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  1. Psn-Pdf (pdf file)

    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-…

  2. Psn-Pdf (pdf file)

    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-…

  3. Psn-Pdf (pdf file)

    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…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47510/psn-pdf
    June 30, 2019 - Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. June 30, 2019 Guttman O, Keebler JR, Lazzara EH, et al. J Patient Saf Risk Manag. 2019;24:127–133. https://psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45308/psn-pdf
    September 28, 2016 - Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. September 28, 2016 Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with r…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846150/psn-pdf
    March 15, 2023 - Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. March 15, 2023 Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. Ann Fam Med. 20…

  7. Psn-Pdf (pdf file)

    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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73700/psn-pdf
    September 15, 2021 - Preliminary study of patient safety and quality use cases for ICD-11 MMS. September 15, 2021 Fenton SH, Giannangelo KL, Stanfill MH. Preliminary study of patient safety and quality use cases for ICD- 11 MMS. J Am Med Inform Assoc. 2021;28(11):2346-2353. doi:10.1093/jamia/ocab163. https://psnet.ahrq.gov/issue/preli…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44366/psn-pdf
    November 20, 2015 - 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. November 20, 2015 Martinez W, Etchegaray J, Thomas EJ, et al. 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. BMJ Qual Saf. 2015;24…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60940/psn-pdf
    September 23, 2020 - Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. September 23, 2020 Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm. 2020;77(15):1231-1236. doi:1…

  11. Psn-Pdf (pdf file)

    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…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42638/psn-pdf
    October 09, 2013 - Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. October 9, 2013 Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47746/psn-pdf
    July 19, 2019 - Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. July 19, 2019 Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1136/bmjqs-2018-008328. https://psn…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838081/psn-pdf
    September 14, 2022 - Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. September 14, 2022 Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. BMC Nurs. 20…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34907/psn-pdf
    August 03, 2009 - Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? August 3, 2009 Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92. https://psnet.ahrq.gov/issue…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60738/psn-pdf
    July 29, 2020 - Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID- 19 disease. July 29, 2020 Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. Cochrane Da…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45304/psn-pdf
    June 28, 2017 - Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. June 28, 2017 Armstrong GE, Dietrich M, Norman L, et al. Nurses? Perceived Skills and Attitudes About Updated Safety Concepts. J Nurs Care Qual. 2016;32(3):226-233. doi:10.1097/ncq.000000…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46996/psn-pdf
    May 23, 2018 - How to incorporate quality improvement and patient safety projects in your training. May 23, 2018 Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044. https://psnet…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48020/psn-pdf
    July 17, 2019 - 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. July 17, 2019 Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60039/psn-pdf
    March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. March 11, 2020 Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020. https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw- delays Delays in emergency r…
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