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  1. Effective use of medication-related decision support in CPOE. | PSNet

    psnet.ahrq.gov/issue/effective-use-medication-related-decision-support-cpoe
    May 26, 2011 - Newspaper/Magazine Article Effective use of medication-related decision support in CPOE. Citation Text: Effective use of medication-related decision support in CPOE. Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.   Copy Citatio…

  2. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. | PSNet

    psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
    November 01, 2016 - Book/Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. Citation Text: Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…

  3. Complicated: medical missteps are not inevitable. | PSNet

    psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
    August 30, 2023 - Commentary Complicated: medical missteps are not inevitable. Citation Text: Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  4. Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. | PSNet

    psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
    March 11, 2017 - Toolkit Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Citation Text: Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…

  5. Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet

    psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
    September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…

  6. Connecting Healthcare in Central Appalachia | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/connecting-healthcare-central-appalachia
    January 01, 2023 - Connecting Healthcare in Central Appalachia Project Final Report ( PDF , 347.31 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statem…

  7. Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. | PSNet

    psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences-state-hospital
    March 22, 2024 - Meeting/Conference Proceedings Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. Citation Text: Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. Agency for Healthc…

  8. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and-agency-healthcare-research-and-quality
    May 20, 2009 - Commentary The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. Citation Text: Clancy CM. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. Am J Med Qual. 2006;21(5):348-51. Copy Citation Format: …

  9. DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. | PSNet

    psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
    December 09, 2020 - Book/Report DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Citation Text: DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Washington, DC: United States Government Accoun…

  10. Improving diagnosis by improving education: a policy brief on education in healthcare professions. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
    August 28, 2019 - Commentary Improving diagnosis by improving education: a policy brief on education in healthcare professions. Citation Text: Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on education in healthcare professions. Diagnosis (Berl). 2018;5(3):…

  11. Economic Analysis of Medical Malpractice Liability and Its Reform. | PSNet

    psnet.ahrq.gov/issue/economic-analysis-medical-malpractice-liability-and-its-reform
    January 31, 2018 - Book/Report Economic Analysis of Medical Malpractice Liability and Its Reform. Citation Text: Economic Analysis of Medical Malpractice Liability and Its Reform. Arlen J. New York, NY: New York University School of Law; May 9, 2013. Public Law Research Paper No. 13-25.   Copy…

  12. Awareness and use of a cognitive aid for anesthesiology. | PSNet

    psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
    January 05, 2017 - Study Awareness and use of a cognitive aid for anesthesiology. Citation Text: Neily J, DeRosier JM, Mills PD, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-11. Copy Citation Format: Google Scholar PubMed BibTeX En…

  13. Second victim: a traumatic experience. | PSNet

    psnet.ahrq.gov/issue/second-victim-traumatic-experience
    October 06, 2016 - Commentary Second victim: a traumatic experience. Citation Text: Second victim: a traumatic experience. Wands B. AANA J. 2021;89(2):168-174. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

  14. We're not your enemy: an appeal from a consumer to re-imagine tort reform. | PSNet

    psnet.ahrq.gov/issue/were-not-your-enemy-appeal-consumer-re-imagine-tort-reform
    March 27, 2005 - Newspaper/Magazine Article We're not your enemy: an appeal from a consumer to re-imagine tort reform. Citation Text: We're not your enemy: an appeal from a consumer to re-imagine tort reform. Sheridan SS, Hatlie MJ. Patient Safety Quality Healthcare. July / August 2007. Copy Citat…

  15. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet

    psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
    February 21, 2024 - Book/Report Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Citation Text: Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…

  16. Medical emergency team implementation: experiences of a mentor hospital. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-implementation-experiences-mentor-hospital
    November 21, 2016 - Commentary Medical emergency team implementation: experiences of a mentor hospital. Citation Text: Jamieson E, Ferrell C, Rutledge DN. Medical emergency team implementation: experiences of a mentor hospital. Medsurg Nurs. 2008;17(5):312-6, 323. Copy Citation Format: Googl…

  17. Back to basics: counting soft surgical goods. | PSNet

    psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
    March 17, 2021 - Commentary Back to basics: counting soft surgical goods. Citation Text: Spruce L. Back to Basics: Counting Soft Surgical Goods. AORN J. 2016;103(3):298-301; quiz 302-3. doi:10.1016/j.aorn.2015.12.021. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  18. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. | PSNet

    psnet.ahrq.gov/issue/common-body-care-ethics-and-politics-teamwork-operating-theater-are-inseparable
    September 27, 2016 - Commentary A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. Citation Text: Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31(3):305-22. Copy Citati…

  19. Creating complex health improvement programs as mindful organizations: from theory to action. | PSNet

    psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
    October 19, 2022 - Commentary Creating complex health improvement programs as mindful organizations: from theory to action. Citation Text: 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. Copy C…

  20. Moving patient safety into ambulatory settings and beyond. | PSNet

    psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
    October 02, 2019 - Commentary Moving patient safety into ambulatory settings and beyond. Citation Text: Ricciardi R, Shofer M. Moving Patient Safety Into Ambulatory Settings and Beyond. J Nurs Care Qual. 2018;33(3):195-199. doi:10.1097/NCQ.0000000000000329. Copy Citation Format: DOI Google Sc…
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