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psnet.ahrq.gov/node/866282/psn-pdf
July 10, 2024 - Artificial intelligence can be regulated using current
patient safety procedures and infrastructure in hospitals.
July 10, 2024
Fleisher LA, Economou-Zavlanos NJ. Artificial intelligence can be regulated using current patient safety
procedures and infrastructure in hospitals. JAMA Health Forum. 2024;5(6):e241369.
…
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psnet.ahrq.gov/node/47744/psn-pdf
July 19, 2019 - A qualitative positive deviance study to explore
exceptionally safe care on medical wards for older
people.
July 19, 2019
Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on
medical wards for older people. BMJ Qual Saf. 2019;28(8):618-626. doi:10.1136/bm…
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psnet.ahrq.gov/node/74726/psn-pdf
February 02, 2022 - Disclosing adverse events in clinical practice: the delicate
act of being open.
February 2, 2022
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of
being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.1830550.
https://psnet.ahrq.gov/is…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/swot-analysis
January 01, 2023 - Strength, Weakness, Opportunities, and Threats Analysis
Acronym
SWOT
Also Known As
SWOT Analysis
Description
A strength, weakness, opportunities, and threats (SWOT) analysis is a strategic technique used to identify elements of strength, weakness, opportunity, and threats. The anal…
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psnet.ahrq.gov/node/39853/psn-pdf
February 10, 2015 - Why diagnostic errors don't get any respect--and what
can be done about them.
February 10, 2015
Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health
Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513.
https://psnet.ahrq.gov/issue/why-diagnostic-errors-don…
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psnet.ahrq.gov/node/48087/psn-pdf
July 10, 2019 - The rise of human factors: optimising performance of
individuals and teams to improve patients' outcomes.
July 10, 2019
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to
improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
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psnet.ahrq.gov/node/36333/psn-pdf
July 10, 2008 - The care transitions intervention: results of a randomized
controlled trial.
July 10, 2008
Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized
controlled trial. Arch Intern Med. 2006;166(17):1822-8.
https://psnet.ahrq.gov/issue/care-transitions-intervention-results-ra…
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digital.ahrq.gov/sites/default/files/docs/page/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
October 25, 2025 - the two
Treatment Facilities.
1.4.2 Prescriber uptake
1.4.2.1 Enrollment – Two physicians were trained … Two nurse
practitioners were trained, and one used the system. 22 registered nurses (RN’s) and 38 … licensed practice nurses (LPN’s) were trained as agents of the prescriber to use the CPOE
system. … Several indicated that having all staff trained in the process would
have been beneficial as those who
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/diabetes-behavior-programs_executive.pdf
September 11, 2015 - An organized, multicomponent diabetes-specific
program with repeated interactions by one or
more trained … combination of providers (e.g., physician, nurse, dietitian, pharmacist,
social worker, psychologist, and trained … research is required to determine the effectiveness of
similar programs when delivered by other personnel trained … Whether the behavioral program is delivered by
a health care professional or a trained lay person, or
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
April 01, 2025 - PowerPoint Presentation
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
What Are the 4 Es?
1
Educational…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1 – Understanding Why Change Is Needed
1
Ice Breaker
Describe an interesting fact about yourself.
2
Compelling Reasons To Implement Program
Pressure injury rates continue to escalate.
The inci…
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psnet.ahrq.gov/node/33758/psn-pdf
December 01, 2013 - In Conversation With… Hardeep Singh, MD, MPH
December 1, 2013
In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
Editor's note: Hardeep Singh, MD, MPH, is Chief of the Health Policy, Quality and Informatics Program at
the Hous…
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hcup-us.ahrq.gov/team/NationwideDUA.jsp
April 01, 2024 - Nationwide Data Use Agreement
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Add-on Case and the Missing Checklist
Citation Text:
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - A Mistaken Dose of Naloxone
Citation Text:
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . 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 …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-257-antenatal-care-evidence-summary.pdf
June 01, 2022 - Evidence Summary_Comparative Effectiveness Review No. 257: Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review
Comparative Effectiveness Review
Number 257
Schedule of Visits and Televisits for Routine
Antenatal Care: A Systematic Review
Evidence Summary
Main Points
…
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Diagnostic Overshadowing Dangers
Citation Text:
Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - SPOTLIGHT CASE
The Missing Suction Tip
Citation Text:
Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 …
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Caution, Interrupted
Citation Text:
Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/node/47768/psn-pdf
February 27, 2019 - Challenging authority and speaking up in the operating
room environment: a narrative synthesis.
February 27, 2019
Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room
environment: a narrative synthesis. Br J Anaesth. 2019;122(2):233-244. doi:10.1016/j.bja.2018.10.056.
…