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  1. www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/cascades-east.html
    March 01, 2021 - New Ideas Lead to Big Changes in Care Like many small- and medium-sized practices, the team at Cascades East Family Medicine is always searching for ways to improve care. For Cascades East, this meant enrolling in EvidenceNOW, which connected them with a practice facilitator, Mr. Steven Brantley. In their wor…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48163/psn-pdf
    July 31, 2019 - The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care. July 31, 2019 McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision Support Tool for Deprescribing in Acute Care. J Am Geriatr Soc. 2019;67(9):1843-1850. d…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45914/psn-pdf
    March 20, 2018 - Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. March 20, 2018 Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours Restrictions: A Thematic Analysis of Published Viewpoints in Su…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46981/psn-pdf
    May 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. May 4, 2019 Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 2018;24(2):83-89. doi:10.1177/25160435188138…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45700/psn-pdf
    September 01, 2018 - Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. September 1, 2018 Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self- Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42832/psn-pdf
    September 01, 2016 - Overrides of medication-related clinical decision support alerts in outpatients. September 1, 2016 Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in outpatients. J Am Med Inform Assoc. 2014;21(3):487-91. doi:10.1136/amiajnl-2013-001813. https://psnet.ahrq.gov…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45175/psn-pdf
    February 22, 2017 - Improving physician's hand over among oncology staff using standardized communication tool. February 22, 2017 Alolayan A, Alkaiyat M, Ali Y, et al. Improving physician's hand over among oncology staff using standardized communication tool. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u211844.w6141. http…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867041/psn-pdf
    October 30, 2024 - "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. October 30, 2024 Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534. doi:1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42149/psn-pdf
    December 23, 2016 - Medical device alarm safety in hospitals. December 23, 2016 Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals The cacophony of alarms in hospitals has led many health care providers to become desensitized to them, a con…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37849/psn-pdf
    March 23, 2011 - The incidence and nature of in-hospital adverse events: a systematic review. March 23, 2011 de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622. https://psnet.ahrq.gov/is…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42484/psn-pdf
    August 14, 2013 - Parent willingness to remind health care workers to perform hand hygiene. August 14, 2013 Buser GL, Fisher BT, Shea JA, et al. Parent willingness to remind health care workers to perform hand hygiene. Am J Infect Control. 2013;41(6):492-6. doi:10.1016/j.ajic.2012.08.006. https://psnet.ahrq.gov/issue/parent-willing…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45458/psn-pdf
    November 30, 2016 - Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 30, 2016 Office of Disease Prevention and Heal…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60540/psn-pdf
    November 01, 2016 - Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. November 1, 2016 Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40841/psn-pdf
    October 16, 2012 - How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. October 16, 2012 Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med Care. 2011;49(12):1068-75. doi:10.1097/MLR.0b013e31822efb09. https…
  16. www.ahrq.gov/teamstepps-program/curriculum/communication/teach/mini.html
    May 01, 2023 - Mini-Session Training Content If you are teaching content from the Communication Module in an even shorter format, focus on one or two specific communication tools or an important communication concept that has been selected based on the needs of the participants. For this format, do the following: Using th…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35407/psn-pdf
    September 11, 2009 - Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. September 11, 2009 Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. https://psnet.ahrq.gov/issue/liabili…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47893/psn-pdf
    April 08, 2019 - Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. April 8, 2019 Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
  19. www.ahrq.gov/ncepcr/communities/pbrn/registry/rural-oklahoma-network.html
    October 04, 2016 - Rural Oklahoma Network Status: Active Registered Date: October 4, 2016 PBRN Acronym: ROK-Net PBRN Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties) Network Category: Developing City: Tulsa …
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-2.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety The Patient-Clinician Dyad Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patien…