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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37466/psn-pdf
    May 27, 2011 - Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. May 27, 2011 Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized physician order entry in a neonatal inte…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46622/psn-pdf
    December 06, 2017 - White paper on recommendation for systems-based practice competency. December 6, 2017 Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NCQ.0000000000000262. https://psnet.a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34786/psn-pdf
    March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45099/psn-pdf
    December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. December 7, 2018 Rockville, MD; Agency for Healthcare Quality and Research; March 2016. https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837516/psn-pdf
    June 22, 2022 - Fostering ethical conduct through psychological safety. June 22, 2022 Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43. https://psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety A baseline expectation in a safe organization is that employees feel comfortable and supp…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73298/psn-pdf
    May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. May 19, 2021 National Academies of Sciences, Engineering, and Medicine. Washington DC:  National Academies Press; 2021. ISBN: 9780309685061.  https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46562/psn-pdf
    April 16, 2018 - "To err is human" but disclosure must be taught: a simulation-based assessment study. April 16, 2018 Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation- Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.0000000000000273. https://psnet.ahrq.g…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36069/psn-pdf
    May 11, 2014 - Health literacy, medication errors, and health outcomes: is there a relationship? May 11, 2014 Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. https://psnet.ahrq.gov/issue/health-literacy-me…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866318/psn-pdf
    July 17, 2024 - Methods to increase reliability in quality improvement projects. July 17, 2024 Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340. https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-…
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-ahrq-program.pdf
    June 02, 2025 - Introducing the Child HCAHPS® Survey Database webcast-Ginsberg WELCOME FROM AHRQ Caren Ginsberg, PhD Director, CAHPS & SOPS Programs Center for Quality Improvement & Patient Safety, AHRQ AHRQ and the CAHPS Program • AHRQ is: ► A research and science-based agency of the US Department of Health and Human Servi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843053/psn-pdf
    January 25, 2023 - The safety of inpatient health care. January 25, 2023 Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117. https://psnet.ahrq.gov/issue/safety-inpatient-health-care An accurate understanding of the frequency, severity, and pre…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47860/psn-pdf
    June 30, 2019 - New mother number 14. June 30, 2019 Sangarlangkarn A. Healthc (Amst). 2019;7:31-32. https://psnet.ahrq.gov/issue/new-mother-number-14 Rigid adherence to protocols may detract from safety when unexpected critical events occur that require deviation from the standard process. This commentary explores insights from a…
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-120-section-6b-table-6.pdf
    June 02, 2025 - Section 6-B, Table 6 TABLE 6 HROB Summary (Combined Unduplicated) New York State Medicaid, 2010 Urbanicity UIC N OB Proxy1 Transfusion Proxy2 NICU >=33 URBAN Large Metropolitan 1 48,562 27.10% 14.62% 37.98% Small Metropolitan 2 7229 15.95% 10.26% 21.69% RURAL Adjacent to Lar…
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-table-6.pdf
    June 02, 2025 - Table 6 - HROB Summary TABLE 6 HROB Summary (Combined Unduplicated) New York State Medicaid, 2010 Urbanicity UIC N OB Proxy1 Transfusion Proxy2 NICU >=33 URBAN Large Metropolitan 1 48,562 27.10% 14.62% 37.98% Small Metropolitan 2 7229 15.95% 10.26% 21.69% RURAL Adjacent to L…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-123-section-6-table-6.pdf
    June 02, 2025 - CHIPRA 123: Section 6, Table 6 TABLE 6 HROB Summary (Combined Unduplicated) New York State Medicaid, 2010 Urbanicity UIC N OB Proxy1 Transfusion Proxy2 NICU >=33 URBAN Large Metropolitan 1 48,562 27.10% 14.62% 37.98% Small Metropolitan 2 7229 15.95% 10.26% 21.69% RURAL Adjac…
  16. Remove that Foley (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-h.docx
    June 02, 2025 - Remove that Foley AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix H. Urinary Catheter Pocket Card Front Front Back Remove that Urinary Catheter! Foley catheters can cause: · Infections · Length of Stay · Cost · Patient Discomfort · Antibiotic Use Urinary catheters confine patients to bed, …
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-7.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Barriers Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dyad …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46988/psn-pdf
    April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
  19. effectivehealthcare.ahrq.gov/sites/default/files/delilberative-methods-design-abelson-2.pdf
    May 29, 2025 - Synthesizing the Outputs of Deliberative Forum Synthesizing the Outputs of Deliberative Forum Julia Abelson, PhD Department of Clinical Epidemiology & Biostatistics McMaster University Hamilton, Ontario CANADA Slide 27 Linking deliberation objectives to outputs  What is the expected deliverable of th…
  20. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/survey-kentucky-ambulatory-network-members
    January 01, 2023 - Survey of Kentucky Ambulatory Network Members' Use of Information Technology: Office Manager Survey This is a questionnaire designed to be completed by administrators in an ambulatory setting. The tool includes questions to assess the current state of electronic health records and practice management syst…