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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46659/psn-pdf
    December 06, 2017 - Focus On: Health Care Policy and Quality. December 6, 2017 AJR Am J Roentgenol. 2017;209(5):965-1008;w333-w334. https://psnet.ahrq.gov/issue/focus-health-care-policy-and-quality Radiologists play a critical role in safe diagnostic imaging and communication of test results. Articles in this special issue explore cl…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836968/psn-pdf
    April 20, 2022 - Diagnostic time-outs to improve diagnosis. April 20, 2022 Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185- 194. doi:10.1016/j.ccc.2021.11.008. https://psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis A broad differential diagnosis can limit missed d…
  3. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-burnout-slides.pdf
    December 10, 2024 - Addressing Healthcare Workforce Burnout - Slide Presentation Workforce Safety and Well-being Webinar Series (Session 2) Addressing Healthcare Workforce Burnout NATIONAL WEBINAR SERIES November 12, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website. • Ple…
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
    April 01, 2025 - PowerPoint Presentation Decolonization Implementation Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services Decolonization Implemen…
  5. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
    November 01, 2019 - Making Effective Changes in Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Making Effective Changes in Antibiotic Decision Making Acute Care Slide Title and Commentary Slide Number and Slide Making Effect…
  6. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Digital Healthcare Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Researc…
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
    April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Healthcare Facility Design Overview Research has shown that optimizing the physical, functional, and aesthetic details of healthcare facilitiesi (e.g., units,…
  8. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Conclusions and Next Steps Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediatel…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865933/psn-pdf
    May 22, 2024 - Utilizing pharmacogenomic testing can improve medication safety and prevent harm. May 22, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4. https://psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and- prevent-harm Pharmacogenomics (PGx) refers to the impact of gen…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48043/psn-pdf
    October 01, 2023 - Health Services Safety Investigations Body. October 1, 2023 Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA. https://psnet.ahrq.gov/issue/health-services-safety-investigations-body Independent investigations examine system weaknesses in health care to inform improvement, reduce risk, and pr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74216/psn-pdf
    December 22, 2021 - To eliminate bias, some seek out doctors of their own race or ethnicity. December 22, 2021 Glicksman E. Washington Post. December 11, 2021. https://psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity A successful patient/physician relationship enables care that is specific for the…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44896/psn-pdf
    March 23, 2016 - Computer-assisted diagnostic checklist in clinical neurology. March 23, 2016 Finelli PF, McCabe AL. Computer-assisted Diagnostic Checklist in Clinical Neurology. Neurologist. 2016;21(2):23-7. doi:10.1097/NRL.0000000000000071. https://psnet.ahrq.gov/issue/computer-assisted-diagnostic-checklist-clinical-neurology C…
  13. digital.ahrq.gov/ahrq-funded-projects/tele-toc-telehealth-education-leveraging-electronic-transitions-care-copd-patients/citation/determining
    January 01, 2024 - Determining if COPD self-management televisit-based interventions are evaluated among and equitably effective across diverse patient populations to reduce acute care use: A scoping review. Citation Akula M, Nguyen M, Abraham J, Arora VM, Oladosu F, Sunderrajan A, Traeger L, Press VG. Determining if CO…
  14. digital.ahrq.gov/ahrq-funded-projects/use-electronic-personal-health-records-health-risk-reduction-discussion-tool/citation/uncovering
    January 01, 2023 - Uncovering a role for electronic personal health records in reducing disparities in sexually transmitted infection rates among students at a predominantly African American university: mixed-methods study. Citation Jackman KM, Baral SD, Hightow-Weidman L, et al. Uncovering a role for electronic persona…
  15. digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote/citation/expanding
    January 01, 2023 - Expanding the evidence for cross-sector collaboration in implementation science: Creating a collaborative, cross-sector, interagency, multidisciplinary team to serve patients experiencing homelessness and medical complexity at hospital discharge. Citation Anderson AJ, Noyes K, Hewner S. Expanding the …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74846/psn-pdf
    February 16, 2022 - Weight-based Medication Errors in Children. February 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/weight-based-medication-errors-children Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing, dispensing…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60535/psn-pdf
    May 27, 2020 - Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say. May 27, 2020 Abdelmalek M, Bruggeman L. ABC News. May 14, 2020. https://psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern- doctors-say The COVID-19 pandemic has reduced patient use of prima…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41810/psn-pdf
    January 31, 2018 - Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. January 31, 2018 Boston University School of Public Health. Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 120082EF. https://psnet.ahrq.gov/issue/toolkit-reduction-clostridi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42670/psn-pdf
    January 09, 2014 - Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. January 9, 2014 Lyons VE, Popejoy LL. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. West J Nurs Res. 2014;36(2):245-61. doi:10.1177/019…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38659/psn-pdf
    May 27, 2009 - The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. May 27, 2009 Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by b…