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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44946/psn-pdf
    February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39838/psn-pdf
    September 15, 2010 - A multicenter trial of aviation-style training for surgical teams. September 15, 2010 Catchpole K, Dale TJ, Hirst G, et al. A multicenter trial of aviation-style training for surgical teams. J Patient Saf. 2010;6(3):180-6. doi:10.1097/PTS.0b013e3181f100ea. https://psnet.ahrq.gov/issue/multicenter-trial-aviation-st…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42660/psn-pdf
    October 16, 2013 - Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. October 16, 2013 Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Acad…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38904/psn-pdf
    September 02, 2009 - Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. September 2, 2009 Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(8):829-35. doi:10.1111/j.1365-2044.20…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45970/psn-pdf
    March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44227/psn-pdf
    November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42661/psn-pdf
    October 16, 2013 - Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. October 16, 2013 Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. doi:10.1111/imj.12172. https://psne…
  8. www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/allergies.html
    September 01, 2022 - Best Practices in the Management of Patients With Antibiotic Allergies After viewing or presenting this presentation, viewers will be able to— Explain the importance of clarifying antibiotic allergies before prescribing antibiotics. Recognize types of reactions to antibiotics commonly prescribed in the …
  9. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/useful.html
    July 01, 2018 - AHRQ Program Management Tools Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. National Guideline Clearinghouse™ The National Guideline Clearinghouse™ taken down on July 16, 2018, because federal funding t…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43061/psn-pdf
    September 01, 2016 - Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. September 1, 2016 Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med Inform Assoc. 2014;21(e1):e35-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836763/psn-pdf
    March 16, 2022 - Maternity Pre-arrival Instructions by 999 Call Handlers. March 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers Pre-hospital emergency care can be vulnerable to timing, information, and task failures th…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34646/psn-pdf
    July 01, 2015 - The attributes of medical event reporting systems. July 1, 2015 Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med. 1998;122(3):231-8. https://psnet.ahrq.gov/iss…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839814/psn-pdf
    January 01, 2023 - Influencing a culture of quality and safety through huddles. November 9, 2022 McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. https://psnet.ahrq.gov/issue/influencing-culture-quality-a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37275/psn-pdf
    December 23, 2011 - Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. December 23, 2011 Nebeker JR, Yarnold PR, Soltysik RC, et al. Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. Med Care. 2007;45(10 Supl 2):S81-8. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37098/psn-pdf
    October 04, 2011 - How residents think and make medical decisions: implications for education and patient safety. October 4, 2011 Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discussion 553-4. https://psnet.ahrq.gov/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40237/psn-pdf
    February 23, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses. February 23, 2011 Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876. ht…
  17. www.ahrq.gov/cpi/about/nac/pcortf-snac/pincus.html
    November 01, 2022 - Subcommittee Member: Harold A. Pincus Harold A. Pincus, M.D. Professor and Vice Chair Department of Psychiatry Co-Director Irving Institute for Clinical and Translational Research Columbia University Harold A. Pincus, M.D., is professor and vice chair of the Department of Psychiatry and co-director of …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44058/psn-pdf
    July 03, 2016 - Metric units and the preferred dosing of orally administered liquid medications. July 3, 2016 Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015- 0072. https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications Accident…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866823/psn-pdf
    September 25, 2024 - Understanding human factors in patient safety when prescribing. September 25, 2024 Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989). https://psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing Prescripti…
  20. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-agenda-062723.pdf
    June 27, 2023 - Addressing Violence in the Workplace Agenda: NAA Webinar June 2023 National Action Alliance to Advance Patient Safety Summer Webinar Series Agenda Addressing Violence in the Workplace Tuesday, June 27, 2023 2:00 – 3:00 PM ET Questions We are Running On: 1. What do we know about violence in the workplace an…