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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47902/psn-pdf
    April 24, 2019 - Recommendations from a national panel on quality improvement in obstetrics. April 24, 2019 Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011. https://psnet.ahrq.gov/issue/r…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44246/psn-pdf
    November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36442/psn-pdf
    July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. July 23, 2023 Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of Defense. https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety Effective teamwo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43496/psn-pdf
    November 01, 2016 - Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. November 1, 2016 Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0047-EF. https://psnet.ahrq.gov/issue/designing-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45199/psn-pdf
    June 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47637/psn-pdf
    January 16, 2019 - Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. January 16, 2019 Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4):243-248. doi:10.1515/dx-2018- …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837502/psn-pdf
    June 22, 2022 - Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. June 22, 2022 Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1):28. doi:10.1186/s13722-022- 00311…
  8. psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
    February 04, 2025 - Multi-use Website Center for Consumer Health Care Information Patient Safety Center. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 6, 2005 The Center's efforts for pati…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47223/psn-pdf
    August 14, 2018 - Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. August 14, 2018 MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute, University of Washington. https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836985/psn-pdf
    April 27, 2022 - Standardized assessment of medication reconciliation in post-acute care. April 27, 2022 Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post? acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655. https://psnet.ahrq.gov/issue/standardized-assessm…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843320/psn-pdf
    February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. February 1, 2023 Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851458/psn-pdf
    July 19, 2023 - Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. July 19, 2023 Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conceptual framework of key theories, syste…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849330/psn-pdf
    May 24, 2023 - Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. May 24, 2023 Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primary care and prescribers’ use of clin…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73317/psn-pdf
    May 26, 2021 - Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. May 26, 2021 Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408. ht…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60184/psn-pdf
    April 01, 2020 - Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. April 1, 2020 Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. JAMA Dermatol. 2020;156(5):501-512. doi:1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73443/psn-pdf
    June 30, 2021 - Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period. June 30, 2021 Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen?year period. J Med Radiat Sci. 2021;6…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61059/psn-pdf
    October 28, 2020 - Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. October 28, 2020 Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40025/psn-pdf
    December 21, 2014 - Evaluating an evidence-based bundle for preventing surgical site infection. December 21, 2014 Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.2010.249. https://psnet.ahrq.gov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73865/psn-pdf
    September 22, 2021 - Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. September 22, 2021 Van Slambrouck L, Verschueren R, Seys D, et al. Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an explorato…

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