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  1. How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. | PSNet

    psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our-understanding
    March 11, 2009 - Special or Theme Issue How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. Citation Text: How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Im…

  2. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…

  3. Deprescribing Guidelines: Special Section on Symposium Results. | PSNet

    psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results
    July 31, 2019 - Meeting/Conference Proceedings Deprescribing Guidelines: Special Section on Symposium Results. Citation Text: Deprescribing Guidelines: Special Section on Symposium Results. Res Social Adm Pharm. 2019;15(6):780-810. Copy Citation Save Save to your library …

  4. Research from webAIRS incident reporting system. | PSNet

    psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
    February 15, 2023 - Special or Theme Issue Research from webAIRS incident reporting system. Citation Text: Research from webAIRS incident reporting system. Anaesth Intensive Care. 2023;51(6):372-421. Copy Citation Save Save to your library Print Download PDF Share…

  5. Nursing Home Complaint Investigations.  | PSNet

    psnet.ahrq.gov/issue/nursing-home-complaint-investigations
    September 27, 2006 - Government Resource Nursing Home Complaint Investigations.  Citation Text: Nursing Home Complaint Investigations.  Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340. Copy Citation Save Save to your library Print …

  6. JCAHO tightens leash on medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/jcaho-tightens-leash-medication-reconciliation
    April 12, 2006 - Newspaper/Magazine Article JCAHO tightens leash on medication reconciliation. Citation Text: JCAHO tightens leash on medication reconciliation. Perry LE. Drug Topics. March 20, 2006. Copy Citation Save Save to your library Print Download PDF S…

  7. Learning From Serious Failings in Care: Main Report. | PSNet

    psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
    August 23, 2017 - Book/Report Learning From Serious Failings in Care: Main Report. Citation Text: Learning From Serious Failings in Care: Main Report. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015. Copy Citation …

  8. Report on the Medical Insurance Feasibility Study. | PSNet

    psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
    July 01, 2022 - Book/Report Report on the Medical Insurance Feasibility Study. Citation Text: Report on the Medical Insurance Feasibility Study. Mills DH. San Francisco, CA: California Medical Association; 1977. Copy Citation Save Save to your library Print Download…

  9. Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed. | PSNet

    psnet.ahrq.gov/issue/poll-many-sick-americans-experience-significant-financial-problems-and-report-their-care-not
    April 02, 2014 - Book/Report Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed. Citation Text: Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed. Princeton, NJ: Robert Wood Johnson …

  10. Needlestick injuries among surgeons in training. | PSNet

    psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
    November 26, 2008 - Study Needlestick injuries among surgeons in training. Citation Text: Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  11. Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? | PSNet

    psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
    June 10, 2018 - Newspaper/Magazine Article Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? Citation Text: Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…

  12. Human Factors and Ergonomics in Healthcare. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
    September 15, 2021 - Special or Theme Issue Human Factors and Ergonomics in Healthcare. Citation Text: Human Factors and Ergonomics in Healthcare. Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    Copy Citation Save Save to your libra…

  13. Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. | PSNet

    psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
    October 21, 2020 - Government Resource Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Citation Text: Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory Copy Citation Save …

  14. Few hospitals are willing to bear the cost of providing psychiatric care for kids. | PSNet

    psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
    March 15, 2023 - Newspaper/Magazine Article Few hospitals are willing to bear the cost of providing psychiatric care for kids. Citation Text: Few hospitals are willing to bear the cost of providing psychiatric care for kids. Schorsch K, Karp S. WBEZ Chicago. March 9, 2023. Copy Citation …

  15. Standing Up for Doctors, Speaking Out for Patients. Final Report. | PSNet

    psnet.ahrq.gov/issue/standing-doctors-speaking-out-patients-final-report
    July 05, 2013 - Book/Report Standing Up for Doctors, Speaking Out for Patients. Final Report. Citation Text: Standing Up for Doctors, Speaking Out for Patients. Final Report. London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.  Copy Citation …

  16. Tolerating uncertainty—the next medical revolution? | PSNet

    psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
    April 24, 2018 - Commentary Tolerating uncertainty—the next medical revolution? Citation Text: Simpkin AL, Schwartzstein RM. Tolerating Uncertainty - The Next Medical Revolution? New Engl J Med. 2016;375(18):1713-1715. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  17. Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children in the Emergency Setting. | PSNet

    psnet.ahrq.gov/issue/building-bridges-between-radiology-and-emergency-medicine-consensus-conference-imaging-safety
    January 25, 2010 - Special or Theme Issue Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children in the Emergency Setting. Citation Text: Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and…

  18. Bringing diagnosis into the quality and safety equations. | PSNet

    psnet.ahrq.gov/issue/bringing-diagnosis-quality-and-safety-equations
    October 10, 2018 - Commentary Bringing diagnosis into the quality and safety equations. Citation Text: Graber ML, Wachter R, Cassel C. Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  19. Interruptions and multitasking in nursing care. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
    September 28, 2010 - Study Interruptions and multitasking in nursing care. Citation Text: Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  20. Microsoft PowerPoint - Updated Handouts - Read-Only (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
    January 01, 2018 - linked to dementia and falls HOW TO SAFELY REDUCE OR STOP A BZRA: • Ask your health care provider to find
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