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  1. digital.ahrq.gov/ahrq-funded-projects/development-electronic-medical-record-integrated-enhanced-after-visit-summary/citation/patient
    January 01, 2023 - Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design. Citation Federman AD, Sanchez-Munoz A, Jandorf L, et al. Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform…
  2. digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/citation/notifiable
    January 01, 2023 - Notifiable condition reporting practices: implications for public health agency participation in a health information exchange. Citation Revere D, Hills RH, Dixon BE, et al. Notifiable condition reporting practices: implications for public health agency participation in a health information exchange. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44232/psn-pdf
    January 29, 2019 - Optimizing medication safety in the home. January 29, 2019 LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. https://psnet.ahrq.gov/issue/optimizing-medication-safety-home Patients who receive home care services are vulnerable to a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43371/psn-pdf
    June 19, 2019 - Medication Safety Officer's Handbook. June 19, 2019 Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. https://psnet.ahrq.gov/issue/medication-safety-officers-handbook This book provides information about medication errors and quality improvement to gui…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37752/psn-pdf
    May 07, 2019 - Guidance for the Safe Use of Automated Dispensing Cabinets. May 7, 2019 Horsham, PA: Institute for Safe Medication Practices; 2019. https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents associ…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42595/psn-pdf
    November 25, 2013 - Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request. November 25, 2013 Agency for Healthcare Research and Quality. Federal Register. August 27, 2013;78:52927-52929. https://psnet.ahrq.gov/issue/agency-information-colle…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42263/psn-pdf
    January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. January 14, 2014 Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082. https://psnet.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44553/psn-pdf
    October 07, 2015 - A medical detective story: why doctors make diagnostic errors. October 7, 2015 Landro L. Wall Street Journal. September 26, 2015. https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40584/psn-pdf
    July 25, 2011 - Crisis checklists for the operating room: development and pilot testing. July 25, 2011 Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031. https://psnet.ahrq.gov/issue/crisi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41668/psn-pdf
    December 21, 2014 - A surgical simulation curriculum for senior medical students based on TeamSTEPPS. December 21, 2014 Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340. https://psnet.ahrq.gov/issue/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41053/psn-pdf
    December 30, 2014 - Time to accelerate integration of human factors and ergonomics in patient safety. December 30, 2014 Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. https://psnet.ahrq.gov/issue/time-acc…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46971/psn-pdf
    July 18, 2018 - The Future of NHS Patient Safety Investigation. July 18, 2018 NHS Improvement. London, UK: National Health Service; 2018. https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation Organizational processes to investigate adverse care incidents play an important part in generating the learning needed for …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42978/psn-pdf
    February 26, 2014 - The Francis Report: One Year On. February 26, 2014 Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.  https://psnet.ahrq.gov/issue/francis-report-one-year This publication offers insights from acute care hospital staff in England regarding recommendations from the Francis rep…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73523/psn-pdf
    July 21, 2021 - TeamSTEPPS Video Toolkit. July 21, 2021 AHA Team Training and Project Firstline. Chicago, IL: American Hospital Association, Center for Disease Control and Prevention; July 2021. https://psnet.ahrq.gov/issue/teamstepps-video-toolkit Problems in communication are common contributors to patient care mistakes. This t…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45005/psn-pdf
    May 04, 2016 - Leading High-Reliability Organizations in Healthcare. May 4, 2016 Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883. https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare High reliability has been recently adopted as a goal for health care. This book reviews the primar…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41185/psn-pdf
    March 24, 2012 - Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. March 24, 2012 Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss- cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256. https://psnet.ahrq.gov/issue/lea…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44770/psn-pdf
    September 24, 2016 - Obstacles to research on the effects of interruptions in healthcare. September 24, 2016 Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083. https://psnet.ahrq.gov/issue/obstacles-research-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44155/psn-pdf
    June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46553/psn-pdf
    October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42948/psn-pdf
    February 19, 2014 - How hospital leaders contribute to patient safety through the development of trust. February 19, 2014 Auer C, Schwendimann R, Koch R, et al. How hospital leaders contribute to patient safety through the development of trust. J Nurs Adm. 2014;44(1):23-9. doi:10.1097/NNA.0000000000000017. https://psnet.ahrq.gov/issu…