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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41926/psn-pdf
    January 02, 2013 - As she lay dying: how I fought to stop medical errors from killing my mom. January 2, 2013 Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. https://psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-m…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38361/psn-pdf
    January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. January 31, 2011 Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940. https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44939/psn-pdf
    March 09, 2016 - Listening for What Matters: Avoiding Contextual Errors in Health Care. March 9, 2016 Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996. https://psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care This book discusses how physicians can reduce cont…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39966/psn-pdf
    February 01, 2011 - Journey to no preventable risk: The Baylor Health Care System patient safety experience. February 1, 2011 Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.1177/1062860610374645. https://psnet.ahr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42768/psn-pdf
    November 27, 2013 - Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. November 27, 2013 Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13- 0058-EF.   https://psnet.ahrq.gov/issue/findings-and-lesso…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43376/psn-pdf
    January 16, 2017 - Resilience and resilience engineering in health care. January 16, 2017 Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care Resilience is a charac…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46875/psn-pdf
    March 07, 2018 - Improving medication-related clinical decision support. March 7, 2018 Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41697/psn-pdf
    September 19, 2012 - From good to better: toward a patient safety initiative in dentistry. September 19, 2012 Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60. https://psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848828/psn-pdf
    May 10, 2023 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023. May 10, 2023 118th Cong (2023-2024). https://psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023 Nurse staffing and patient care outcomes are linked, yet variation exists in nursing covera…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47569/psn-pdf
    April 10, 2019 - The computerized ECG: friend and foe. April 10, 2019 Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025. https://psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe Misinterpretations of critical tests can lead to diagnostic delays and patient harm. Th…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39085/psn-pdf
    November 11, 2009 - Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. November 11, 2009 Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethics. 2009;20(3):220-6. https://psnet.ah…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44329/psn-pdf
    September 04, 2016 - Electronic medication reconciliation and medication errors. September 4, 2016 Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046. https://psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-med…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45401/psn-pdf
    August 17, 2016 - A better safety net for young doctors. August 17, 2016 Landro L. Wall Street Journal. August. 8, 2016. https://psnet.ahrq.gov/issue/better-safety-net-young-doctors First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to demonstrate competency. This newspaper article repo…
  14. cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Infographic%202024_508_0.pdf
    January 01, 2024 - Patient Preferences Are Essential to Bringing the Patient Into Focus Patient Preferences Are Essential to Bringing the Patient Into Focus Patient preferences are an essential component of the patient voice and their subsequent use in patient-centered clinical decision support (PC CDS) can advance pati…
  15. www.ahrq.gov/funding/grantee-profiles/grtprofile-leiferman.html
    May 01, 2024 - Developing and Implementing Educational Resources to Address Perinatal Mental Health Jenn Leiferman, Ph.D. Chair and Professor University of Colorado-Denver Jenn Leiferman, Ph.D. “Since early in my research career, I have been focused on what we could do to ensure that every child has the best possible start in…
  16. www.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
    March 01, 2023 - Grantee Profile Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology Lukasz Mazur, Ph.D. Associate Professor of Radiation Oncology UNC School of Medicine Lukasz Mazur, Ph.D. “AHRQ funding enabled me and my team to develop innovative simulation-based…
  17. www.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
    November 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ’s Research and Tools Help Transform Delivery of Primary Care NOV 7 2022 By Tess Miller, Dr.P.H. The unprecedented challenges of COVID-19 underscored the vital role played by the Nation’s vast network of primary care practices—a…
  18. www.ahrq.gov/policymakers/chipra/demoeval/demostates/ga.html
    March 01, 2019 - State at a Glance: Georgia Learn more about the CHIPRA quality demonstration projects being implemented in Georgia. Georgia is featured in the following reports from the National Evaluation: Evaluation Highlight No. 6 : How are CHIPRA quality demonstration States working together to improve the quality …
  19. www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d-emerging.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Emerging Research Spotlights Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Ca…
  20. psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
    January 17, 2019 - Study Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. Citation Text: Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…