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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866645/psn-pdf
    September 04, 2024 - Technology-related safety event analysis in community clinical informatics: a case study. September 4, 2024 Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. doi:10.3233/shti240189. https://psne…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844768/psn-pdf
    September 11, 2019 - Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019 Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43480/psn-pdf
    January 01, 2015 - Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. December 15, 2014 Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081. https://psnet.ahrq.gov/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45848/psn-pdf
    November 19, 2018 - New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. November 19, 2018 Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies- physicians Poor c…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46669/psn-pdf
    January 17, 2018 - Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. January 17, 2018 Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. P…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846147/psn-pdf
    March 15, 2023 - Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta- analysis. March 15, 2023 Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis. J Clin Med. 2023;12(…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37277/psn-pdf
    July 28, 2010 - Drug selection errors in relation to medication labels: a simulation study. July 28, 2010 Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-lab…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46496/psn-pdf
    October 11, 2017 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. October 11, 2017 Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organization…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44790/psn-pdf
    March 15, 2016 - The role of emotion in patient safety: are we brave enough to scratch beneath the surface? March 15, 2016 Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/0141076815620614. https://psnet.ahrq.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37295/psn-pdf
    February 24, 2011 - Limited health literacy is a barrier to medication reconciliation in ambulatory care. February 24, 2011 Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. https://psnet.ahrq.gov/issue/limited-health-li…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45347/psn-pdf
    September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. September 7, 2016 Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595. https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…
  12. www.ahrq.gov/policy/electronic/links/index.html
    July 01, 2025 - Linking to the AHRQ Website Information about establishing links to the AHRQ website. Our Home Page address: https://www.ahrq.gov We prefer linkages to the Home Page. If you link to specific items within the website, rather than the Home Page, please Submit a Message to notify us and provide the relevant U…
  13. www.ahrq.gov/topics/ruralinner-city-residents.html
    Topic: Rural/Inner-City Residents Rural and inner-city populations each face unique healthcare challenges. Geographic isolation, persistent shortages of healthcare providers, lower socioeconomic status and levels of educational attainment, cultural and social differences, and lack of health insurance all contribute t…
  14. www.ahrq.gov/ncepcr/about/pcr-webinar-series/person-centered-care.html
    July 01, 2024 - NCEPCR Webinar: Research on Person-Centered Care This webinar features research on person-centered techniques, models, tools, and programs and their impact on patient health outcomes. Three presenters discuss their research on the associations between shared decision making and chronic care; how primary care cl…
  15. digital.ahrq.gov/organization/rhode-island-department-health
    January 01, 2023 - Rhode Island Department of Health Rhode Island Statewide Health Information Exchange (HIE) State and Regional Demonstration Project (currently known as currentcare) - 2011 Principal Investigator Zimmerman, Amy Project Name State and Regional Demonstration in Heal…
  16. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-commitment-statement.pdf
    June 02, 2025 - National Action Alliance for Patient and Workforce Safety Commitment National Action Alliance for Patient and Workforce Safety Commitment Vision Safe care everywhere, zero preventable harm for all. Mission A total systems approach to safety that is focused on culture, leadership, and governance; pa�ent a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837330/psn-pdf
    June 08, 2022 - A call to action: next steps to advance diagnosis education in the health professions. June 8, 2022 Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.1515/dx-2021-0103. https://psnet.ahrq.gov/i…
  18. www.ahrq.gov/ncepcr/communities/pbrn/registry/free-clinic-research-educational-engagement-network.html
    July 15, 2013 - Free Clinic Research & Educational Engagement Network Status: Inactive Registered Date: July 15, 2013 PBRN Acronym: FREENet PBRN Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties) Network Category: Establi…
  19. digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ca2
    January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / California Project Description Project Details - Completed Contract Number 290-05-0015-RTI-045 Funding Mechanism(s) Health Information Security and Privacy C…
  20. www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
    January 01, 2024 - The nine-institution, multisite, pediatric I-PASS Study represented a first step toward addressing these