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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41303/psn-pdf
    March 11, 2013 - Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. March 11, 2013 Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866567/psn-pdf
    August 21, 2024 - A daily dose of communication to improve quality and safety outcomes. August 21, 2024 Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73861/psn-pdf
    September 22, 2021 - Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021 Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119. https://psnet.ahrq.g…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45958/psn-pdf
    January 01, 2021 - The effects of bar-coding technology on medication errors: a systematic literature review. April 19, 2017 Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.0000000000000366. https://psnet.ahrq…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43424/psn-pdf
    August 13, 2014 - Office-based anesthesia: safety and outcomes. August 13, 2014 Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276- 285. doi:10.1213/ane.0000000000000313. https://psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes Office-based anesthesia has become more w…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38409/psn-pdf
    May 21, 2009 - The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature. May 21, 2009 Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature. Int …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35339/psn-pdf
    April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42976/psn-pdf
    May 29, 2014 - Quality and safety in pediatric hematology/oncology. May 29, 2014 Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946. https://psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology Children with cancer are particularly vulner…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60153/psn-pdf
    March 25, 2020 - A protocol for the safe use of hazardous drugs in the OR. March 25, 2020 Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960. https://psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or Perioperative personnel often ca…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45526/psn-pdf
    January 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
  11. digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/comparison
    January 01, 2023 - Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems. Citation Garabedian PM, Wright A, Newbury I, Volk LA, Salazar A, Amato MG, Nathan AW, Forsythe KJ, Galanter WL, Kron K, Myers S, Abraham J, McCord SK, Eguale T, Bates DW, Schiff GD. Comparison of a prot…
  12. digital.ahrq.gov/ahrq-funded-projects/mobile-app-enhance-smoking-cessation-shared-decision-making-primary-care/citation/challenges
    January 01, 2023 - Challenges in the development of e-Quit worRx: an iPad app for smoking cessation counseling and shared decision making in primary care. Citation Doarn CR, Vonder Meulen MB, Pallerla H, Acquavita SP, Regan S, Elder N, Tubb MR. Challenges in the development of e-Quit worRx: an iPad app for smoking cess…
  13. digital.ahrq.gov/organization/university-kentucky
    January 01, 2023 - University of Kentucky Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description This research tests the effectiveness of MedSMA℞T M…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73971/psn-pdf
    October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74166/psn-pdf
    March 14, 2022 - Preventing home medication administration errors. March 14, 2022 Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors Children with comp…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840168/psn-pdf
    January 01, 2023 - The debrief imperative: building teaming competencies and team effectiveness. November 16, 2022 Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. https://psnet.ahrq.gov/issue/debrief-imperative-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60672/psn-pdf
    July 08, 2020 - The Care We Need July 8, 2020 Washington DC: National Quality Forum; 2020. https://psnet.ahrq.gov/issue/care-we-need This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach to improve the US health care system. Five strategic objectives are provided--one of which f…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43334/psn-pdf
    July 16, 2014 - Changing our culture: adopting the military aviation safety system. July 16, 2014 Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…
  19. digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response/citation/navigating
    January 01, 2023 - Navigating infection control processes in a COVID-19 only safety-net hospital at the height of the pandemic. Citation Kaufman DR, Senathirajah Y, Cato K, Kushniruk A, Borycki E, Minshal S, Roblin P, Daniel P. Navigating infection control processes in a COVID-19 only safety-net hospital at the height o…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42089/psn-pdf
    March 06, 2013 - Organizational culture: an important context for addressing and improving hospital to community patient discharge. March 6, 2013 Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community patient discharge. Med Care. 2013;51(…