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  1. psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx Spotlight When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Source and Credits • This presentation is based on the September 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psne…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33829/psn-pdf
    March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety March 1, 2017 Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33749/psn-pdf
    April 01, 2013 - Are Residency Duty Hour Rules Improving Patient Safety? April 1, 2013 Fletcher KE, Reed DA. Are Residency Duty Hour Rules Improving Patient Safety? PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety Perspective Introduction The Accreditation Council f…
  4. digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
    March 01, 2009 - Percentage of Alerts or Reminders That Resulted in Desired Action Percentage of Alerts or Reminders That Resulted in Desired Action Determining the frequency in which a given alert or reminder is executed may help assess its effectiveness. This measure might be implemented in the following instances: • For e…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33579/psn-pdf
    September 15, 2024 - Systems Approach September 15, 2024 Systems Approach. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/systems-approach PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …
  6. psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
    September 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety Citation Text: Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  7. www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/unhealthy-alcohol-use-adolescents-adults-behavioral-counseling-interventions
    February 01, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Research Plan Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions February 01, 2024 Recommendations made by …
  8. www.uspreventiveservicestaskforce.org/uspstf/published-comment-and-response-comparing-uspstf-and-grade-approaches-recommendations
    February 01, 2014 - Published Comment and Response: Comparing the USPSTF and GRADE Approaches to Recommendations Share to Facebook Share to X Share to WhatsApp Share to Email Print First published as a Letter to the Editor in  Annals of Internal Medicine  151(5)…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867980/psn-pdf
    March 25, 2025 - Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls March 25, 2025 Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-fla…
  10. www.uspreventiveservicestaskforce.org/uspstf/recommendation/asymptomatic-bacteriuria-in-adults-screening-2008
    July 15, 2008 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Asymptomatic Bacteriuria in Adults: Screening July 15, 2008 Recommendations made by the USPSTF are independent of the U.S. go…
  11. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-235-pharma-nonpharm-ptsd-update-appendix-g-1.xlsx
    May 29, 2025 - G-1. Additions to ROB Template Table G-2. Additions to risk of bias template Rater Author, Year Selection Bias Domain: Randomization Adequate? Selection Bias Domain: Allocation Concealment Adequate? Selection Bias Domain: Groups Similar at Baseline? Selection Bias Domain: ITT Analysis? Performance Bias Domain: Care P…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_pdi05-nqi01-pneumothorax-bestpractices.pdf
    May 16, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4r Selected Best Practices and Suggestions for Improvement NQI 01/PDI 05: Iatrogenic Pneumothorax Why focus on iatrogenic pneumothorax in neonates and chi…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.pdf
    January 01, 2016 - Implementation Measurement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.7 Implementation Measurement What is the purpose of this tool? The purpose of the implementation measurement tool is to provide a format in which you can determine if best practice …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4c_combo_psi06-pneumothorax-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4c Selected Best Practices and Suggestions for Improvement PSI 06: Iatrogenic Pneumothorax Why Focus on Iatrogenic Pneumothorax? • Iatrogenic pneumothora…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4j_combo_psi13-sepsis-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4j Selected Best Practices and Suggestions for Improvement PSI 13: Postoperative Sepsis Why Focus on Sepsis? • More than 750,000 cases of sepsis are…
  16. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50697/psn-pdf
    November 27, 2019 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation November 27, 2019 Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation The Case A 36-year-old woman with a history of dep…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/overview-questionnaires-cg40-3350.pdf
    November 01, 2020 - Overview of the CAHPS Clinician & Group Visit Survey 4.0 (beta) Overview of the CAHPS Clinician & Group Visit Survey 4.0 (beta) Document No. 3350 Page 1 CAHPS Clinician & Group Survey and Instructions Overview of the CAHPS Clinician & Group Visit Survey 4.0 (beta) Introduction This document offers an overvi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73387/psn-pdf
    March 17, 2021 - COVID-19 and the Built Environment June 30, 2021 Joseph A, Scanlon MM, Fitall E, et al. COVID-19 and the Built Environment. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/covid-19-and-built-environment Introduction The “built environment” in healthcare refers to the hospital structure and any other fix…
  20. www.ahrq.gov/sites/default/files/2024-01/baker-report.pdf
    January 01, 2024 - Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork Agency for Healthcare Research and Quality Modeling Risk and Reducing Liability through Better Communication and Teamwork FINAL REPORT April 2012 Presented to: James Battles Agency for Healthcare Research and Quality …