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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74093/psn-pdf
    November 17, 2021 - Prevent errors during emergency use of hypertonic sodium chloride solutions. November 17, 2021 ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4. https://psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions Delays in diagnosis and treatment duri…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47220/psn-pdf
    September 12, 2018 - Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. September 12, 2018 Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018. https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state- hospitals Hospital patien…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72807/psn-pdf
    March 03, 2021 - Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. March 3, 2021 ISMP Medication Safety Alert! Acute care edition. February 11, 2021;26(3):1-4. https://psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling- and-packaging …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72585/psn-pdf
    December 16, 2020 - Think health care workers are tested often for the Coronavirus? Think again. December 16, 2020 Wamsley L. National Public Radio and WBUR. December 7, 2020. https://psnet.ahrq.gov/issue/think-health-care-workers-are-tested-often-coronavirus-think-again Testing for COVID-19 is a core public safety strategy for …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46069/psn-pdf
    February 28, 2018 - Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. February 28, 2018 Joint Commission Resources. Oak Brook, IL: Joint Commission; 2017. ISBN: 9781599409474. https://psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care- seco…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45324/psn-pdf
    August 31, 2016 - The problem with medication reconciliation. August 31, 2016 Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. https://psnet.ahrq.gov/issue/problem-medication-reconciliation Medication reconciliation has demonstrated safet…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34935/psn-pdf
    June 23, 2009 - Improving patient care. The cognitive psychology of missed diagnoses. June 23, 2009 Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142(2):115-120. https://psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses This case study de…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40644/psn-pdf
    October 04, 2020 - High-Performance Work Systems in Health Care Management: Parts 1-5. October 4, 2020 Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020. https://psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2 In this continuing series, high-performance work pr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46512/psn-pdf
    August 17, 2018 - The problem with using patient complaints for improvement. August 17, 2018 de Vos MS, Hamming JF, van de Mheen PJM-. The problem with using patient complaints for improvement. BMJ Qual Saf. 2018;27(9):758-762. doi:10.1136/bmjqs-2017-007463. https://psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838140/psn-pdf
    November 07, 2015 - Safety-I, Safety-II and resilience engineering. November 7, 2015 Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering Organiz…
  11. www.ahrq.gov/pqmp/measures/thermal-condition.html
    August 01, 2021 - Thermal condition of low birth weight neonates admitted to Level 2 or higher nurseries in the first 24 hours of life Measure Domain:  Management of Acute Conditions Measure Sub-Domain:  Temperatures of Low Birthweight Neonates PQMP COE:  CAPQuaM Associated NQF # and Name:  None Products: Fact Sheet  (…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46213/psn-pdf
    June 28, 2017 - The second victim: a review. June 28, 2017 Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. https://psnet.ahrq.gov/issue/second-victim-review Maternity care is a high-risk environment. This review discusses second vic…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44670/psn-pdf
    January 23, 2017 - Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. January 23, 2017 Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. https://psnet.ahrq.gov/issue/shift-shift-hand…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34663/psn-pdf
    December 23, 2008 - Improving the quality of health care: who will lead? December 23, 2008 Becher EC, Chassin MR. Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead In this review, Becher and Chassin discuss the persis…
  15. digital.ahrq.gov/ahrq-funded-projects/use-electronic-personal-health-records-health-risk-reduction-discussion-tool/citation/uncovering
    January 01, 2023 - Uncovering a role for electronic personal health records in reducing disparities in sexually transmitted infection rates among students at a predominantly African American university: mixed-methods study. Citation Jackman KM, Baral SD, Hightow-Weidman L, et al. Uncovering a role for electronic persona…
  16. effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoarthritis-knee-future_research.pdf
    February 01, 2013 - We then identified and discussed research design considerations for research needs. … outcome, timing, and setting) element(s), provided context, described related ongoing research, and discussed … Because more than one research design can be applied to an individual research need, we discussed the
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49810/psn-pdf
    November 01, 2017 - has a financial arrangement or other relationship with the manufacturers of any commercial products discussed
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49651/psn-pdf
    May 01, 2012 - have a financial arrangement nor other relationship with the manufacturers of any commercial products discussed
  19. cdsic.ahrq.gov/cdsic/AI-viewpoint
    February 25, 2025 - The CDSiC Steering Committee has discussed several priority areas for the CDSiC to consider pursuing
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/updating-framework-protocol.pdf
    September 06, 2023 - Notes will be reviewed and discussed by the investigators to evaluate how the input provides insight