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3241. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50748/psn-pdf
      December 18, 2019 - Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients December 18, 2019 Frazer A, Rowland J, Mudge A, et al. Eur J Clin Pharmacol. 2019;75(12):1645-1657. https://psnet.ahrq.gov/issue/systematic-review-interventions-imp…

3242. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837334/psn-pdf
      June 08, 2022 - Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. June 8, 2022 Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Catheter …

3243. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45824/psn-pdf
      January 25, 2017 - The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. January 25, 2017 Oshel RE, Levitt P. The Detection, Analysis, and Significance of Physician Clustering in Medical Malpractice Lawsuit Payouts. J Patient Saf. 2016;16(4):274-278. doi:10.1097/PTS.0000000000000326…

3244. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867018/psn-pdf
      October 23, 2024 - Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. October 23, 2024 Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1…

3245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60235/psn-pdf
      April 15, 2020 - Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. April 15, 2020 NHS Improvement. Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. NHS England. March 2020. https://psnet.ahrq.gov/issue/independent-morta…

3246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867753/psn-pdf
      March 12, 2025 - Enhancing patient safety and risk management through clinical pathways in oncology. March 12, 2025 Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024-003012. https://psnet.ahrq.gov/i…

3247. AHRQ Safety Program for Telemedicine | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/telemedicine/index.html
      June 01, 2024 - AHRQ Safety Program for Telemedicine This ongoing implementation project is a national effort to develop and implement a bundle of evidence-based interventions to improve antibiotic use in the telemedicine environment. About This Project The AHRQ Safety Program for Telemedicine will work directly with healthc…

3248. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-6.html
      August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Conclusion Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safety Unique to Children Pediatric Diagnostic …

3249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866071/psn-pdf
      June 05, 2024 - Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. June 5, 2024 Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance a…

3250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45283/psn-pdf
      June 29, 2016 - Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology; 2016. https://psn…

3251. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853237/psn-pdf
      September 06, 2023 - Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. September 6, 2023 Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. Jt Comm J Qual Patient Saf. 2…

3252. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45753/psn-pdf
      January 18, 2017 - A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. January 18, 2017 Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;26(1):e1. doi:10.1136/bmjqs-2016…

3253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42942/psn-pdf
      February 22, 2024 - Targeted Medication Safety Best Practices for Hospitals. February 22, 2024 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024. https://psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals This updated report outlines 22 consensus-based best practices to ensure safe medication ad…

3254. Prevehosp-Implementation-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training Implementation of the Preventable Hospital and ED Visits Reports Note: This part of the traini…

3255. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 1 On-Time Falls Prevention: Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Implementatio…

3256. Facilitator Guide: Turn Data Into Action (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action_facnotes.docx
      December 01, 2017 - Facilitator Guide: Turn Data Into Action Turning Data Into Action – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change SAY: In this module, you’ll learn about using data as part of your team’s improvemen…

3257. Sample Scenario for Shoulder Dystocia In Situ Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-shoulder-dystocia.html
      July 01, 2023 - Sample Scenario for Shoulder Dystocia In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Shoulder Dystocia In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the unit wh…

3258. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49863/psn-pdf
      May 01, 2019 - Good Catch in the Operating Room May 1, 2019 Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/good-catch-operating-room The Case A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an elective laminectomy and spinal…

3259. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838972/psn-pdf
      October 27, 2022 - The Unhappy Patient Leaves Against Medical Advice. October 27, 2022 Nichols A. The Unhappy Patient Leaves Against Medical Advice. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice The Case A 61-year-old woman was placed on bedrest following major surgery. Her posto…

3260. Finding Fault With the Default Alert | PSNet
      psnet.ahrq.gov/web-mm/finding-fault-default-alert
      August 28, 2024 - Finding Fault With the Default Alert Citation Text: Baysari M. Finding Fault With the Default Alert. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…