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  1. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-supported-process-preventing-and-managing-venous-thromboembolism/citation/role
    January 01, 2023 - Role network measures to assess healthcare team adaptation to complex situations: the case of venous thromboembolism prophylaxis. Citation Salwei ME, Carayon P, Hundt AS, Hoonakker P, Agrawal V, Kleinschmidt P, Stamm J, Wiegmann D, Patterson BW. Role network measures to assess healthcare team adaptati…
  2. digital.ahrq.gov/ahrq-funded-projects/evaluating-effectiveness-health-information-technology-self-management-program/citation/using
    January 01, 2023 - Using a patient portal to transmit patient reported health information into the electronic record: workflow implications and user experience. Citation Sorondo B, Allen A, Bayleran J, et al. Using a patient portal to transmit patient reported health information into the electronic record: workflow imp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50586/psn-pdf
    October 23, 2019 - AHRQ Health Information Technology Research: 2018 Year in Review. October 23, 2019 AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316201200068W.) AHRQ Publication No. 19-0082-EF. Rockville, MD: Agency for Healthcare Research and Quality. Septem…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48106/psn-pdf
    July 24, 2019 - Teamwork Toolkit. July 24, 2019 Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. https://psnet.ahrq.gov/issue/teamwork-toolkit Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed to help organizations create a culture that embeds teamwork…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844055/psn-pdf
    February 08, 2023 - National patient safety goal to improve health care equity. February 8, 2023 R3 Report. December 20, 2022;38:1-8. https://psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity Health care inequities persist despite increasing awareness they negatively affect quality, safety, and patient cent…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33916/psn-pdf
    December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty Incident. Summary, Evidence Report/Technology Assessment. December 22, 2014 Hsu EB, Jenckes MW, Catlett CL, et al. In: AHRQ Evidence Report Summaries. Rockville, MD: Agency for Healthcare Research and Quality; 1998-2005. 95. AHRQ Publication No. 04-E015-1 h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39023/psn-pdf
    November 19, 2018 - Pediatric Readiness in the Emergency Department. November 19, 2018 Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459. https://psnet.ahrq.gov/issue/pediatric-readiness-emergency-department This revised set of gu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41957/psn-pdf
    May 04, 2016 - Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. May 4, 2016 Rockville, MD: Center for Drug Evaluation and Research, US Food and Drug Administration; April 2016. https://psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance- indu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48170/psn-pdf
    July 31, 2019 - Developing resilience to combat nurse burnout. July 31, 2019 Quick Safety. July 15, 2019;(50):1-4. https://psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem . Recommendations focus on the role …
  10. digital.ahrq.gov/organization/fairview-health-services
    January 01, 2023 - Fairview Health Services A Community-Shared Clinical Abstract to Improve Care - 2010 Principal Investigator Connelly, Donald Project Name A Community-Shared Clinical Abstract to Improve Care A Community-Shared Clinical Abstract to Improve …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35535/psn-pdf
    July 13, 2010 - American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. July 13, 2010 Bates DW, Clark NG, Cook RI, et al. American College of Endocrinology and American Association of Clinical Endocrinolo…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73926/psn-pdf
    October 06, 2021 - Good for You, Good for Us, Good for Everybody. October 6, 2021 Ridge K. London, England: Crown Copyright; 2021. September 22, 2021. https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has long reduced medi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37261/psn-pdf
    December 19, 2011 - Creating complex health improvement programs as mindful organizations: from theory to action. December 19, 2011 Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83. https://psnet.ahrq.gov/issue/creating-complex…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43795/psn-pdf
    December 17, 2014 - Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. December 17, 2014 Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012. https://psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews Drawing from human factors a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42387/psn-pdf
    December 30, 2014 - 'Bad apples': time to redefine as a type of systems problem? December 30, 2014 Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. https://psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem While …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47050/psn-pdf
    April 18, 2018 - Improving Physician Well-Being, Restoring Meaning in Medicine. April 18, 2018 Accreditation Council for Graduate Medical Education. https://psnet.ahrq.gov/issue/physician-well-being Physician and resident well-being is receiving increased attention as an area of focus of the clinical learning environment. This we…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45931/psn-pdf
    July 05, 2017 - The CARE approach to reducing diagnostic errors. July 5, 2017 Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532. https://psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors Cognitive aids such as checklists and mnemoni…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43646/psn-pdf
    January 01, 2021 - Patient Safety Systems Chapter. January 1, 2021 In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint Commission; January 2021:PS1-PS46. https://psnet.ahrq.gov/issue/patient-safety-systems-chapter This chapter provides information about how organizations can re-design existin…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41901/psn-pdf
    December 05, 2012 - Patient safety culture in home care: experiences of home- care nurses. December 5, 2012 Berland A, Holm AL, Gundersen D, et al. Patient safety culture in home care: experiences of home-care nurses. J Nurs Manag. 2012;20(6):794-801. doi:10.1111/j.1365-2834.2012.01461.x. https://psnet.ahrq.gov/issue/patient-safety-c…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45808/psn-pdf
    December 19, 2017 - A concept analysis of systems thinking. December 19, 2017 Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking Systems thinking focuses on enabling an organization t…