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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41586/psn-pdf
    January 01, 2013 - Strategies for improving patient safety culture in hospitals: a systematic review. December 31, 2012 Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-000582. https://psnet.ahrq.gov/iss…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867039/psn-pdf
    October 30, 2024 - Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. October 30, 2024 Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.1002/alz.14067. https://psnet.ahrq…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74757/psn-pdf
    February 09, 2022 - Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.1001/jamanetworkopen.2021.44531. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36154/psn-pdf
    September 29, 2010 - Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. September 29, 2010 Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. https://psnet.ahrq.gov/issue/har…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45500/psn-pdf
    September 28, 2016 - PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. September 28, 2016 Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74268/psn-pdf
    January 19, 2022 - Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta- analysis. January 19, 2022 Mekonnen AB, Redley B, Courten B, et al. Potentially inappropriate prescribing and its associations with health?related …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848317/psn-pdf
    May 03, 2023 - Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. May 3, 2023 Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. BMC…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48163/psn-pdf
    July 31, 2019 - The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care. July 31, 2019 McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision Support Tool for Deprescribing in Acute Care. J Am Geriatr Soc. 2019;67(9):1843-1850. d…
  9. www.ahrq.gov/es/patient-safety/settings/hospital/match/table-2.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 2: Reporting Audit Results Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Buildin…
  10. www.ahrq.gov/es/patient-safety/settings/hospital/match/table-4.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 4: Reporting Audit Results Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Buildin…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45137/psn-pdf
    May 18, 2016 - Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. May 18, 2016 Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1). …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36345/psn-pdf
    November 15, 2011 - Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. November 15, 2011 Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. P…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36386/psn-pdf
    July 14, 2010 - Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. July 14, 2010 Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in Primary…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837205/psn-pdf
    May 25, 2022 - Individualized medication review in older people with multimorbidity: a comparative analysis between patients living at home and in a nursing home. May 25, 2022 Molist-Brunet N, Sevilla-Sánchez D, Puigoriol-Juvanteny E, et al. Individualized medication review in older people with multimorbidity: a comparative anal…
  15. www.ahrq.gov/patient-safety/settings/esrd/resource/tool-module.html
    January 01, 2015 - ESRD Toolkit Modules Modules contain PowerPoint slides, facilitator notes, video vignettes, and tools. Each module includes teaching tools and resources to support change at the unit level, presented through facilitator notes that take you step by step through the slides, tools, and videos. Creating a Culture…
  16. digital.ahrq.gov/principal-investigator/zhu-xi
    January 01, 2024 - Zhu, Xi Patient care in complex Sociotechnological ecosystems and learning health systems. Citation Tu SP, Garcia B, Zhu X, Sewell D, Mishra V, Matin K, Dow A. Patient care in complex Sociotechnological ecosystems and learning health systems. Learn Health Syst. 2024 May 23;8(S…
  17. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/operation-sequence-diagram
    January 01, 2023 - Operation Sequence Diagram Acronym OSD Description Operation sequence diagrams (OSD) are graphical representations of team interaction in a network. They portray how tasks are performed and how individuals interact over time. Uses To portray graphically how teams interact in a networ…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74266/psn-pdf
    January 19, 2022 - Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. January 19, 2022 Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. …
  19. www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
    January 01, 2023 - Comparing Quality Scores to an Independent Standard Another approach would be to compare scores to an independent standard of what performance on this measure ideally should be . While implementing this approach is challenging, it has significant advantages. Advantages of Comparing to an Independent Standard…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36551/psn-pdf
    February 17, 2011 - An intervention to decrease catheter-related bloodstream infections in the ICU. February 17, 2011 Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732. https://psnet.ahrq.gov/issue/intervention-decrease-c…