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  1. psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
    March 11, 2015 - Press Release/Announcement Infections associated with reprocessed flexible bronchoscopes. Citation Text: Infections associated with reprocessed flexible bronchoscopes. FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. Copy Citation …
  2. psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
    October 23, 2024 - Commentary Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Citation Text: Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…
  3. psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
    November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…
  4. psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care
    February 01, 2011 - Study Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Citation Text: Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…
  5. psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
    January 02, 2017 - Commentary Communication about harm reduction with patients who have opioid use disorder. Citation Text: Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307. Copy Citation Form…
  6. psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose
    March 03, 2010 - Study Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Citation Text: Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.13…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - eb ri ef re Se v Well, I do have some ideas about what we could have done better in terms of treating … SPPC‐II en si o n H yp er t e D eb ri ef re Se v Although we upheld the standard of care by treating … Beth explains, “Although we upheld the standard of care by treating Ms.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49514/psn-pdf
    July 01, 2006 - One ACE Too Many July 1, 2006 Juurlink DN. One ACE Too Many. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/one-ace-too-many The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure presented to the emergency department (ED) with chest pain. An acut…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50931/psn-pdf
    February 26, 2020 - Timely diagnosis of esophageal perforation February 26, 2020 Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation The Case  A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
  10. www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan15/depression-in-children-and-adolescents-screening
    September 15, 2013 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Research Plan Depression in Children and Adolescents: Screening September 15, 2013 Recommendations made by the USPSTF are independent of the U.S. government. T…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843736/psn-pdf
    February 01, 2023 - Saved by ECMO February 1, 2023 Weiss NA. Saved by ECMO . PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/saved-ecmo The Case A 27-year-old pregnant woman was admitted at an estimated gestational age (EGA) of 29 weeks for increased shortness of breath. She was diagnosed with severe pulmonary arterial hyperte…
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
    September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety SOPS® Nursing Home Survey Version: 1.0 Language: English · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and prod…
  13. www.ahrq.gov/cpi/about/impact/index.html
    April 01, 2017 - AHRQ Works: Building Bridges Between Research and Practice   Accelerating learning and innovation in health care delivery is what AHRQ does—every day. AHRQ tools take the "what" and translate it into the “how” by providing research-backed, practical tools that doctors and nurses can use to improve care. Thi…
  14. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
    October 01, 2016 - Slide Title and Commentary Slide Number and Slide Title Slide Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections Tool 4. Tools To Improve Communication and Decision Making SAY: Today we are introducing you to new tools to help improve communication and help prescribing clin…
  15. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ptoutcome-phone.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Patient Outcome Survey (phone version) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause …
  16. www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
    February 01, 2017 - Measure Descriptions for Daily Early Mobility: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Measure Descriptions for Daily Early Mobility Slide 2: Learning Objectives After this session, you will be able…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
    January 01, 2017 - CMV_27_M3_CUSP_SSA_Premortem Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-27-EF January 2017 Overview of CUSP for MVP ‹#› AHRQ Safety Program for Mechanically Ventilat…
  18. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/reports/2024-annual-report/ncepcr-grant-summaries-table.pdf
    January 01, 2024 - AHRQ Primary Care Grant Summaries: Research Profiles and Emerging Research Spotlights Research Profiles: Title and Description Principal Investigator(s) and Institution P1 Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge? This grant funded the implementation of a p…
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/overview-questionnaires-cg40-3350.pdf
    November 01, 2020 - Overview of the CAHPS Clinician & Group Visit Survey 4.0 (beta) Overview of the CAHPS Clinician & Group Visit Survey 4.0 (beta) Document No. 3350 Page 1 CAHPS Clinician & Group Survey and Instructions Overview of the CAHPS Clinician & Group Visit Survey 4.0 (beta) Introduction This document offers an overvi…
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Adult_Med_Eng_HP51_2152a.pdf
    October 01, 2020 - CAHPS Health Plan Survey Adult Medicaid Survey 5.1 CAHPS Health Plan Survey Version: Adult Medicaid Survey 5.1 Language: English Notes • Release of 5.1 version: The CAHPS team updated this survey in the fall of 2020. To reflect the fact that patients are receiving health care in person, by phone, and by vide…