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  1. Psn-Pdf (pdf file)

    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:/…
  2. Psn-Pdf (pdf file)

    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.…
  3. Psn-Pdf (pdf file)

    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. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837029/psn-pdf
    May 04, 2022 - Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. May 4, 2022 doi:10.1001/jamaoncol.2022.0114. https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment- breast-radiotherapy Concordance of patient-reported symptoms and p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853440/psn-pdf
    September 13, 2023 - Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. September 13, 2023 Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J Caring Sci. 2023;37(2):414-423…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38504/psn-pdf
    September 06, 2011 - Safe Practices for Better Healthcare–2009 Update. September 6, 2011 National Quality Forum. Washington, DC: National Quality Forum; 2009. https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update The National Quality Forum's Safe Practices for Better Healthcare provide a blueprint for organizations …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866158/psn-pdf
    June 19, 2024 - Anesthesia-related closed claims in free-standing ambulatory surgery centers. June 19, 2024 Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. https://psnet.ahrq.gov/issue/anesthes…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837896/psn-pdf
    January 01, 2023 - Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. August 24, 2022 Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflect…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44851/psn-pdf
    March 16, 2016 - Understanding psychological safety in health care and education organizations: a comparative perspective. March 16, 2016 Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum Dev. 2016;13(1):65-83. doi:10.1080/15…
  10. 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…
  11. www.ahrq.gov/pqmp/measures/fecc-school-staff-communication.html
    August 01, 2021 - Family Experiences with Coordination of Care (FECC) Measure: Healthcare Provider Communicated with School Staff About Child's Condition Measure Domain:  Management of Chronic Conditions Measure Sub-Domain:  Care Coordination Subcategory: Family Experiences with Coordination of Care (FECC) Measurement Set …
  12. www.ahrq.gov/talkingquality/translate/compare/choose/index.html
    December 01, 2022 - Choosing a Comparator for Health Care Quality Scores One of the most important decisions you will make is choosing the “comparator,” i.e., the level of performance against which you are assessing each health plan or provider in your report. When you set a comparator, you are essentially signaling to consumers…
  13. Psn-Pdf (pdf file)

    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…
  14. www.ahrq.gov/teamstepps-program/evidence-base/behavior.html
    May 01, 2023 - TeamSTEPPS Research/Evidence Base: Disruptive Behavior Rosenstein A. H., et al. (2002). Disruptive physician behavior contributions to nursing shortage. Study links bad behavior by doctors to nurses leaving the profession.  Physician Executive  28(6), 8-11. Select to access the  abstract . Rosenstein, A. H., …
  15. www.ahrq.gov/hai/cauti-tools/ena-slides/index.html
    February 01, 2023 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduction, and Main Menu Part One: Traditional Practice and Recommendations for Cha…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46505/psn-pdf
    August 20, 2018 - Americans' Experiences With Medical Errors and Views on Patient Safety. August 20, 2018 Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute; 2017. https://psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety Patient perspectives have been shown to identi…
  18. Psn-Pdf (pdf file)

    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…
  19. www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/measures.html
    May 01, 2017 - Measures From the CAHPS Health Literacy Item Sets Health Literacy Items for Clinicians & Groups How Well Providers Communicate About Medicines C-HL15. Provider gave easy to understand instructions about medicines C-HL16. Provider gave easy to understand explanations about possible side effects of medicines…
  20. Psn-Pdf (pdf file)

    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; …