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• Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. | PSNet
  
  Journal Article Review Published May 10, 2017 Centers for Disease Control and Prevention Guideline … for the Prevention of Surgical Site Infection, 2017. … This clinical guideline reviews the literature and gathers expert opinion to identify generalizable evidence-based … Journal Article Review Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy … Journal Article Review Guideline for opioid therapy and chronic noncancer pain.
  https://psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection-2017 - 2k - 2021-01-19
• Unverified patient-reported error: a false alarm can have real consequences. | PSNet
  
  Newspaper/Magazine Article Published December 3, 2014 Unverified patient-reported error: a false alarm … Approach to Improving Safety Patient Complaints Resource Type Newspaper/Magazine Article Setting of … More Share Facebook Twitter Linkedin Email Print Reviewing an incident involving a patient who reported … Journal Article Review Oral chemotherapy: a home safety educational framework for healthcare providers … Journal Article Review Safety of care by caregivers of cancer patients. Given BA.
  https://psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences - 1k - 2021-01-18
• Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
  
  health systems science framework is now being embraced by many medical schools, residency programs, and academic … Educating physicians prepared to improve care and safety is no accident: it requires a systematic approach … Medical education: part of the problem and part of the solution. … competencies for academic faculty. … Journal Article Review Comfort with uncertainty: reframing our conceptions of how clinicians navigate
  https://psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems?page=3 - 13k - 2021-01-02
• How Does Infection Prevention Fit Into a Safety Program? | PSNet
  
  A substantial portion of the harm from errors occurred in the form of preventable health care–associated … The systematic collection of these data and provision of reports allows for local, state, and national … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … Scope of Work of Hospital Infection Prevention Programs. … workers Vaccination (e.g., influenza, pertussis, varicella, hepatitis B) Bloodborne pathogens Product review
  https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program?page=3 - 14k - 2021-01-04
• How Does Infection Prevention Fit Into a Safety Program? | PSNet
  
  A substantial portion of the harm from errors occurred in the form of preventable health care–associated … The systematic collection of these data and provision of reports allows for local, state, and national … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … Scope of Work of Hospital Infection Prevention Programs. … workers Vaccination (e.g., influenza, pertussis, varicella, hepatitis B) Bloodborne pathogens Product review
  https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program?page=1 - 14k - 2021-01-04
• How Does Infection Prevention Fit Into a Safety Program? | PSNet
  
  A substantial portion of the harm from errors occurred in the form of preventable health care–associated … The systematic collection of these data and provision of reports allows for local, state, and national … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … Scope of Work of Hospital Infection Prevention Programs. … workers Vaccination (e.g., influenza, pertussis, varicella, hepatitis B) Bloodborne pathogens Product review
  https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program?page=2 - 14k - 2021-01-08
• ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet
  
  Article Clinical Area Allergy & Immunology Target Audience Physicians Error Types Epidemiology of … More Share Facebook Twitter Linkedin Email Print Mistakes in the use of vaccines can have both … The first article of this series reviews the results from an analysis of reports submitted to a national … Journal Article Study Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS … Newspaper/Magazine Article First annual review of data submitted to the ISMP National Vaccine Errors
  https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2 - 2k - 2021-01-19
• 5. Public Reporting as a Quality Improvement Strategy (pdf file)
  
  Literature), PAIS (Public Affairs Information Services), The Cochrane Database of Systematic Reviews … o In 1988 Vladeck et al.87 reported the earliest results identified in this systematic review. … In a systematic review of literature we are limited to what has been studied and published. … The impact of measuring patient-reported outcomes in clinical practice: a systematic review of the literature … of patient payment policies: a critical review of the literature.
  https://effectivehealthcare.ahrq.gov/sites/default/files/pdf/public-reporting-quality-improvement_research.pdf - 1.5m - 2021-01-17
• VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. | PSNet
  
  Malpractice Litigation Audit and Feedback Resource Type Government Resource Book/Report Setting of … Facebook Twitter Linkedin Email Print This report reviews injury claim data to assess quality of … Summary Related Resources Book/Report Health-Care-Associated Infections in Hospitals: An Overview of … Fillo KT; Nelson; Executive Office of Health and Human Services; Department of Public Health; Bureau … of Health Care Safety and Quality; Commonwealth of Massachusetts.
  https://psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take - 2k - 2021-01-19
• ACR guidance document on MR safe practices: 2013. | PSNet
  
  Journal of magnetic resonance imaging : JMRI . 2013; 37 :501-30 . … Journal of magnetic resonance imaging : JMRI. 2013;37(3):501-30. doi:10.1002/jmri.24011. … Journal Article Study Radiologist-initiated double reading of abdominal CT: retrospective analysis … of the clinical importance of changes to radiology reports. … American Society of Anesthesiologists; ASA; Committee on Equipment and Facilities.
  https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-2013 - 2k - 2021-01-19
• Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. | PSNet
  
  Article Commentary Published May 15, 2013 Interdisciplinary collaboration to maintain a culture of … The Journal of perinatal & neonatal nursing . 2013; 27 :113-23; quiz 124-5 . … Topics Approach to Improving Safety Continuing Education Resource Type Commentary Setting of Care … Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. … The American journal of maternal child nursing . 2009; 34 :18-23 .
  https://psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting - 2k - 2021-01-19
• Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet
  
  Journal of Patient Safety . 2011; 7 . … Quality Improvement Strategies Communication between Providers Resource Type Commentary Setting of … Journal of Patient Safety. 2011;7(1). doi:10.1097/pts.0b013e31820c98a8. … Journal of the American Medical Informatics Association : JAMIA . 2013; 20 :766-77 . … Journal of hospital medicine . 2011; 6 :225-30 .
  https://psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care - 2k - 2021-01-19
• Peer Review at AHRQ | Agency for Healthcare Research and Quality
  
  Peer Review at AHRQ Descriptions of the AHRQ Peer Review Standing Study Section rosters. … one chartered Health Services Research Initial Review Group (IRG) responsible for the peer review of … Attention Potential Reviewers: The Division of the Scientific Review (DSR) of AHRQ is seeking nominations … If you are interested in being considered, please contact the Director of Scientific Review, Dr. … care and innovation research; access to care; clinical outcomes and effectiveness research; systematic
  https://www.ahrq.gov/funding/process/study-section/peerrev.html - 9k - 2021-01-16
• Unexplained Apnea Under Anesthesia | PSNet
  
  anesthesiologists’ self-reported incidents found that of a total of 1089 incidents, 71 were related … All anesthesia and resuscitation medication carts should be standardized,( Figure 2 ) by applying a systematic … medications on the anesthesia cart; and always review the Six Right’s (patient, drug, dose, route, time … Review the doses of medication administered and check for syringe or ampoule swap of opiates, hypnotics … Kulli, MD WebM&M Cases Bleeding Risk Mark A.
  https://psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia?page=1 - 20k - 2020-12-28
• Unexplained Apnea Under Anesthesia | PSNet
  
  anesthesiologists’ self-reported incidents found that of a total of 1089 incidents, 71 were related … All anesthesia and resuscitation medication carts should be standardized,( Figure 2 ) by applying a systematic … Review the doses of medication administered and check for syringe or ampoule swap of opiates, hypnotics … View of Medication Cart Drawer Related Resources WebM&M Cases Urine a Tough Position Tejal K. … Gibbs, MD WebM&M Cases Making Do Linda D.
  https://psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia?page=2 - 19k - 2020-12-30
• Unexplained Apnea Under Anesthesia | PSNet
  
  anesthesiologists’ self-reported incidents found that of a total of 1089 incidents, 71 were related … All anesthesia and resuscitation medication carts should be standardized,( Figure 2 ) by applying a systematic … Review the doses of medication administered and check for syringe or ampoule swap of opiates, hypnotics … View of Medication Cart Drawer Related Resources WebM&M Cases The Missing Suction Tip Eric J. … Moore, MD WebM&M Cases Around the Block Tracy Minichiello, MD WebM&M Cases Citrate Mix-Up Robert
  https://psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia?page=3 - 20k - 2021-01-02
• CER 199 with Addendum: Treatments for Basal Cell and Squamous Cell Carcinoma of the Skin (pdf file)
  
  Literature flow diagram SR = systematic review; SCC = squamous cell carcinoma; BCC = basal cell carcinoma … The objective of this systematic review is to comprehensively collect and synthesize information on … A systematic review of treatment modalities for primary basal cell carcinomas. … Cutaneous squamous cell carcinoma of the scalp in the immunocompromised patient: review of 53 cases … Cost effectiveness of Mohs micrographic surgery: review of the literature J Drugs Dermatol no primary
  https://effectivehealthcare.ahrq.gov/sites/default/files/pdf/cer-199-skin-cancer-with-addendum.pdf - 714k - 2021-01-16
• Disposition of Comments Report for Technical Brief 15 Transition Care for Children With Special Health Needs (pdf file)
  
  This is not a comparative effectiveness review or a systematic review. … This is not a comparative effectiveness review or a systematic review. … This is not a comparative effectiveness review or a systematic review. … The literature review might have been enriched somewhat by touching the adult transitions of care literature … of clinical/academic setting); and c) the process used to select Key Informants.
  https://effectivehealthcare.ahrq.gov/sites/default/files/related_files/children-special-needs-transition_disposition-comments.pdf - 134k - 2021-01-16
• Improving the quality of health care: who will lead? | PSNet
  
  XML EndNote 7 XML Endnote tagged More Share Facebook Twitter Linkedin Email Print In this review … government, academic centers) as well as strategies for and examples of successful improvement efforts … Journal Article Commentary Transitions of Care Consensus Policy Statement American College of Physicians-Society … of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College … of Emergency Physicians-Society of Academic Emergency Medicine.
  https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead - 2k - 2021-01-17
• GMC National Training Survey 2014: Concerns About Patient Safety. | PSNet
  
  More Share Facebook Twitter Linkedin Email Print This report summarizes concerns reported in an … annual survey of junior doctors in the United Kingdom, reviews how these issues have been addressed, … and uses case studies to illustrate the role of reporting systems in tracking perceived patient safety … Journal Article Review The global burden of diagnostic errors in primary care.
  https://psnet.ahrq.gov/issue/gmc-national-training-survey-2014-concerns-about-patient-safety - 1k - 2021-01-18