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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851925/psn-pdf
    August 02, 2023 - Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. August 2, 2023 Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no. 22-01540-146. https://psnet.ahrq.gov/iss…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60244/psn-pdf
    April 22, 2020 - Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. April 22, 2020 Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. Anesth …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74144/psn-pdf
    December 01, 2021 - Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction. December 1, 2021 Joseph A. STAT. November 22, 2021 https://psnet.ahrq.gov/issue/her-husband-died-suicide-she-sued-his-pain-doctors-rare-challenge-over- opioid-dose-reduction The opioid epidemic has put regulator…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46255/psn-pdf
    September 06, 2017 - Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. September 6, 2017 Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities The ambulatory env…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47725/psn-pdf
    March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-info-form.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Background Quality Improvement Team Information Form AHRQ Safety Program for Perinatal Care Background Quality Improvement Team Information Form Who should use this tool? Health care teams Please indicate staff members designated as Labor and Delivery Quality Improvement Team…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45836/psn-pdf
    July 02, 2017 - Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. July 2, 2017 Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41045/psn-pdf
    July 02, 2014 - Relating faults in diagnostic reasoning with diagnostic errors and patient harm. July 2, 2014 Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6. https://psnet.ahrq.gov/issue/relating-fau…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46960/psn-pdf
    July 18, 2018 - What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. July 18, 2018 Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality Improvement and Patient Safety: A Content Analysis of 26 Se…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45594/psn-pdf
    December 19, 2017 - Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. December 19, 2017 Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Meaningful Resident Quality and Safet…
  11. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45115/psn-pdf
    September 07, 2016 - Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. September 7, 2016 Chen SI, Fox ER, Hall K, et al. Despite Federal Legislation, Shortages Of Drugs Used In Acute Care Settings Remain Persistent And Prolonged. Health Aff (Millwood). 2016;35(5):798-804. doi:…
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/identifying-delirium.pdf
    June 01, 2021 - Identifying Delirium IDENTIFYING DELIRIUM ABCs OF IDENTIFICATION Acute/subacute • Altered mental status with change in attention Behavioral disturbance • (Restless, agitated, combative) Changes in consciousness • (Jittery, drowsy, difficult to arouse) COMMON CAUSES OF DELIRIUM COMMON…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48089/psn-pdf
    June 19, 2019 - Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the American College of Physicians. June 19, 2019 Candilis PJ, Kim DT, Sulmasy LS, et al. Physician Impairment and Rehabilitation: Reintegration Into Medical Practice While Ensuring Pat…
  15. www.ahrq.gov/research/findings/final-reports/stpra/stpraexh3.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 3. Inclusion and exclusion criteria for literature review Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chap…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35328/psn-pdf
    May 19, 2015 - Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. May 19, 2015 Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation of …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73914/psn-pdf
    October 06, 2021 - Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study. October 6, 2021 Bouwman R, Bomhoff M, Robben PB, et al. Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study. J Patient Saf. 2021;17(7):473-482. do…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852276/psn-pdf
    August 09, 2023 - Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. August 9, 2023 Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60271/psn-pdf
    April 29, 2020 - Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. April 29, 2020 Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public Health Crises. Pain Med. 2020;21(…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46429/psn-pdf
    October 04, 2017 - Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system. October 4, 2017 Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests in an Urban Academic Safety-Net Health Care System. Jt Comm J Qual Pat…