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  1. psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
    September 02, 2014 - Book/Report Fluorouracil Incident Root Cause Analysis Report. Citation Text: Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007. Copy Citation Save Save to your library Print Download …
  2. psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
    February 19, 2020 - Book/Report 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Citation Text: 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Kirkup B. Department of Healt…
  3. www.ahrq.gov/npsd/how-does-npsd-work/index.html
    February 01, 2024 - How Does the NPSD Work? Information known as Patient Safety Work Product (PSWP) is developed by providers and AHRQ-listed Patient Safety Organizations (PSOs) . This information is submitted by PSOs to the Patient Safety Organization Privacy Protection Center (PSOPPC) using the AHRQ Common Formats for Event…
  4. www.ahrq.gov/data/apcd/backgroundrpt/conclusion.html
    April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Conclusion and Future Directions Previous Page Next Page Table of Contents Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Cl…
  5. psnet.ahrq.gov/issue/top-10-medical-technology-hazards-2020-announced
    May 01, 2019 - Newspaper/Magazine Article Top 10 medical technology hazards of 2020 announced. Citation Text: Top 10 medical technology hazards of 2020 announced. Cheney C. HealthLeaders Media. October 8, 2019. Copy Citation Save Save to your library Print Download PD…
  6. meps.ahrq.gov/about_meps/workshops_events.jsp
    Medical Expenditure Panel Survey Workshops and Events   Skip to main content An official website of the Department of Health & Human Services More Back Search a…
  7. meps.ahrq.gov/mepsweb/about_meps/workshops_events.jsp
    Medical Expenditure Panel Survey Workshops and Events   Skip to main content An official website of the Department of Health & Human Services More Back Search a…
  8. digital.ahrq.gov/program-overview/research-stories/visual-learning-displaying-data-hypertension-management
    January 01, 2023 - Visual Learning: Displaying the Data for Hypertension Management Theme: Optimizing Care Delivery for Clinicians Subtheme: Optimizing Data Visualization to Improve Care A clinical decision support tool helps patients and physicians use at-home measured blood pressure data to better understa…
  9. psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time
    March 27, 2018 - Government Resource Delivering the right diet to the right patient every time. Citation Text: Delivering the right diet to the right patient every time. Wallace SC. PA-PSRS Patient Saf Advis. 2015;12:62-70. Copy Citation Save Save to your library Print D…
  10. digital.ahrq.gov/organization/rti-international
    January 01, 2023 - RTI International Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions Description This research supported the testing of two interoperable Substitutable Medical Applications Reusable Technologies (SMART®) on Fast Healthcare Interoperability R…
  11. psnet.ahrq.gov/training-education
    October 01, 2025 - Training and Education Overview PSNet offers an unparalleled set of resources for patient safety training and education. In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases and complete the interactive learning modules for continuing medical education (CME), maintenan…
  12. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/cahptab.html
    December 01, 2017 - Factors for Selecting Performance Measures The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.   Factors CAHPS® HCUP QIs HEDIS® Title V Suitable for comparing? Yes, if CAHPS® specifications followed. Not designed for com…
  13. psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
    June 22, 2016 - Book/Report A Safer Place for Patients: Learning to Improve Patient Safety. Citation Text: A Safer Place for Patients: Learning to Improve Patient Safety. House of Commons Committee on Public Accounts. London: The Stationery Office Limited; June 2006. Copy Citation …
  14. psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
    June 10, 2015 - Book/Report The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. Citation Text: The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659. Copy Citation Save …
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
    March 01, 2018 - 2018 Hospital SOPS Database Report Executive Summary Infograpic Surveys on Patient Safety Culture™ EXECUTIVE SUMMARY 2018 HOSPITAL SURVEY DATABASE This overview of survey findings summarizes how hospital employees perceive 12 areas of patient safety culture based on the 2018 Hospital Survey on Patient Safety CUi…
  16. psnet.ahrq.gov/issue/daisy-award-extraordinary-nurses-patient-safety
    June 28, 2018 - Award Announcement DAISY Award for Extraordinary Nurses in Patient Safety. Citation Text: DAISY Award for Extraordinary Nurses in Patient Safety. The Daisy Foundation and Institute for Healthcare Improvement. Copy Citation Save Save to your library Print …
  17. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-j.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix J. Urinary Catheter Brochure Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overvi…
  18. psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
    September 06, 2011 - Multi-use Website Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). Citation Text: Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). National Quality Forum. Copy Citation Save Save to your library Print Downloa…
  19. www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/overview.html
    July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Overview Previous Page Next Page Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Asthma affects approximately 1 in…
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-bayliss.pdf
    June 02, 2025 - Models of High Value Care for Persons with Multiple Chronic Conditions: Slide Presentation Models of High Value Care for Persons with Multiple Chronic Conditions Elizabeth A. Bayliss, MD, MSPH Institute for Health Research, Kaiser Permanente Colorado Lucy A. Savitz, PhD, MBA Center for Health Research, Kaiser Perm…