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psnet.ahrq.gov/node/60660/psn-pdf
July 09, 2020 - Pharmacist-led program to improve transitions from acute
care to skilled nursing facility care.
July 9, 2020
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to
skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090.
https:/…
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psnet.ahrq.gov/node/836779/psn-pdf
January 01, 2023 - Medication reconciliation at hospital discharge: a
qualitative exploration of acute care nurses' perceptions
of their roles and responsibilities.
March 23, 2022
Latimer S, Hewitt J, de Wet C, et al. Medication reconciliation at hospital discharge: A qualitative
exploration of acute care nurses’ perceptions of thei…
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www.ahrq.gov/hai/tools/mvp/modules.html
January 01, 2017 - Toolkit Modules
The toolkit consists of four modules and other resources that will help ICUs uncover local defects, implement interventions to prevent ventilator-associated events, and build a sustainable safety culture.
Module on How To Apply CUSP for Mechanically Ventilated Patients
The Comprehensive Unit…
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psnet.ahrq.gov/node/866938/psn-pdf
October 09, 2024 - The Patient’s Role in Diagnostic Safety and Excellence:
From Passive Reception towards Co-Design.
October 9, 2024
Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence:
From Passive Reception Towards Co-Design. Rockville, MD: Agency for Healthcare Research and Quality;
…
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psnet.ahrq.gov/node/849610/psn-pdf
May 31, 2023 - Implementation of ED I-PASS as a standardized handoff
tool in the pediatric emergency department.
May 31, 2023
Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the
pediatric emergency department. J Healthc Qual. 2023;45(3):140-147.
doi:10.1097/jhq.0000000000000374.…
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psnet.ahrq.gov/node/61120/psn-pdf
November 11, 2020 - Application of human factors methods to understand
missed follow-up of abnormal test results.
November 11, 2020
Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up
of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. doi:10.1055/s-0040-1716537.
http…
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psnet.ahrq.gov/node/74217/psn-pdf
December 22, 2021 - NPSD Data Spotlight, Patient Safety and COVID-19: A
Qualitative Analysis of Concerns During the Public Health
Emergency, 2021.
December 22, 2021
Rockville, MD: Agency for Healthcare Research and Quality; November 2021. AHRQ Pub. No. 22-0005.
https://psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid…
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psnet.ahrq.gov/node/864848/psn-pdf
March 20, 2024 - An mHealth design to promote medication safety in
children with medical complexity.
March 20, 2024
Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with
medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000.
https://psnet.ahrq.gov/issue/mh…
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psnet.ahrq.gov/node/859301/psn-pdf
January 01, 2024 - Parents' understanding of medication at discharge and
potential harm in children with medical complexity.
December 20, 2023
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and
potential harm in children with medical complexity. Arch Dis Child. 2024;109(3):215-221.
…
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psnet.ahrq.gov/node/73710/psn-pdf
September 15, 2021 - Strengths and weaknesses in the diagnostic process of
endometriosis from the patients' perspective: a focus
group study.
September 15, 2021
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of
endometriosis from the patients’ perspective: a focus group study. Diagnos…
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psnet.ahrq.gov/node/47993/psn-pdf
May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
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psnet.ahrq.gov/node/44755/psn-pdf
November 18, 2016 - Effect of patient-centred bedside rounds on hospitalised
patients' decision control, activation and satisfaction with
care.
November 18, 2016
O'Leary KJ, Killarney A, Hansen LO, et al. Effect of patient-centred bedside rounds on hospitalised
patients' decision control, activation and satisfaction with care. BMJ Qu…
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psnet.ahrq.gov/node/48178/psn-pdf
January 01, 2020 - ACR guidance document on MR safe practices: updates
and critical information 2019.
August 14, 2019
ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging.
2020;51(2):331-338.
https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform…
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psnet.ahrq.gov/node/853236/psn-pdf
September 06, 2023 - Video review of simulated pediatric cardiac arrest to
identify errors/latent safety threats: a mixed methods
study.
September 6, 2023
Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify
errors/latent safety threats: a mixed methods study. Simul Healthc. 2023;18(4…
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psnet.ahrq.gov/node/47195/psn-pdf
September 12, 2018 - Diagnostic discordance, health information exchange,
and inter-hospital transfer outcomes: a population study.
September 12, 2018
Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-
hospital transfer outcomes: a population study. J Gen Intern Med. 2018;33(9):1447-145…
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psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - Association between day of delivery and obstetric
outcomes: observational study.
December 9, 2015
Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational
study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774.
https://psnet.ahrq.gov/issue/association-between-day-delivery-…
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psnet.ahrq.gov/issue/affordable-health-care-floridians-act
January 15, 2025 - Legislation/Regulation
Affordable Health Care for Floridians Act.
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August 27, 2008
Established the patient safety center in the st…
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psnet.ahrq.gov/node/43628/psn-pdf
October 29, 2014 - Factors associated with post-intensive care unit adverse
events: a clinical validation study.
October 29, 2014
Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a
clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.1111/nicc.12091.
https://psnet.…
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psnet.ahrq.gov/node/863749/psn-pdf
March 06, 2024 - Improving situation awareness to advance patient
outcomes: a systematic literature review.
March 6, 2024
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a
systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.
doi:10.1097/cin.0000000000001112.
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/01-pt-narratives-support-px-strategy-intro.pdf
December 10, 2024 - How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) - Introduction
How Patient Narratives Can Support Your
Patient Experience Strategy
A Webinar Presented by the AHRQ CAHPS User Network
Tuesday, December 10, 2024
1:00 – 2:00 pm ET
Webcast Technical Info
• Audio issues
• Poor connecti…