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  1. Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
    December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

  2. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. | PSNet

    psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error-reporting-and
    July 14, 2010 - Study Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. Citation Text: Snyder RA, Abarca J, Meza JL, et al. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and P…

  3. The patient who falls: "It's always a trade-off." | PSNet

    psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
    February 17, 2011 - Commentary The patient who falls: "It's always a trade-off." Citation Text: Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. doi:10.1001/jama.2009.2024. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  4. Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change and Improvement Technical…

  5. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Guide to Patient and Family Engagement :: 1 Improving Discharge Outcomes with Patients and Families Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Re…

  6. Patient safety and quality care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-care
    April 01, 2020 - Commentary Patient safety and quality care. Citation Text: Nelson K. Patient safety and quality care. Clin Dermatol. 2014;32(4):542-4. doi:10.1016/j.clindermatol.2013.12.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  7. Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/development-and-implementation-remote-telehealth-user-reported-cancer
    September 30, 2023 - Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer Project Description The ability to remotely collect and review signs and symptoms of lung cancer recurrence using patient-reported outcomes and results of…

  8. Root cause analysis of cases involving diagnosis. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
    August 28, 2019 - Commentary Root cause analysis of cases involving diagnosis. Citation Text: Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102. Copy Citation Format: DOI Google Scholar Bi…

  9. Adverse Events | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/adverse-events
    January 01, 2023 - Adverse Events Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant Drug-Drug Interactions Description This research will implement, evaluate, and disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm …

  10. A Patient-Facing App to Improve Care Transitions from Hospital to Home | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-stories/patient-facing-app-improve-care-transitions-hospital-home
    January 01, 2023 - A Patient-Facing App to Improve Care Transitions from Hospital to Home Theme: Engaging and Empowering Patients and Caregivers Subtheme: Using Digital Healthcare Tools in Chronic Disease Self-Management A patient-facing app simplifying the information patients and caregivers receive has the…

  11. Screening for Breast Cancer Clinical Summaries (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/hPPj9vB9ZvPmUMG7Wnvcjp
    Screening for Breast Cancer Clinical Summaries Primary Screening for Breast Cancer With Conventional Mammography: Clinical Summary Population Women aged 40 to 49 y Women aged 50 to 74 y Women aged ≥75 y Recommendation The decision to start screening should be an individual one. Grade: C Screen ev…

  12. Index of Clinical Topics | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index-clinical-topics.html
    April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI Index of Clinical Topics Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases Importance of MRSA and SSI Prevention MRSA Surveillance …

  13. "Second victim" casualties and how physician leaders can help. | PSNet

    psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
    August 28, 2024 - Newspaper/Magazine Article "Second victim" casualties and how physician leaders can help. Citation Text: MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  14. Quality and Patient Safety Resources | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/index.html
    December 01, 2022 - Quality and Patient Safety Resources Tips for preventing medical errors and promoting patient safety, measuring health care quality, consumer assessment of health plans, evaluation software, report tools, and case studies. Sign up: Patient Safety Email updates Sign up: Quality Improvement Email updates …

  15. View from the cockpit: what the airline industry can teach us about patient safety. | PSNet

    psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-patient-safety
    January 08, 2020 - Commentary View from the cockpit: what the airline industry can teach us about patient safety. Citation Text: Doucette JN. View from the cockpit: what the airline industry can teach us about patient safety. Nursing (Brux). 2006;36(11):50-53. Copy Citation Format: Google S…

  16. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. | PSNet

    psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
    September 16, 2020 - Study Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. Citation Text: Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25…

  17. Improving patient safety in the ED waiting room. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-ed-waiting-room
    January 07, 2011 - Commentary Improving patient safety in the ED waiting room. Citation Text: Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2007;33(4):331-5…

  18. An innovative approach to the surgical time out: a patient-focused model. | PSNet

    psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
    July 10, 2008 - Commentary An innovative approach to the surgical time out: a patient-focused model. Citation Text: Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. Copy Citatio…

  19. Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
    October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…

  20. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
    April 03, 2017 - Commentary Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. Citation Text: Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…
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