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  1. www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
    January 01, 2024 - Create a Culture of Safety Around Antibiotic Prescribing For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, read the Implementation Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB). Presentations Improving antibi…
  2. www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi7.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention Conclusion Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention Executive Summary Introduction & Objectives Methods Data Collection a…
  3. digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/unlocking-potential-pros-clinical-notes-treating-rheumatoid
    January 01, 2018 - Unlocking the Potential of PROs in Clinical Notes for Treating Rheumatoid Arthritis Significance and Potential Impact Use of NLP and PROs has the potential to transform the care of patients with RA, and to reduce health disparities for underserved and minority populations. Rheumatoid arthritis (RA) affect…
  4. digital.ahrq.gov/national-webinars/leveraging-digital-health-technologies-address-needs-underserved
    February 28, 2023 - Leveraging Digital Health Technologies to Address the Needs of Underserved Populations Event Date: February 28, 2023 | 2:30pm – 4:00pm ET Event Materials: Presentation Slides ( PDF , 7.25 MB). Q&As ( PDF , 192 KB). Your browser does not support inline frames. Pleas…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40982/psn-pdf
    March 23, 2012 - Emergency hospitalizations for adverse drug events in older Americans. March 23, 2012 Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053. https://psnet.ahrq.gov/issue/emergency-hospitali…
  6. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/value-added-analysis
    January 01, 2023 - Value-Added Analysis Description Value-added analysis is a method for identifying problems within a process. The analysis allows a team to examine individual process steps so it can separate the steps that add value for the user from the steps that do not. Uses When searching for sources of …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38886/psn-pdf
    August 26, 2009 - Medication overdoses leading to emergency department visits among children. August 26, 2009 Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. https://psnet.ahrq.gov/issue/medication…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72567/psn-pdf
    December 16, 2020 - Transforming the medication regimen review process using telemedicine to prevent adverse events. December 16, 2020 Kane?Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-538. doi:10.1111/jgs.16946. ht…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40932/psn-pdf
    July 05, 2016 - Health IT and Patient Safety: Building Safer Systems for Better Care. July 5, 2016 Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122. https://psnet.ahrq.gov/issue/health-it-and-pat…
  10. digital.ahrq.gov/principal-investigator/manning-john-d
    January 01, 2024 - Manning, John D. Risk of delayed percutaneous coronary intervention for STEMI in the Southeast United States. Citation Messinger MC, Ashburn NP, Chait JS, Snavely AC, Hapig-Ward S, Stopyra JP, Mahler SA. Risk of delayed percutaneous coronary intervention for STEMI in the South…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845640/psn-pdf
    March 08, 2023 - Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. March 8, 2023 Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I?PASS on adverse event rates in hospitalized children with complex chronic conditions. J Hosp Med. 202…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866686/psn-pdf
    September 11, 2024 - Impact of automated alerts on discharge opioid overprescribing after general surgery. September 11, 2024 Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185. https://psnet.ahrq…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46531/psn-pdf
    January 24, 2019 - Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. January 24, 2019 Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2. ht…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44812/psn-pdf
    February 15, 2017 - Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program. February 15, 2017 McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the Effectiveness of Safety Impro…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43140/psn-pdf
    October 31, 2014 - The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. October 31, 2014 Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult popu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48085/psn-pdf
    June 19, 2019 - A decade of preventing harm. June 19, 2019 Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. https://psnet.ahrq.gov/issue/decade-preventing-harm Preventable patient safety problems continue to challenge health ca…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45839/psn-pdf
    February 07, 2018 - Mortality trends after a voluntary checklist-based surgical safety collaborative. February 7, 2018 Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249. https://psnet.ahrq.gov/issu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45109/psn-pdf
    May 11, 2016 - Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety. May 11, 2016 Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associated with Improvement in Perceived P…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36530/psn-pdf
    January 07, 2011 - Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. January 7, 2011 Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487. https://psnet.ahrq.gov/issue/impact-extended-…