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  1. www.uspreventiveservicestaskforce.org/home/getfilebytoken/ERAa_Bwr7hQxqZZ-X3p8Qh
    May 10, 2022 - Screening for Chronic Obstructive Pulmonary Disease: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Screening for Chronic Obstructive Pulmonary Disease Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Elizabeth M. Webber, MS; Jennifer S. …
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/016-ss-hand-hygiene-periop.pptx
    April 01, 2025 - PowerPoint Presentation AHRQ Safety Program for MRSA Prevention: Targeting SSI Hand Hygiene in the Perioperative Setting 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 | Surgical Services Hand Hygien…
  3. www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
    January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED A. Title Page Project Title: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED Principal Investigator Information: PRASHANT MAHAJAN, MBA, MD, MPH …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
    March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures 1 The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP…
  5. www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
    December 01, 2015 - Meeting Minutes, July 24, 2015 National Advisory Council Minutes from the July 24, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 27, 2015, Summary Report Director's Update 2014 National Healthcare Q…
  6. psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - SPOTLIGHT CASE Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Citation Text: Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…
  7. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary46/skin-cancer-screening-2009
    February 15, 2009 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Evidence Summary Skin Cancer: Screening February 15, 2009 Recommendations made by the USPSTF are independent of the U.S. government. They should not be constr…
  8. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review79/ovarian-cancer-screening-2004
    May 15, 2004 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Evidence Review Ovarian Cancer: Screening, May 2004 May 15, 2004 Recommendations made by the USPSTF are independent of the U.S. government. They should …
  9. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
    January 01, 2007 - Transforming Healthcare Quality through Information Technology - Final Report Grant Final Report Grant ID: 1UC1HS015076 Transforming Healthcare Quality through Information Technology Inclusive Dates: Not provided. Principal Investigator: Cynthia Rosa RN, BSN, MS Team Members: Sheryl Sovie Michael M…
  10. psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
    July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 22, 2020 Innovation Contact …
  11. www.ahrq.gov/teamstepps-program/resources/additional/sbar.html
    July 01, 2023 - TeamSTEPPS Additional Video: SBAR in Inpatient Medical Teams   YouTube embedded video: https://www.youtube-nocookie.com/embed/nbJPAumzJrc TeamSTEPPS: SBAR in Inpatient Medical Teams (1:36) SBAR stands for situation, background, assessment and recommendation. It’s a proven tool to quickly summarize and com…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35320/psn-pdf
    September 14, 2005 - How business intelligence can improve patient safety. September 14, 2005 Wanless S, McManaway J. Metaphor Analytics. August 30, 2005. https://psnet.ahrq.gov/issue/how-business-intelligence-can-improve-patient-safety This article illustrates how hospitals can use their own administrative and patient data to reduce h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39744/psn-pdf
    September 13, 2010 - Are you using checklists? Check! September 13, 2010 McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31. https://psnet.ahrq.gov/issue/are-you-using-checklists-check This piece emphasizes how checklists can be effective tools to prevent medical error and reduce communication fa…
  14. digital.ahrq.gov/principal-investigator/odell-david-d
    January 01, 2023 - Odell, David D. Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer Description This research will improve upon and evaluate a telehealth lung cancer surveillance program that combines patient-reported out…
  15. digital.ahrq.gov/location/usa-me-augusta
    January 01, 2023 - USA, ME, Augusta Improving Health Information Technology Implementation in a Rural Health System Description Implemented an outpatient EMR in a rural health system using distinct phases to match the expected learning curve and to reduce the potential loss of practice productiv…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39589/psn-pdf
    February 13, 2018 - Common cause analysis. February 13, 2018 Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35. https://psnet.ahrq.gov/issue/common-cause-analysis This article describes how one health care system used a multi-event analysis process to identify medication errors, implement system-level improvements, a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41471/psn-pdf
    June 20, 2012 - Patients taking their own medications while in the hospital. June 20, 2012 PA-PSRS Patient Saf Advis. June 2012;9:50-57.  https://psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital Discussing errors related to hospital patients' use of personal medications, this newsletter article provi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37106/psn-pdf
    August 15, 2007 - Experts offer smart tips for smart pumps. August 15, 2007 Gebhart F. Drug Topics. July 23, 2007. https://psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps This article describes how robust drug libraries developed for programmable smart pumps can help reduce medication errors associated with traditional in…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33976/psn-pdf
    December 18, 2008 - Medical errors: overcoming the challenges. December 18, 2008 Kalra J. Medical errors: overcoming the challenges. Clin Biochem. 2004;37(12):1063-71. https://psnet.ahrq.gov/issue/medical-errors-overcoming-challenges This commentary introduces several initiatives intended to help reduce medical error, such as developm…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38683/psn-pdf
    November 03, 2012 - Errors in Laboratory Medicine and Patient Safety. November 3, 2012 Plebani M, ed. Clinica Chimica Acta. 2009;404(1):1-86. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety This collection of papers presented at an international conference on laboratory medicine focuses on efforts to reduce…