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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72562/psn-pdf
    December 09, 2020 - Missed or Rationed Nursing Care. December 9, 2020 J Nurs Manag. 2020;28(8): i-iv, 1767-2275. https://psnet.ahrq.gov/issue/missed-or-rationed-nursing-care Incomplete nursing care is known to affect care quality and safety. This special issue documents the global problem of missed or rationed nursing care in a varie…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38785/psn-pdf
    September 02, 2009 - An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. September 2, 2009 Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…

  3. TeamSTEPPS: Research/Evidence Base | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/evidence-base/index.html
    July 01, 2023 - TeamSTEPPS: Research/Evidence Base TeamSTEPPS ® has been used by healthcare professionals across the United States. The research cataloged here describes some of the approaches used to implement TeamSTEPPS 3.0 in specific settings of care, as well as evaluation efforts to quantify or qualify the impact of us…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866528/psn-pdf
    August 14, 2024 - First with Kids: Medication Errors. August 14, 2024 First L. NBC5. First with Kids: Medication Errors. August 1, 2024. https://psnet.ahrq.gov/issue/first-kids-medication-errors Medication mistakes involving children are common. This news segment provides suggestions for parents to help improve the safety of medica…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43682/psn-pdf
    November 19, 2014 - Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis. November 19, 2014 Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203(3):476-593. https://psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis Articles in this special issue discuss common pitfalls in musculoskeletal imaging that can con…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39027/psn-pdf
    September 29, 2017 - Disclosing clinical adverse events to patients: can practice inform policy? September 29, 2017 Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. https://psnet.ahrq.gov/issue/discl…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840494/psn-pdf
    November 30, 2022 - Safety of anesthetic and perioperative medication practices. November 30, 2022 Meyer TA. Anesthesiology News. October 31, 2022. https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices Medication use in the surgical environment is complex and high-risk. This article describes steps tow…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853627/psn-pdf
    September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic Delays. September 20, 2023 Health Affairs Forefront; May-September 2023. https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays Diagnostic delays stem from both human and process failures. This series of articles examines how s…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73872/psn-pdf
    September 22, 2021 - Parenteral nutrition safety. September 22, 2021 Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20. https://psnet.ahrq.gov/issue/parenteral-nutrition-safety Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41103/psn-pdf
    June 15, 2012 - Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. June 15, 2012 Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. Glob …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36211/psn-pdf
    February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span. February 13, 2008 AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN J. 2006;84(2):276-283. https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-pr…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73191/psn-pdf
    April 23, 2007 - The National Database of Nursing Quality Indicators(TM) (NDNQI®). April 23, 2007 Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.  https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir The quality of nursing care can impact patient outcomes and safety culture…

  13. 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.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38453/psn-pdf
    January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46117/psn-pdf
    May 10, 2017 - Deep learning is a black box, but health care won't mind. May 10, 2017 Brouillette M. MIT Technol Rev. April 27, 2017. https://psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind Artificial intelligence can support diagnostic decision-making. This magazine article reports on the use of algorithms to…

  16. CAHPS Elicitation Protocol Webcast (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-closing.pdf
    January 01, 2017 - CAHPS Elicitation Protocol Webcast www.ahrq.gov/cahps To Ask a Question 54 www.ahrq.gov/cahps Wrap-Up • Review the guidance document: About the CAHPS Patient Narrative Elicitation Protocol. • Let us know of your interest in using the beta version of the Elicitation Protocol by emailing us at cahps1@westat.…

  17. Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-7.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introdu…

  18. Figure 5: Screenshot 1: Medication Management Essentials | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 5: Screenshot 1: Medication Management Essentials Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduct…

  19. Figure 6: Screenshot 2: Nursing—Medication Reconciliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-6.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 6: Screenshot 2: Nursing—Medication Reconciliation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduc…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60627/psn-pdf
    June 24, 2020 - Second opinions improve healthcare outcomes and reduce costs. June 24, 2020 Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News. 2020;June 8. https://psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs Second opinions are a strategy for redu…
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