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5081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42513/psn-pdf
      January 15, 2014 - A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. January 15, 2014 Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. J Pediat…

5082. Network of Patient Safety Databases | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/npsd.html
      March 01, 2025 - Network of Patient Safety Databases Established under the Patient Safety and Quality Improvement Act of 2005, the Network of Patient Safety Databases (NPSD) develops informational tools, including dashboards and chartbooks, to make the data available for meaningful, national learning purposes. It draws upon n…

5083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36118/psn-pdf
      September 24, 2010 - Implementing patient safety practices in small ambulatory care settings. September 24, 2010 Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425. https://psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-amb…

5084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47367/psn-pdf
      October 15, 2018 - Themed Issue on Innovations in Medication Safety. October 15, 2018 Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2154. https://psnet.ahrq.gov/issue/themed-issue-i…

5085. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47279/psn-pdf
      July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the Home. July 23, 2018 Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home The home care setting harbors unique challenges to patient safety. This report builds on a previous evidence ass…

5086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47638/psn-pdf
      February 06, 2019 - Decreasing surgical site infections by developing a high reliability culture. February 6, 2019 Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…

5087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72531/psn-pdf
      January 01, 2021 - Factors influencing physician responsiveness to nurse- initiated communication: a qualitative study. December 2, 2020 Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):747-754. doi:10.1136/bmjqs-2020…

5088. AHRQ-Funded Patient Safety Research Featured in Health Affairs | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/healthaffairs.html
      March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …

5089. NAC Member Biography: Lemrey “Al” Carter | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/organization/nac/carter.html
      February 01, 2025 - NAC Member Biography: Lemrey “Al” Carter Lemrey “Al” Carter, M.S., Pharm.D., R.Ph.  Executive Director/Secretary  National Association of Boards of Pharmacy Lemrey “Al” Carter, M.S., Pharm.D., R.Ph., is executive director of the National Association of Boards of Pharmacy (NABP). NABP is an international organi…

5090. What’s New | Agency for Healthcare Research and Quality
      www.ahrq.gov/sdoh/whats-new.html
      December 01, 2020 - What’s New AHRQ Releases a New Family of SDOH Data Files to Facilitate Research One of AHRQ’s goals is to facilitate health services research, especially research that focuses on priority populations , by recognizing the impact from social determinants of health. Through funding from the Patient-Centered Out…

5091. Examining the Clinical Workflow and Outcomes of Integrating Health Information Technology to Educate and Support Dementia Caregivers - Final Report | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/examining-clinical-workflow-and-outcomes-integrating-health-information/final-report
      January 01, 2023 - Examining the Clinical Workflow and Outcomes of Integrating Health Information Technology to Educate and Support Dementia Caregivers - Final Report Citation Ruggiano N. Examining the Clinical Workflow and Outcomes of Integrating Health Information Technology to Educate and Support Dementia Caregivers …

5092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34700/psn-pdf
      January 04, 2017 - Reducing adverse drug events: lessons from a breakthrough series collaborative. January 4, 2017 Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31. https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…

5093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46496/psn-pdf
      October 11, 2017 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. October 11, 2017 Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organization…

5094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60344/psn-pdf
      May 20, 2020 - American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. May 20, 2020 American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. Am Geriatr Soc. 2020;68(5):908-911. doi:10.1111/jgs.16477. https://psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-nurs…

5095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35838/psn-pdf
      March 28, 2011 - Unscheduled returns to the emergency department: an outcome of medical errors? March 28, 2011 Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. https://psnet.ahrq.gov/issue/unscheduled-returns-emergency-depart…

5096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43127/psn-pdf
      April 23, 2014 - An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting. April 23, 2014 Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital settin…

5097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73491/psn-pdf
      July 14, 2021 - Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. July 14, 2021 Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Jt Comm J Qual Patient Saf. 2021…

5098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837037/psn-pdf
      May 04, 2022 - Humanizing harm: using a restorative approach to heal and learn from adverse events. May 4, 2022 Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/hex.13478. https://psnet.ahrq.gov/issue/hum…

5099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60190/psn-pdf
      April 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. April 1, 2020 Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summary. Rockville, MD : Agency for Healthcar…

5100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47108/psn-pdf
      June 06, 2018 - Cognitive bias in clinical practice—nurturing healthy skepticism among medical students. June 6, 2018 Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558. https://psnet.ahrq.gov/issue/cognitive-bias-clinic…