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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43567/psn-pdf
    October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. October 21, 2016 Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014. https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention This national action pla…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38675/psn-pdf
    February 15, 2011 - Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. February 15, 2011 Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospecti…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36174/psn-pdf
    September 29, 2010 - Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system. September 29, 2010 Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision, Clinical Modification codes as an adverse dr…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42568/psn-pdf
    December 29, 2014 - Hospital readmission and parent perceptions of their child's hospital discharge. December 29, 2014 Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt051. https://psnet.ahrq.gov/iss…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72752/psn-pdf
    February 17, 2021 - Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. February 17, 2021 O’Neill SM, Clyne B, Bell M, et al. Why do healthcare professionals fail to escalate as per the early warning system (…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841771/psn-pdf
    December 21, 2022 - How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. December 21, 2022 Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative car…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840484/psn-pdf
    November 30, 2022 - Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial. November 30, 2022 Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and primary care to improve medication …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41647/psn-pdf
    July 02, 2014 - Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. July 2, 2014 Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. Acad Med. 2012;…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37776/psn-pdf
    January 31, 2011 - Barcoded medication administration: a last line of defense. January 31, 2011 Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200. https://psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense Barcoding techn…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38673/psn-pdf
    April 30, 2014 - New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. April 30, 2014 Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg. 2009;144(5):394-8. doi:10.1001/archsurg.2009.78. https://psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lectu…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? January 8, 2020 Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult patient transfers, handovers, an…

  12. Matrix Diagram | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/matrix-diagram
    January 01, 2023 - Matrix Diagram Description A matrix diagram is a generic tool that shows relationships between two, three, or four groups of information. The number of shapes a matrix diagram can take is variable, based on the number of groups being compared. Uses When attempting to understand how groups of…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38877/psn-pdf
    April 08, 2011 - Computerized order entry with limited decision support to prevent prescription errors in a PICU. April 8, 2011 Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737. https…

  14. Data Visualizations | Agency for Healthcare Research and Quality

    www.ahrq.gov/data/data-visualization/index.html
    September 01, 2023 - Data Visualizations AHRQ's interactive data visualization tools allow researchers, policymakers, healthcare leaders, and others to view visual depictions of healthcare trends. Based on content from AHRQ's data resources, the visualizations address various topics, such as COVID-19 hospitalizations, health insura…

  15. Importance of MRSA and SSI Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/importance-of-prevention.html
    April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI Importance of MRSA and SSI Prevention Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases Importance of MRSA and SSI Prevention MRSA Su…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73110/psn-pdf
    April 07, 2021 - Does one size fit all? Assessing the need for organizational second victim support programs. April 7, 2021 Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;17(3):e247-e254. doi:10.1097/pts.0000000000000321. https://psnet.ahrq.gov/iss…

  17. NAC Member Biography: Sharon Weidner Hickman | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/organization/nac/hickman.html
    February 01, 2025 - NAC Member Biography: Sharon Weidner Hickman Sharon Weidner Hickman, M.B.A., CPHQ, CPPS, MCPC, LSSMBB President and Chief Operating Officer Adaptient, LLP Sharon Weidner Hickman, M.B.A., CPHQ, CPPS, MCPC, LSSMBB, is a healthcare executive with a demonstrated track record of achievement in strategic development,…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838251/psn-pdf
    October 05, 2022 - Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. October 5, 2022 Uramatsu M, Maeda H, Mishima S, et al. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. J Cardiothorac Surg.…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48172/psn-pdf
    July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. July 31, 2019 Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 20…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73978/psn-pdf
    October 20, 2021 - Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. October 20, 2021 Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. Health Aff (Millwoo…
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