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  1. Using nursing practices and health IT to reduce fall-related injuries. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision/final-report
    January 01, 2023 - Using nursing practices and health IT to reduce fall-related injuries. Citation Hook ML, Lang NM, Joosse L, et al. Using nursing practices and health IT to reduce fall-related injuries. (Prepared by Aurora Health Care System Nursing Research, the University of Wisconsin-Milwaukee Colleges of Nursing a…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36476/psn-pdf
    December 14, 2009 - 10 Patient Safety Tips for Hospitals. December 14, 2009 Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10- M008. https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845652/psn-pdf
    March 14, 2023 - Controlled substance drug diversion by healthcare workers as a threat to patient safety. March 14, 2023 ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4):1-4; March 9, 2023:28(5):1-4. https://psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety D…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35596/psn-pdf
    February 17, 2011 - Disciplinary action by medical boards and prior behavior in medical schools. February 17, 2011 Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82. https://psnet.ahrq.gov/issue/disciplinary-action-medical-boards-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867534/psn-pdf
    March 10, 2025 - Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. January 15, 2025 Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. Food and Drug Administ…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60970/psn-pdf
    September 30, 2020 - Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. September 30, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General; September 3, 2020. Report No 19-09493-249. https://psnet.ahrq.gov/issue/deficienc…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61019/psn-pdf
    October 14, 2020 - Clinical deterioration and hospital?acquired complications in adult patients with isolation precautions for infection control: a systematic review. October 14, 2020 Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital?acquired complications in adult patients with isolation precautions for inf…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47137/psn-pdf
    July 19, 2018 - Physician burnout in the electronic health record era: are we ignoring the real cause? July 19, 2018 Downing L, Bates DW, Longhurst CA. Physician Burnout in the Electronic Health Record Era: Are We Ignoring the Real Cause? Ann Intern Med. 2018;169(1):50-51. doi:10.7326/M18-0139. https://psnet.ahrq.gov/issue/physic…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47580/psn-pdf
    November 28, 2018 - Patient engagement in health care safety: an overview of mixed-quality evidence. November 28, 2018 Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (Millwood). 2018;37(11):1813-1820. doi:10.1377/hlthaff.2018.0716. https://p…

  10. Opinion Leaders: Effect on Healthcare Practice and Evidence Use | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/opinion-leaders.html
    February 01, 2025 - Opinion Leaders: Effect on Healthcare Practice and Evidence Use Resource: Local Opinion Leaders: Effects on Professional Practice and Healthcare Outcomes  (PDF, 1 MB, 121 pages) This review by the Canadian Health Services Research Foundation highlights the strong impact opinion leaders have on how much resear…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36333/psn-pdf
    July 10, 2008 - The care transitions intervention: results of a randomized controlled trial. July 10, 2008 Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8. https://psnet.ahrq.gov/issue/care-transitions-intervention-results-ra…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60940/psn-pdf
    September 23, 2020 - Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. September 23, 2020 Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm. 2020;77(15):1231-1236. doi:1…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48065/psn-pdf
    June 15, 2019 - Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. June 15, 2019 Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaesthesia. 2019;74(7):904-914. doi:10.1111/anae.14662. https://psnet.ahrq.gov/iss…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74091/psn-pdf
    November 17, 2021 - Patients went into the hospital for care. After testing positive there for Covid, some never came out. November 17, 2021 Jewett C. Kaiser Health News. November 4, 2021. https://psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never- came-out Nosocomial infection is a primar…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837668/psn-pdf
    July 13, 2022 - Factors associated with malpractice claim payout: an analysis of closed emergency department claims. July 13, 2022 Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. Jt Comm J Qual Patient Saf. 2022;48(9):492-496. doi:1…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61090/psn-pdf
    November 04, 2020 - Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis. November 4, 2020 Boet S, Djokhdem H, Leir SA, et al. Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis. Br J…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41042/psn-pdf
    September 29, 2017 - Research in Ambulatory Patient Safety 2000-2010: A 10- Year Review. September 29, 2017 Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011. https://psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review Although traditionally the majority of patient safe…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837664/psn-pdf
    July 13, 2022 - Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022 Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision- making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284. https://psn…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856637/psn-pdf
    November 29, 2023 - Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow- Up Care at the Phoenix VA Health Care System in Arizona. November 29, 2023 Washington DC; VA Office of the Inspector General; October 31, 2023; Report no. 22-03599-07. https://psnet.ahrq.gov/issue/deficiencies-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45089/psn-pdf
    July 18, 2016 - Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. July 18, 2016 Patel R, Chesney E, Cullen AE, et al. Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. Br J Psychiatry. 2016;209(1):29-34. doi:10.1192/bjp.bp.115.180307. https://psnet.…
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