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psnet.ahrq.gov/node/46994/psn-pdf
October 31, 2018 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2017.
October 31, 2018
Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226.
doi:10.…
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psnet.ahrq.gov/node/47461/psn-pdf
December 27, 2018 - IV push medications survey results—part 1 and part 2.
December 27, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
https://psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
Errors in the administration of intravenous medications can r…
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - Suicide Prevention in an Emergency Department
Population: ED-SAFE
April 24, 2024
https://psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
Summary
Suicide is the 12th leading cause of death in the United States, and the 3rd leading cause of death for
people ages 15-24.1 More tha…
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - SPOTLIGHT CASE
A "Reflexive" Diagnosis in Primary Care
Citation Text:
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy
Helak about Application of Safety-II Principles
August 28, 2024
In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-an…
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
Conta…
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic
December 1, 2016
Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
Case Objectives
Recognize suicide as a major public health problem and the critical role of pri…
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - In Conversation With… Amy J. Starmer, MD, MPH
April 1, 2016
Citation Text:
In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout
Citation Text:
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/node/50908/psn-pdf
February 19, 2020 - Psychological safety and infection prevention practices:
results from a national survey.
February 19, 2020
Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a
national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic.2019.09.027.
https://psnet.ah…
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psnet.ahrq.gov/node/840165/psn-pdf
November 16, 2022 - Evaluation of Quality, Safety and Value in Veterans Health
Administration Facilities, Fiscal 2021.
November 16, 2022
Washington, DC: Veterans Affairs Office of Inspector General; 2022. Report No. 22-00818-03.
https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-…
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psnet.ahrq.gov/node/60762/psn-pdf
August 05, 2020 - Implementation and sustainability of a medication
reconciliation toolkit: a mixed methods evaluation.
August 5, 2020
Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication
reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Pharm. 2020;77(14):1135-1143.
doi:1…
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psnet.ahrq.gov/node/836851/psn-pdf
April 06, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office
Survey: 2022 User Database Report.
April 6, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2022. AHRQ Publication No. 22-0017.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…
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psnet.ahrq.gov/node/47848/psn-pdf
May 08, 2019 - A mixed-method study of practitioners' perspectives on
issues related to EHR medication reconciliation at a
health system.
May 8, 2019
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on
Issues Related to EHR Medication Reconciliation at a Health System. Qual Manag…
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psnet.ahrq.gov/node/37294/psn-pdf
May 21, 2013 - Improving Hand-Off Communication.
May 21, 2013
Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
https://psnet.ahrq.gov/issue/improving-hand-communication
The process of transferring primary responsibility for patient care is commonly referred to as a handoff.
Handoffs are inherently dange…
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psnet.ahrq.gov/node/852462/psn-pdf
August 16, 2023 - American Geriatrics Society 2023 updated AGS Beers
Criteria for Potentially Inappropriate Medication Use in
Older Adults.
August 16, 2023
American Geriatrics Society Beers Criteria® Update Expert Panel. J Am Geriatr Soc. 2023;71(7):2052-
2081.
https://psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-…
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psnet.ahrq.gov/node/838136/psn-pdf
September 21, 2022 - Exploration of a rapid response team model of care: a
descriptive dual methods study.
September 21, 2022
Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual
methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294.
https://psnet.a…
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psnet.ahrq.gov/node/47657/psn-pdf
April 24, 2019 - Long-term effects of an e-learning course on patient
safety: a controlled longitudinal study with medical
students.
April 24, 2019
Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled
longitudinal study with medical students. PLoS One. 2019;14(1):e0210947.
…
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psnet.ahrq.gov/node/45727/psn-pdf
August 03, 2017 - Evidence-based guidelines for fatigue risk management in
EMS: formulating research questions and selecting
outcomes.
August 3, 2017
Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS:
Formulating Research Questions and Selecting Outcomes. Prehosp Emerg Care. 2017;2…
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psnet.ahrq.gov/node/60303/psn-pdf
May 06, 2020 - Using safety culture results to guide the merger of four
general practices in the UK.
May 6, 2020
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general
practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860.
https://psnet.ahrq.gov/issue…