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8481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45362/psn-pdf
      January 23, 2017 - Capturing essential information to achieve safe interoperability. January 23, 2017 Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. https://psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability T…

8482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44809/psn-pdf
      March 02, 2016 - Seniors managing multiple medications: using mixed methods to view the home care safety lens. March 2, 2016 Lang A, Macdonald M, Marck P, et al. Seniors managing multiple medications: using mixed methods to view the home care safety lens. BMC Health Serv Res. 2015;15:548. doi:10.1186/s12913-015-1193-5. https://psn…

8483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857581/psn-pdf
      January 01, 2025 - Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long- Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes. Au…

8484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836925/psn-pdf
      April 13, 2022 - Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. April 13, 2022 Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. J Patient Saf. 2022;18(3):e61…

8485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38121/psn-pdf
      October 08, 2008 - Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators. October 8, 2008 Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicato…

8486. 113-Staff-Safety-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/113-staff-safety-assessment.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Staff Safety Assessment ICU & Non-ICU Purpose of this form: This form is designed to tap into your experience to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety. Who should use this tool? Healthcare providers. How to complete…

8487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43169/psn-pdf
      May 07, 2014 - Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. May 7, 2014 Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Chest. 2014;145(3):632-8. doi:10.1378…

8488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38517/psn-pdf
      February 17, 2011 - Use of electronic health records in US hospitals. February 17, 2011 Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals Increasing the use of electronic health records (EHRs)…

8489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36314/psn-pdf
      June 13, 2011 - Discontinuity of chronic medications in patients discharged from the intensive care unit. June 13, 2011 Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. https://psnet.ahrq.gov/issue/discontinuity-chro…

8490. Implement an Infection Prevention Quality Improvement Project | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
      March 01, 2017 - Implement an Infection Prevention Quality Improvement Project Start with the Implementation Guide , and then consult the Sustainability Guide Long -Term Care Safety Toolkit Modules Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety…

8491. Reduce Unnecessary Urine Culturing and Overuse of Antibiotics | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
      March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics Know When To Order Urine Cultures Educational module and tools that summarize why more urine cultures lead to more catheter-associated urinary tract infection diagnoses, and provide tools to use to appropriately identify when to order a urine cul…

8492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38054/psn-pdf
      July 05, 2013 - Ticket to ride: reducing handoff risk during hospital patient transport. July 5, 2013 Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5. https://psnet.ahrq.gov/issue/ticket-…

8493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867234/psn-pdf
      December 04, 2024 - Survey results reveal tubing misconnections are common and underreported—Parts I and II. December 4, 2024 Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4. https://psnet.ahrq.gov/issue/survey-resu…

8494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73920/psn-pdf
      October 06, 2021 - Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. October 6, 2021 Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. Patient S…

8495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/858170/psn-pdf
      December 13, 2023 - Unsafe care in residential settings for older adults. A content analysis of accreditation reports. December 13, 2023 Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/…

8496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845353/psn-pdf
      March 01, 2023 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023 Washington, DC: VA Office of the Inspector General; February 2, 2023. Report no. 22-01363-52. https://psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and…

8497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45192/psn-pdf
      December 04, 2016 - Evidence summary and recommendations for improved communication during care transitions. December 4, 2016 Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230. https://psnet.ahrq.gov/iss…

8498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38843/psn-pdf
      June 28, 2011 - Application of patient safety indicators internationally: a pilot study among seven countries. June 28, 2011 Drösler SE, Klazinga NS, Romano PS, et al. Application of patient safety indicators internationally: a pilot study among seven countries. Int J Qual Health Care. 2009;21(4):272-8. doi:10.1093/intqhc/mzp018. …

8499. Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare …

8500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844754/psn-pdf
      September 18, 2019 - How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. September 18, 2019 Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic…