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9721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33763/psn-pdf
      March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program? March 1, 2014 Huang SS. How Does Infection Prevention Fit Into a Safety Program? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program Perspective In 1999, the Institute of Medicine (IOM) released the To …

9722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49533/psn-pdf
      March 01, 2007 - Staggered Sensitivity Results March 1, 2007 Guglielmo JB. Staggered Sensitivity Results. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/staggered-sensitivity-results The Case A 60-year-old woman with squamous cell carcinoma of the glottis underwent laryngectomy, anterior neck dissection, and pectoralis fla…

9723. 130-Ss-Swiss-Cheese-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects: Applying the “Swiss cheese model” of System Failure Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects: Applying the “Swiss C…

9724. Healthcare Cost and Utilization Project (HCUP) NIS Notes
      hcup-us.ahrq.gov/db/vars/surgid_s/nisnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

9725. Treatments for Fecal Incontinence: Current State of the Evidence (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/fecal-incontinence_clinician.pdf
      July 01, 2016 - Treatments for Fecal Incontinence: Current State of the Evidence Treatments for Fecal Incontinence: Current State of the Evidence Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the potential benefits and adverse effects of surgical and nonsurgical treatments for f…

9726. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
      psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
      March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport Citation Text: MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…

9727. Electronic Health Records | PSNet
      psnet.ahrq.gov/primer/electronic-health-records
      March 15, 2025 - Electronic Health Records Citation Text: Electronic Health Records. 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 XML EndNote 7 XML Endnote tagged PubMedId R…

9728. Fumbled Handoff | PSNet
      psnet.ahrq.gov/web-mm/fumbled-handoff
      September 01, 2006 - Fumbled Handoff Citation Text: Vidyarthi A. Fumbled Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9729. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
      August 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025 Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare April 18, 2025, 10 AM–Noon 1 Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriation…

9730. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atypical-antipsychotics-off-label-update_disposition-comments.pdf
      September 01, 2011 - This requires knowing the evidence about benefits, harms and applicability, and using clinical judgment

9731. INTRODUCTION TO THE HCUP STATE EMERGENCY DEPARTMENT DATABASES (SEDD)
      hcup-us.ahrq.gov/db/state/sedddist/SEDD_Introduction.jsp
      June 01, 2022 - In addition, the SEDD, in combination with the SID, are well suited for research that requires complete

9732. Untitled (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/infertility_research-protocol.pdf
      October 12, 2015 - be assessed using the approach described in the AHRQ’s Methods Guide.57,63 In brief, the approach requires

9733. Methods Research Report: Linking Evidence Reviews to Organizational Guideline Planning: A Pilot Test of an Interactive Web-Based Presentation and Discussion of Evidence (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/linking-evidence-reviews-methods_0.pdf
      October 01, 2018 - relationship with the health care organization is a critical factor in building a collaborative approach, and requires

9734. Examination of the Use of Electronic Health Record Data for Measuring Performance in Diabetes Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r36hs020165-hirsch-final-report-2012.pdf
      January 01, 2012 - of CER is largely dependent on health information technology.37 As with performance measures, CER requires

9735. Methods (continued, 3) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
      July 01, 2018 - Determine, Safety, Clean hands, Advocate, Respond, Explain). 220 Using a prompt sheet/script that requires

9736. Archived: Prostate Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012
      May 15, 2012 - Assessing the balance of benefits and harms requires weighing a moderate to high probability of early

9737. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - Ideal use requires understanding and acceptance of the value of the crisis checklists across the surgical … Furthermore, the introduction of procedure-specific checklists requires organizations to ensure that

9738. Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
      January 01, 2024 - Minnesota, Connecticut, Indiana, and other states which encompass only hospitals, the California law requires … Minnesota, Connecticut, Indiana, and other states which encompass only hospitals, the California law requires

9739. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
      January 01, 2024 - Yet, to become facile in such conversations requires practice and feedback, to which end we are currently … It also requires close attention to any barriers and consideration of all stakeholders needs.

9740. Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
      May 01, 2025 - First, pursuing high reliability requires clear signaling from senior leaders that safety and reliability