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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39433/psn-pdf
    October 03, 2017 - Transparency and public reporting are essential for a safe health care system. October 3, 2017 Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010. https://psnet.ahrq.gov/issue/transparency-and-public-reporting-are-essential-safe-health-care-system Of three approaches to enhancing…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40087/psn-pdf
    December 15, 2010 - Managing patient access and flow in the emergency department to improve patient safety. December 15, 2010 PA-PSRS Patient Saf Advis. 2010;7:123-134.  https://psnet.ahrq.gov/issue/managing-patient-access-and-flow-emergency-department-improve-patient- safety This report examines how optimizing patient flow fro…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41991/psn-pdf
    January 23, 2013 - Handovers from the OR to the ICU. January 23, 2013 Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. https://psnet.ahrq.gov/issue/handovers-or-icu This commentary discusses concerns associated with patient transfer…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42186/psn-pdf
    April 24, 2013 - High reliability: truly achieving healthcare quality and safety. April 24, 2013 Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27. https://psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety This commentary discusses how high reliability …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41600/psn-pdf
    August 15, 2012 - The role of nursing surveillance in keeping patients safe. August 15, 2012 Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377. https://psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe This commentary discusses…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39202/psn-pdf
    February 25, 2015 - Strengthening the core. Middle managers play a vital role in improving safety. February 25, 2015 Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70. https://psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33920/psn-pdf
    December 12, 2018 - Policy Positions and Guidelines. December 12, 2018 Amercian Society of Health-System Pharmacists; ASHP. https://psnet.ahrq.gov/issue/policy-positions-and-guidelines This searchable listing of the American Society of Health-System Pharmacists policy and guideline collection provides user access to various content a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47614/psn-pdf
    October 19, 2020 - Patient. October 19, 2020 Canadian Patient Safety Institute; https://psnet.ahrq.gov/issue/patient Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solut…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41524/psn-pdf
    November 05, 2013 - Creating a culture of safety by coaching clinicians to competence. November 5, 2013 Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. https://psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42408/psn-pdf
    July 10, 2013 - Non-technical Skills and the Future of Teamwork in Healthcare Settings. July 10, 2013 Sevdalis N. London, UK: The Health Foundation; June 2013. https://psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings Highlighting the value of teamwork in delivering safe care, this report describes…
  11. www.ahrq.gov/nursing-home/resources/best-mental-health.html
    June 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff Resource: Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff This resource focuses on emotional well-being of nursing home staff, including information about the effects of t…
  12. digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/machine
    January 01, 2023 - Machine learning approaches to identify nicknames from a statewide Health Information Exchange. Citation Kasthurirathne SN, Grannis SJ. Machine learning approaches to identify nicknames from a statewide Health Information Exchange. AMIA Jt Summits Transl Sci Proc. 2019 May 6;2019:639-647. PMID: 312590…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36146/psn-pdf
    February 05, 2019 - Guidelines for Design and Construction. February 5, 2019 St Louis, Missouri; Facilities Guidelines Institute; 2018. https://psnet.ahrq.gov/issue/guidelines-design-and-construction These updated guidelines include design changes, such as the adoption of private rooms to reduce medical error, interruptions, and hosp…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41620/psn-pdf
    August 22, 2012 - Improving care transitions: optimizing medication reconciliation. August 22, 2012 Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527. https://psnet.ahrq.gov/issue/improvin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42543/psn-pdf
    September 29, 2017 - Advancing the research agenda for diagnostic error reduction. September 29, 2017 Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. https://psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error…
  16. digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/medication
    January 01, 2023 - Incorporating medication indications into the prescribing process. Citation Kron K, Myers S, Volk L, et al. Incorporating medication indications into the prescribing process. Am J Health Syst Pharm 2018 Jun 1;75(11):774-83. Epub 2018 Apr 19. PMID: 29674327. Link https://www.ncbi.nlm.nih.gov/pu…
  17. digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/indication
    January 01, 2023 - Is an indication-based prescribing system in our future? Citation Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Institute for Safe Medication Practice, November 17, 2016. https://www.ismp.org/resources/indication-based-prescribing-system-our-future. Accessed Ju…
  18. www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
    January 01, 2024 - evaluate patient-reported outcomes and perception of physicians for pharmacist’s performance of the enhanced … Evaluate patient-reported outcomes and the perception of the physician for pharmacist performance of enhanced … : Evaluate patient-reported outcomes and the perception of physician for pharmacist performance of enhanced
  19. digital.ahrq.gov/sites/default/files/docs/citation/u18hs027099-malone-final-report-2022.pdf
    January 01, 2022 - Solution: We enhanced the CDS Connect Authoring Tool to support the development of DDI CDS rules for … DDI knowledge but little programming experience in a think-aloud evaluation of the usability of the enhanced … knowledge artifacts were recruited to complete pre- specified DDI CDS rule writing tasks using the enhanced
  20. digital.ahrq.gov/sites/default/files/docs/publication/u19hs021094-bates-final-report-2017.pdf
    January 01, 2017 - The BWH HIT-CERT established two cores that supported the three projects and enhanced our ability to … The BWH HIT-CERT established two cores that supported the three projects and enhanced our ability to … Inclusive dates of subproject 9/1/2014- 8/21/2016 Abstract Test enhanced e-pharmaco-surveillance