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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849595/psn-pdf
    May 31, 2023 - Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023 Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized c…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43140/psn-pdf
    October 31, 2014 - The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. October 31, 2014 Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult popu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41095/psn-pdf
    February 01, 2012 - Intervention to reduce transmission of resistant bacteria in intensive care. February 1, 2012 Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med. 2011;364(15):1407-18. doi:10.1056/NEJMoa1000373. https://psnet.ahrq.gov/issue/intervent…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40600/psn-pdf
    September 09, 2011 - To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. September 9, 2011 Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(4):288-298. doi:10.1097/HMR.0b01…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72824/psn-pdf
    March 10, 2021 - Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals March 10, 2021 Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset C…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47457/psn-pdf
    January 17, 2019 - Developing a reporting culture: learning from close calls and hazardous conditions. January 17, 2019 Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert. 2018;(60):1-8. https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42326/psn-pdf
    June 05, 2013 - Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? June 5, 2013 Boike JR, Bortman JS, Radosta JM, et al. Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? J Patient Saf. 2013;9(2):59-67. doi:10.1097/P…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46531/psn-pdf
    January 24, 2019 - Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. January 24, 2019 Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2. ht…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43904/psn-pdf
    October 13, 2015 - Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. October 13, 2015 Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/ijpp.12172. https://psnet.ahrq.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46236/psn-pdf
    April 03, 2018 - The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. April 3, 2018 Porat T, Delaney B, Kostopoulou O. The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. BMC Med Inform Decis Mak. 2017;17(1):79. doi:10.1186/s12…
  11. www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/engagement.html
    April 01, 2022 - Team Engagement To make sustainable quality improvements, you need to recruit an enthusiastic team and keep members engaged by providing the relevant data, inviting team feedback, and creating necessary incentives. Accomplishing this will take time and frequent evaluation. Although the nuances of your approach …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41924/psn-pdf
    April 05, 2013 - Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. April 5, 2013 Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. Health Aff (Millwood). 2012…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45992/psn-pdf
    January 01, 2020 - Barriers and facilitators of adverse event reporting by adolescent patients and their families. March 29, 2017 Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237. doi:10.1097/pts.000000000000029…
  14. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impact-grants/index.html
    August 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants   Project Profiles Each grant title below links to a short profile about the project. The profiles include an overview of the efforts to spread primary care transformation within the model State, efforts to disseminate the mod…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40200/psn-pdf
    July 02, 2014 - Checklists to reduce diagnostic errors. July 2, 2014 Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. https://psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors Diagnostic errors are rapidly gaining attention as the next f…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45955/psn-pdf
    January 01, 2021 - The essential role of leadership in developing a safety culture. April 3, 2017 The essential role of leadership in developing a safety culture. Sentinel Event Alert. 2021;57(57):1-8. https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture The Joint Commission issues sentinel event alerts t…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41795/psn-pdf
    September 07, 2016 - Drug shortage-associated increase in catheter-related blood stream infection in children. September 7, 2016 Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894. https://psnet.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41610/psn-pdf
    January 25, 2017 - Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. January 25, 2017 Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. CMAJ. 2012;184(13):E709-718. doi:10.1503/cmaj.112153. https://…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40271/psn-pdf
    May 25, 2011 - Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. May 25, 2011 Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidem…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849124/psn-pdf
    May 17, 2023 - Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. May 17, 2023 Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systema…