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  1. Next Steps | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/next-steps.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Next Steps Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39748/psn-pdf
    August 11, 2010 - Information transfer and communication in surgery: a systematic review. August 11, 2010 Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2. https://psnet.ahrq.gov/issue/information-transfer-and-comm…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39670/psn-pdf
    July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34892/psn-pdf
    February 03, 2011 - Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. February 3, 2011 Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems on Practitioner Performance and Patient Outcomes. JAMA. 2005;293(10):…

  5. Exhibit 10. Facilitating Communication Among Patients, Family Members, and the Care Team | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex10.html
    July 01, 2018 - Guide to Patient and Family Engagement Exhibit 10. Facilitating Communication Among Patients, Family Members, and the Care Team Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summ…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851348/psn-pdf
    July 12, 2023 - Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. July 12, 2023 Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orders for Life- Sustaining Treatments thr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46547/psn-pdf
    April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. April 16, 2018 Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments i…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43101/psn-pdf
    May 30, 2014 - Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support. May 30, 2014 Shapiro J, Whittemore A, Tsen LC. Instituting a culture of professionalism: the establishment of a center for professionalism and peer support. Jt Comm J Qual Patient Saf. 2014;40(4):168-177. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46523/psn-pdf
    November 15, 2017 - One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. November 15, 2017 Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37534/psn-pdf
    February 13, 2008 - Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. February 13, 2008 DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. J …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39699/psn-pdf
    November 02, 2010 - Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative. November 2, 2010 Parand A, Burnett S, Benn J, et al. Medical engagement in organisation-wide safety and quality- improvement programmes: experience in the UK Safer Patients Initiative.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38639/psn-pdf
    May 20, 2009 - Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. May 20, 2009 McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particu…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36279/psn-pdf
    May 27, 2011 - Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. May 27, 2011 Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41858/psn-pdf
    November 21, 2012 - Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. November 21, 2012 Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 2012;177(1):43-8. doi:10.1016/j.jss.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42011/psn-pdf
    March 06, 2013 - A multidisciplinary approach to reduce central line- associated bloodstream infections. March 6, 2013 McMullan C, Propper G, Schuhmacher C, et al. A multidisciplinary approach to reduce central line- associated bloodstream infections. Jt Comm J Qual Patient Saf. 2013;39(2):61-69. https://psnet.ahrq.gov/issue/multi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35737/psn-pdf
    July 15, 2010 - Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. July 15, 2010 Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Crit Care Med. 2006;34(3 Suppl)…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43117/psn-pdf
    December 12, 2014 - Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. December 12, 2014 Consumer Reports. March 27, 2014. https://psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help- you-find-out Despite lack of consensus on the valu…

  19. Developing New Clinical Decision Support to Disseminate and Implement Evidence-Based Research Findings (R18) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/developing-new-clinical-decision-support-disseminate-and-implement-evidence-based
    January 01, 2023 - Developing New Clinical Decision Support to Disseminate and Implement Evidence-Based Research Findings (R18) Scalable Decision Support and Shared Decision Making for Lung Cancer Screening Description Researchers successfully developed Decision Precision+, a shared decision mak…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73219/psn-pdf
    May 05, 2021 - Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. May 5, 2021 Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interweaving of supervisor, trainee and p…
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