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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47547/psn-pdf
    February 13, 2019 - Prevention of prescription opioid misuse and projected overdose deaths in the United States. February 13, 2019 Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621. doi:10.1001/jamanetworkopen.2018.76…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46361/psn-pdf
    May 23, 2018 - Inadequate hand-off communication. May 23, 2018 Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. https://psnet.ahrq.gov/issue/inadequate-hand-communication The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety issues and provide guidelines fo…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41369/psn-pdf
    May 29, 2015 - Cognitive interventions to reduce diagnostic error: a narrative review. May 29, 2015 Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjqs-2011-000149. https://psnet.ahrq.gov/issue/cognitive-interventions-re…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45461/psn-pdf
    January 03, 2017 - Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. January 3, 2017 Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9):400-14. https://psnet.ahrq.gov/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40473/psn-pdf
    July 02, 2011 - A systematic review of failures in handoff communication during intrahospital transfers. July 2, 2011 Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. https://psnet.ahrq.gov/issue/systematic-review-failures-h…
  6. www.ahrq.gov/takeheart/assessing/evaluation-report/index.html
    August 01, 2023 - Hybrid Cardiac Rehabilitation Workgroup Evaluation Report Evaluation Report Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination Overview Although interest in nontraditional models of care in cardiac rehab…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43533/psn-pdf
    August 28, 2017 - Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. August 28, 2017 Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …
  8. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/pcph-stakeholder-report.pdf
    September 01, 2022 - Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Clinical preventive services (CPS), such as vaccinations and cancer screenings, can help individuals live longer, heal…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48061/psn-pdf
    June 12, 2019 - Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. June 12, 2019 Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3):432-443. doi:10.1097/GRF.0000000…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38288/psn-pdf
    February 03, 2011 - Hospital-wide code rates and mortality before and after implementation of a rapid response team. February 3, 2011 Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA. 2008;300(21):2506-13. doi:10.1001/jama.2008.715. https://ps…
  11. www.ahrq.gov/ncepcr/communities/pbrn/registry/ambulatory-research-community-health-network.html
    February 07, 2019 - Ambulatory Research Community Health Network Status: Active Registered Date: February 7, 2019 PBRN Acronym: ARCHNet PBRN Type: Family Medicine Network (at least 75% are Family Medicine Clinicians) Network Category: Established Street Address: 937 Morrison Ave. …
  12. www.ahrq.gov/ncepcr/communities/pbrn/registry/building-investigative-practices-better-health-outcomes-research-network.html
    January 01, 2012 - Building Investigative Practices for Better Health Outcomes Research Network Status: Active Registered Date: January 1, 2012 PBRN Acronym: BIGHORN PBRN Type: Family Medicine Network (at least 75% are Family Medicine Clinicians) Network Category: Established Street Add…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863747/psn-pdf
    March 06, 2024 - "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. March 6, 2024 Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582. doi:10.…
  14. www.ahrq.gov/ncepcr/communities/pbrn/registry/colorado-childrens-outcomes-network.html
    January 01, 2012 - Colorado Children's Outcomes Network Status: Active Registered Date: January 1, 2012 PBRN Acronym: COCONet PBRN Type: Pediatric Network (at least 75% are pediatricians or specialize in child health) Network Category: Established Street Address: 1890 N Revere Ct, Thi…
  15. www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
    January 01, 2024 - Create a Culture of Safety Around Antibiotic Prescribing For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, read the Implementation Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB). Presentations Improving antibi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…
  17. www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/functioning.html
    April 01, 2022 - Team Functioning From your first team convening where you set your unit's goals for preventing infections, to celebrating and spreading successful strategies with other units, team functioning is essential to creating and sustaining a culture of safety. Common challenges addressed by these tools are how to stru…
  18. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-AC-17.pdf
    December 16, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: AC-17 Completed by: Page 1 12/16/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: AC-17 B. Measure Name: Otitis Media with Effusion (OME): Systemic antimicrobials – Avoidance of inappropriate use C. Measure Defini…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39873/psn-pdf
    January 22, 2017 - A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. January 22, 2017 Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm J Qual Patient Saf. 2010;36(10):461-7…