pdf
    June 02, 2025 - Section 6A Equation 1: Hospital-Level Unit Reliability To calculate hospital-level unit reliability, we used the fo…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40766/psn-pdf
    September 14, 2011 - Medicines reconciliation using a shared electronic health care record. September 14, 2011 Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record. J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9. https://psnet.ahrq.gov/issue/medicines-reconcili…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43969/psn-pdf
    November 17, 2017 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. November 17, 2017 Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. https://psnet.ahrq.gov/issue/transp…

  19. Appendix B21: Facts and Flow Chart | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb21.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B21: Facts and Flow Chart Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Ch…

  20. Appendix B3: Fax Alert | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fax.html
    February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B3: Fax Alert Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2. Fal…
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