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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47183/psn-pdf
    May 11, 2019 - Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. May 11, 2019 Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of Certification: A Qualitative Analysis of A…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72785/psn-pdf
    July 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional). July 22, 2024 Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266.  https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45727/psn-pdf
    August 03, 2017 - Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. August 3, 2017 Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Outcomes. Prehosp Emerg Care. 2017;2…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837846/psn-pdf
    August 17, 2022 - Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. August 17, 2022 Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73485/psn-pdf
    July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. July 14, 2021 Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;96(7):997-1001. doi:10.1097/acm.00…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47447/psn-pdf
    February 22, 2019 - Identifying health information technology related safety event reports from patient safety event report databases. February 22, 2019 Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J Biomed Inform. 2018;86:135-142.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37513/psn-pdf
    March 02, 2008 - Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. March 2, 2008 Etter R, Ludwig R, Lersch F, et al. Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergen…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72635/psn-pdf
    January 13, 2021 - Conducting safety research safely: a policy-based approach for conducting research with peer review protected material. January 13, 2021 Myers LC, Blumenthal K, Phadke NA, et al. Conducting Safety Research Safely: A Policy-Based Approach for Conducting Research with Peer Review Protected Material. Jt Comm J Qual P…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60303/psn-pdf
    May 06, 2020 - Using safety culture results to guide the merger of four general practices in the UK. May 6, 2020 Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860. https://psnet.ahrq.gov/issue…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45763/psn-pdf
    December 19, 2017 - Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. December 19, 2017 Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195. doi:10.1016/j.s…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48126/psn-pdf
    August 14, 2019 - Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). August 14, 2019 Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and hom…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38596/psn-pdf
    April 29, 2009 - Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. April 29, 2009 Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identificati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73867/psn-pdf
    September 22, 2021 - A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. September 22, 2021 Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. Acad Med. 2021;96(9):1268-1275. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46412/psn-pdf
    October 11, 2017 - Team-based care: the changing face of cardiothoracic surgery. October 11, 2017 Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61101/psn-pdf
    November 04, 2020 - Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. November 4, 2020 Farnborough, UK; Healthcare Safety Investigation Branch. October 2020 https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following- thrombol…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44202/psn-pdf
    June 10, 2015 - Medication reconciliation to facilitate transitions of care after hospitalization. June 10, 2015 Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. https://psnet.ahrq.gov/issue/medication-reconci…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44523/psn-pdf
    January 01, 2016 - Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. December 16, 2015 Menendez ME, Janssen SJ, Ring D. Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. BMJ Qual Saf. 2016;25(1):25-30. doi:10.1136/bmjqs-2015-0043…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46421/psn-pdf
    November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867396/psn-pdf
    December 18, 2024 - Mental Health Inpatient Settings: Creating Conditions for the Delivery of Safe and Therapeutic Care to Adults. December 18, 2024 Mental Health Inpatient Settings: Creating Conditions For The Delivery Of Safe And Therapeutic Care To Adults. Health Services Safety Investigations Body; October 2024. https://psnet.ahr…
  20. psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - the de facto "home" for advance directives and POLSTs and, as such, carry the responsibility for developing

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