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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865922/psn-pdf
    May 22, 2024 - Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. May 22, 2024 Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase compliance with intraveno…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/safford.pdf
    December 17, 2014 - Using Comparative Effectiveness Reviews to Optimize Quality of Life for Persons with Diabetes and Chronic Pain Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Using Comparative Effectiveness Reviews to Optimize Quality of Life fo…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/pearson.pdf
    December 17, 2014 - The New England RAPiD (Regional Adaptation for Payer Policy Decisions) Project Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products The New England RAPiD (Regional Adaptation for Payer Policy Decisions) Project Description The goal…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43193/psn-pdf
    June 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72566/psn-pdf
    January 01, 2021 - Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. December 16, 2020 Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72670/psn-pdf
    January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43436/psn-pdf
    August 13, 2014 - Decreasing handoff-related care failures in children's hospitals. August 13, 2014 Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42854/psn-pdf
    March 20, 2014 - Medication event huddles: a tool for reducing adverse drug events. March 20, 2014 Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45120/psn-pdf
    September 11, 2016 - Saving lives: a meta-analysis of team training in healthcare. September 11, 2016 Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120. https://psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866405/psn-pdf
    July 31, 2024 - Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. July 31, 2024 Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in response to fa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43190/psn-pdf
    September 04, 2015 - Pediatric obesity and safety in inpatient settings: a systematic literature review. September 4, 2015 Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48143/psn-pdf
    January 01, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019 Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47207/psn-pdf
    July 19, 2018 - National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. July 19, 2018 Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in Community Hospitals. Jt Comm J Qual P…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45535/psn-pdf
    January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852444/psn-pdf
    August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. August 16, 2023 Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. Int J Qual Health Care. 202…
  16. www.ahrq.gov/funding/priorities-contacts/special-emphasis-notices/index.html
    February 01, 2025 - AHRQ Research Funding Priorities & Special Emphasis Notices AHRQ Announces Interest in Health Services Research to Reduce Emergency Department Boarding and Hospital Crowding AHRQ Announces Interest in Research to Improve Treatment and Management of Menopause Symptoms AHRQ Announces Interest in Health Services R…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72468/psn-pdf
    November 18, 2020 - Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. November 18, 2020 Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Eff…
  18. www.ahrq.gov/ncepcr/communities/pbrn/registry/kansas-patients-and-providers-engaged-prevention-research.html
    January 16, 2013 - Kansas Patients and Providers Engaged in Prevention Research Status: Active Registered Date: January 16, 2013 PBRN Acronym: KPPEPR PBRN Type: Family Medicine Network (at least 75% are Family Medicine Clinicians) Network Category: Established City: Kansas City …
  19. www.ahrq.gov/ncepcr/communities/pbrn/registry/southern-primary-care-urban-research-network.html
    January 01, 2012 - Southern Primary-care Urban Research Network Status: Inactive Registered Date: January 1, 2012 PBRN Acronym: SPUR-Net PBRN Type: Family Medicine Network (at least 75% are Family Medicine Clinicians) Network Category: Established City: Houston State: Texas …
  20. www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - EvidenceNOW in Action EvidenceNOW cooperatives have provided tailored support to small practices in their regions to help them use evidence and data to enhance patient care. For example, external consultants helped practices use their electronic health record data to identify at-risk patients and improve care. …