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9541. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
      pso.ahrq.gov/sites/default/files/Choosing%20a%20PSO.pdf
      August 01, 2012 - Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers Background The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorized the creation of Patient Safety Organizations (PSOs). It encourages clinicians and health care organizations to voluntarily report to…

9542. Prevention of prescription opioid misuse and projected overdose deaths in the United States. | PSNet
      psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states
      August 04, 2021 - Study Classic Prevention of prescription opioid misuse and projected overdose deaths in the United States. Citation Text: Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA N…

9543. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. | PSNet
      psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod
      May 01, 2015 - Study Classic Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. Citation Text: Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of les…

9544. A surgical safety checklist to reduce morbidity and mortality in a global population. | PSNet
      psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
      February 09, 2011 - Study Classic A surgical safety checklist to reduce morbidity and mortality in a global population. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…

9545. Track 1: Patient Safety and Health IT Across Settings and Populations | Digital Healthcare Research
      digital.ahrq.gov/track-1-patient-safety-and-health-it-across-settings-and-populations
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

9546. Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. | PSNet
      psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
      September 23, 2020 - Study Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. Citation Text: Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…

9547. Ventilator-Associated Pneumonia (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-one-page.docx
      November 01, 2019 - Ventilator-Associated Pneumonia Ventilator-Associated Pneumonia Diagnosis · Defined as pneumonia occurring more than 48 hours after endotracheal intubation · Clinical symptoms include purulent tracheal secretions, new infiltrate on chest imaging, worsening oxygenation (usually in association with leukocytos…

9548. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - BROWN (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-quality-measures.pdf
      January 01, 2021 - Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - BROWN Looking Forward: HCBS Quality Measures Alignment and HCBS CAHPS® Survey Melanie Brown, PhD, Technical Director Division of Community Systems Transformation, Disabled and Elderly Health Programs Group, Ce…

9549. Accuracy of pressure ulcer events in US nursing home ratings. | PSNet
      psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
      February 05, 2020 - Study Accuracy of pressure ulcer events in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763. Copy Citation Format: DOI Google…

9550. Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/sopstipsheet.pdf
      June 02, 2025 - Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture This Tip Sheet will help you understand the importance of high survey response rates and provide suggestions for improving your response rates.…

9551. Increased mortality and costs associated with adverse events in intensive care unit patients. | PSNet
      psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
      January 16, 2008 - Study Increased mortality and costs associated with adverse events in intensive care unit patients. Citation Text: Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…

9552. F. Granular Ethnicities with No Determinate OMB Race Classification | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapf.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement F. Granular Ethnicities with No Determinate OMB Race Classification Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Re…

9553. Chapter 1. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 1. Introduction Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA De…

9554. AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 2 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-2.pdf
      June 16, 2021 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 2 2-1 Section 2: Characterizing Your HIE Project This section describes background work that needs to be done to prepare for developing the evaluation plan by— z Describing the HIE project z Identifying the stakeholders z Articulati…

9555. Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/effect-patient-safety-education-interventions-patient-safety-culture-health-care
      January 26, 2022 - Review Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. Citation Text: Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care pro…

9556. Integrating incident reporting into an electronic patient record system. | PSNet
      psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system
      June 08, 2010 - Study Integrating incident reporting into an electronic patient record system. Citation Text: Haller G, Myles PS, Stoelwinder J, et al. Integrating incident reporting into an electronic patient record system. J Am Med Inform Assoc. 2007;14(2):175-81. Copy Citation Format: …

9557. ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/ml-rover-machine-learning-reduce-laboratory-test-overutilization
      August 01, 2024 - ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization Project Description Implementing a validated machine learning based clinical decision support tool to reduce laboratory testing overutilization in pediatric intensive care unit patients will create a sustainab…

9558. AHRQ's PCORTF Strategic Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/pcor/strategic-framework/strategic-priorities.html
      July 01, 2023 - AHRQ's PCORTF Strategic Priorities Previous Page Next Page The PCORTF strategic framework identifies four priorities for improving healthcare delivery that are aligned with AHRQ’s mission and core competencies and that have the potential to improve outcomes that are important to patients. As d…

9559. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). | PSNet
      psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
      October 02, 2019 - Study Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Citation Text: Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-…

9560. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. | PSNet
      psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
      May 08, 2017 - Study Classic Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. Citation Text: Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication error…