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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44437/psn-pdf
    September 04, 2015 - A piece of my mind. Writing the wrong. September 4, 2015 Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281. https://psnet.ahrq.gov/issue/piece-my-mind-writing-wrong Despite the potential for electronic health record (EHR) systems to improve access to patient data,…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43985/psn-pdf
    December 06, 2017 - Development of a medication safety and quality survey for small rural hospitals. December 6, 2017 Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154. https://psnet.ahrq.go…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45185/psn-pdf
    August 03, 2016 - Final Report of the Commission on Care. August 3, 2016 Washington, DC: Commission on Care; June 2016. https://psnet.ahrq.gov/issue/final-report-commission-care The Veterans Affairs health system has recently faced challenges associated with access and quality. Providing an assessment of the current and future stat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60903/psn-pdf
    March 15, 2023 - AMA Prior Authorization (PA) Physician Survey. March 15, 2023 Chicago, IL: American Medical Association; March 2023.  https://psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey Insurance policies can have consequences that reduce the safety of medical care. This latest version of the study …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45006/psn-pdf
    April 06, 2016 - Quality and Patient Safety. April 6, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/quality-and-patient-safety The Agency for Healthcare Research and Quality has provided access to patient safety research, information, and tools for nearly two decades. This website offers a wide rang…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843090/psn-pdf
    January 25, 2023 - Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. January 25, 2023 Westwood R. Kaiser Health News. January 12, 2023. https://psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers Lack of access to obstetric care impedes safe treatment for mothers. This story de…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60902/psn-pdf
    September 09, 2020 - Using telehealth to revolutionize the speed of making rare disease diagnoses. September 9, 2020 Nothaft W, Moore G, Le Cam Y. STAT. August 27, 2020. https://psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses Patients with rare diseases present diagnostic challenges. This articl…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851464/psn-pdf
    July 19, 2023 - Emergency lights and sirens on ambulances may do more harm than good. July 19, 2023 Renault M. Stat. July 7, 2023. https://psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good Emergency vehicle transport can be dangerous for the patient, the clinician team, and the community. This art…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60717/psn-pdf
    July 22, 2020 - The U.S. is repeating its deadliest pandemic mistake. July 22, 2020 KHAZAN OLGA. The U.S. is repeating its deadliest pandemic mistake. The Atlantic. 2020;July 6. https://psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake Residential care facilities have been particularly challenged by COVID-19. This a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41222/psn-pdf
    May 01, 2016 - Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO). May 1, 2016 Agency for Healthcare Quality and Research. https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization- pso Patient safety organizations (PSO) present a unique o…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35523/psn-pdf
    December 14, 2010 - ISMP Medication Errors Reporting Program. December 14, 2010 Institute for Safe Medication Practices https://psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program The Institute for Safe Medication Practices (ISMP) administers this national reporting program, which collects confidential reports of medication…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73898/psn-pdf
    September 29, 2021 - A Thematic Analysis of HSIB's First 22 Investigations.  September 29, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. https://psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations In-depth failure investigations provide improvement insights for individuals and or…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37619/psn-pdf
    March 19, 2008 - Learning from error: identifying contributory causes of medication errors in an Australian hospital. March 19, 2008 Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(5):276-9. https://psnet.ahrq.gov/is…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41930/psn-pdf
    March 06, 2013 - The value of library and information services in patient care: results of a multisite study. March 6, 2013 Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013;101(1):38-46. doi:10.3163/1536- 5050…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37963/psn-pdf
    April 09, 2009 - Use of a computerized forcing function improves performance in ordering restraints. April 9, 2009 Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergmed.2008.05.035. https://psnet.ahrq.g…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47050/psn-pdf
    April 18, 2018 - Improving Physician Well-Being, Restoring Meaning in Medicine. April 18, 2018 Accreditation Council for Graduate Medical Education. https://psnet.ahrq.gov/issue/physician-well-being Physician and resident well-being is receiving increased attention as an area of focus of the clinical learning environment. This we…
  17. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/document-workflow-assessment-guide
    January 01, 2023 - Document Workflow Assessment Guide: Hospital This is an interview guide designed to be conducted with staff in an inpatient setting. The tool includes questions to assess user's needs of health information exchange. Survey Document Document Workflow Assessment Guide: Hospital (Persons …
  18. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/eldertree-baseline
    January 01, 2023 - ElderTree Baseline Survey This is a questionnaire designed to be completed by elderly patients or their caregivers in the patient home. The tool includes questions to assess attitudes of social media and mobile homes. Survey Document ElderTree Baseline Survey (Persons using assistive t…
  19. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/tests-pending
    January 01, 2023 - Tests Pending at Discharge Survey This is a questionnaire designed to be completed by physicians in an inpatient setting. The tool includes questions to assess the current state of and attitudes around clinical messaging. Survey Document Tests Pending at Discharge Survey (Persons using…
  20. digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-tn/final-report
    January 01, 2023 - State and Regional Demonstration in Health Information Technology: Tennessee - Final Report Citation Frisse M, King J, Rice W, et al. State and Regional Demonstration in Health Information Technology: Tennessee - Final Report. (Prepared by the Vanderbilt Regional Informatics Team under Contract No. 29…