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  1. psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
    April 20, 2022 - Newspaper/Magazine Article Start the year off right by addressing these top 10 medication safety concerns from 2021. Citation Text: Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…
  2. psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
    June 01, 2022 - Newspaper/Magazine Article Survey shows room for improvement with three new best practices for hospitals. Citation Text: Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  Copy Ci…
  3. psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
    July 02, 2008 - Commentary Integrating simulation in surgery as a teaching tool and credentialing standard. Citation Text: Rehrig ST, Powers K, Jones DB. Integrating simulation in surgery as a teaching tool and credentialing standard. J Gastrointest Surg. 2008;12(2):222-33. Copy Citation Format:…
  4. psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
    April 28, 2021 - Award Announcement Lewis Blackman Patient Safety Award. Citation Text: Lewis Blackman Patient Safety Award. Chicago, IL: American College of Graduate Medical Education. Copy Citation Save Save to your library Print Download PDF Share Facebook…
  5. psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
    June 01, 2016 - Newspaper/Magazine Article Safety for all: integrated design for inpatient units. Citation Text: Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. Copy Citation Save Save to your library …
  6. psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
    August 03, 2022 - Commentary Guidelines in Practice: prevention of unintentionally retained surgical items. Citation Text: Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804. Copy Citation Format: DOI …
  7. psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
    February 28, 2011 - Commentary Instrument count sheets and set reviews as patient safety tools. Citation Text: Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007. Copy Citation Format: DOI Google Scholar PubMed …
  8. psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
    May 31, 2017 - Newspaper/Magazine Article Maximize benefits of IV workflow management systems by addressing workarounds and errors. Citation Text: Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…
  9. psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
    June 11, 2014 - Review Concept analysis: wrong-site surgery. Citation Text: Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  10. psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
    September 23, 2020 - Commentary Revitalizing an established rapid response team. Citation Text: Genardi ME, Cronin SN, Thomas LD. Revitalizing an established rapid response team. Dimens Crit Care Nurs. 2008;27(3):104-9. doi:10.1097/01.DCC.0000286837.95720.8c. Copy Citation Format: DOI Google …
  11. digital.ahrq.gov/sites/default/files/docs/citation/r01hs025375-zhou-final-report-2022.pdf
    January 01, 2022 - providers to review and update inaccurate, incomplete, or contradictory allergy entries with the goal of enhancing
  12. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
    July 01, 2015 - awarded 10 grants that supported efforts in 18 States to identify effective, replicable strategies for enhancing
  13. www.ahrq.gov/topics/patient-safety-learning-labs.html
    Topic: Patient Safety Learning Labs Patient safety learning laboratories (PSLLs) take a systems engineering approach to allow researchers and practitioners to evaluate clinical processes and enhance work and information flow to improve patient safety. The learning laboratories use cross-disciplinary teams to address …
  14. digital.ahrq.gov/funding-mechanism/maintain-and-expand-healthcare-cost-and-utilization-project-hcup-2006-2011
    January 01, 2011 - Maintain and Expand the Healthcare Cost and Utilization Project (HCUP) 2006 - 2011 Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data Description This project designed the Adding Clinical Data Toolkit to help statewide data org…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41443/psn-pdf
    July 11, 2012 - Human factors, nursing and patient safety. July 11, 2012 Nurs Stand. Apr-May 2012;26. https://psnet.ahrq.gov/issue/human-factors-nursing-and-patient-safety This series explores how nurses can use human factors to enhance safety in their daily practice. https://psnet.ahrq.gov/issue/human-factors-nursing-and-patient…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35993/psn-pdf
    June 07, 2006 - Video games can help cut surgical errors. June 7, 2006 Baertlein L. https://psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors This article reports on a study that found that playing video games before surgery enhanced surgical dexterity and minimized errors. https://psnet.ahrq.gov/issue/video-games-ca…
  17. www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
    January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events Principal Investigator: Hardeep Singh Team Members: Andrew J. Zimolzak, MD, MMSc1, D…
  18. www.ahrq.gov/topics/clinical-decision-support-cds.html
    Topic: Clinical Decision Support (CDS) Clinical decision support (CDS) provides clinicians, staff, patients, or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and healthcare. AH…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36453/psn-pdf
    March 02, 2010 - Patient Safety Papers. March 2, 2010 Healthc Q. 2006;9 Spec No:1-140. https://psnet.ahrq.gov/issue/patient-safety-papers-0 This special issue describes projects and research in Canadian health care that are supporting improvements in patient safety. https://psnet.ahrq.gov/issue/patient-safety-papers-0 https://psn…
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/liver-cancer_disposition-comments.pdf
    October 23, 2014 - Disposition of Comments Report for Imaging Techniques for the Diagnosis and Staging of Hepatocellular Carcinoma Comparative Effectiveness Review Disposition of Comments Report Research Review Title: Imaging Techniques for the Diagnosis and Staging of Hepatocellular Carcinoma Draft review available for…