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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38402/psn-pdf
    February 11, 2009 - Near misses: paradoxical realities in everyday clinical practice. February 11, 2009 Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x. https://psnet.ahrq.gov/issue/near-misses-paradoxical-rea…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47977/psn-pdf
    August 14, 2019 - Reducing Diagnostic Error: Measurement Considerations. August 14, 2019 National Quality Forum https://psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations This website tracks the progress of a project focused on the development and review of measures to enhance viability, reporting, accountabi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36744/psn-pdf
    August 02, 2011 - Nurses relate the contributing factors involved in medication errors. August 2, 2011 Tang F-I, Sheu S-J, Yu S, et al. Nurses relate the contributing factors involved in medication errors. J Clin Nurs. 2007;16(3):447-57. https://psnet.ahrq.gov/issue/nurses-relate-contributing-factors-involved-medication-errors The…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42130/psn-pdf
    June 10, 2018 - Survey results: community liaison programs to decrease hospital readmissions. June 10, 2018 ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3. https://psnet.ahrq.gov/issue/survey-results-community-liaison-programs-decrease-hospital-readmissions This newsletter article details the characteristic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38398/psn-pdf
    February 11, 2009 - Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. February 11, 2009 Dekker SWA, Hugh TB. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. ANZ J Surg. 2008;78(12):1109-14. doi:10.1111/j.1445-2197.2008.04761.x. https://psnet.ahrq.gov/issu…
  6. www.ahrq.gov/research/index.html
    Research EPC Evidence-Based Reports Search complete titles of released evidence reports MEPS Statistical Briefs The most complete data source on cost a…
  7. digital.ahrq.gov/ahrq-funded-projects/infosage-information-sharing-across-generation-and-environments/citation/preferences
    January 01, 2023 - Information sharing preferences of older patients and their families. Citation Crotty BH, Walker J, Dierks M, Lipsitz L, O'Brien J, Fischer S, Slack WV, Safran C. Information sharing preferences of older patients and their families. JAMA Intern Med. 2015 Sep;175(9):1492-7. doi: 10.1001/jamainternmed.2…
  8. digital.ahrq.gov/ahrq-funded-projects/infosage-information-sharing-across-generation-and-environments/citation/addressing
    January 01, 2023 - Addressing the challenges of aging: how elders and their care partners seek information. Citation Walker J, Crotty BH, O'Brien J, et al. Addressing the challenges of aging: how elders and their care partners seek information. Gerontologist 2017 Oct 1;57(5):955-962. PMID: 27053506. Link https:…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43534/psn-pdf
    January 22, 2016 - Creating a fellowship curriculum in patient safety and quality. January 22, 2016 Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012. https://psnet.ahrq.gov/issue/creating-fellowship-curriculum-pati…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36966/psn-pdf
    June 20, 2007 - Second Annual Nursing Leadership Congress: "Building the Foundation for a Culture of Safety" conference proceedings. June 20, 2007 J Patient Saf. 2007;3(2):67-106. https://psnet.ahrq.gov/issue/second-annual-nursing-leadership-congress-building-foundation-culture-safety- conference The authors summarize sessions …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36973/psn-pdf
    January 02, 2011 - The APSF: 20-year anniversary of the first patient safety organization: past, present & future. January 2, 2011 Cooper JB. APSF Newsletter. 2007;22(1):1,3. https://psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future The author recounts the launch of the Anesthesia Pa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37704/psn-pdf
    April 23, 2008 - Decreasing paediatric prescribing errors in a district general hospital. April 23, 2008 Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital. Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212. https://psnet.ahrq.gov/issue/decreasing-paediatric-…
  13. www.ahrq.gov/news/noi-hsr-dept-boarding.html
    January 01, 2025 - AHRQ Announces Interest in Health Services Research to Reduce Emergency Department Boarding and Hospital Crowding A new Special Emphasis Notice from AHRQ signals the agency’s interest in receiving health services research grant applications for addressing Emergency Department (ED) boarding and hospital crowdi…
  14. digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data/citation/user
    January 01, 2023 - User-centered design of multi-gene sequencing panel reports for clinicians. Citation Cutting E, Banchero M, Beitelshees AL, et al. User-centered design of multi-gene sequencing panel reports for clinicians. J Biomed Inform 2016 Oct;63:1-10. PMID: 27423699. Link https://www.ncbi.nlm.nih.gov/pub…
  15. digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/citation/prescriber
    January 01, 2023 - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. Citation Devine EB, Williams EC, Martin DP, et al. Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. BMC Med Inform Decis Mak 20…
  16. digital.ahrq.gov/ahrq-funded-projects/minimizing-stress-maximizing-success-physicians-use-health-information/citation/electronic
    January 01, 2023 - The electronic elephant in the room: physicians and the electronic health record. Citation Kroth PJ, Morioka-Douglas N, Veres S, et al. The electronic elephant in the room: Physicians and the electronic health record. JAMIA Open. 2018 Jul; 1(1):49-56. Link https://academic.oup.com/jamia…
  17. digital.ahrq.gov/ahrq-funded-projects/pilot-testing-electronic-prescribing-standards/citation/provider-views-about
    January 01, 2023 - Provider views about responsibility for medication adherence and content of physician-older patient discussions. Citation Tarn DM, Mattimore TJ, Bell DS, et al. Provider views about responsibility for medication adherence and content of physician-older patient discussions. J Am Geriatr Soc 2012 Jun;60…
  18. digital.ahrq.gov/ahrq-funded-projects/perception-and-use-patient-care-window-improve-care-and-family-engagement/citation/perception
    January 01, 2023 - Nurses’ perceptions of a novel health information technology: a qualitative study in the pediatric intensive care unit. Citation Asan O, Flynn K, Azam L, et al. Nurses’ perceptions of a novel health information technology: a qualitative study in the pediatric intensive care unit. Int J Hum Comput Inte…
  19. digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-mild-traumatic-brain-injury/citation/understanding
    January 01, 2023 - Understanding overuse of computed tomography for minor head injury in the emergency department: a triangulated qualitative study. Citation Melnick ER, Shafer K, Rodulfo N, et al. Understanding overuse of computed tomography for minor head injury in the emergency department: a triangulated qualitative …
  20. digital.ahrq.gov/ahrq-funded-projects/using-location-based-smartphone-alerts-within-system-care-coordination/citation/doctor
    January 01, 2023 - "The doctor needs to know": acceptability of smartphone location tracking for care coordination. Citation Liss DT, Serrano E, Wakeman J, et al. "The doctor needs to know": acceptability of smartphone location tracking for care coordination. JMIR Mhealth Uhealth 2018 May 4;6(5):e112. PMID: 29728349. …