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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72785/psn-pdf
    July 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional). July 22, 2024 Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266.  https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37505/psn-pdf
    February 06, 2008 - Washington DC: The Commonweath Fund; January 1, 2008.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42187/psn-pdf
    April 10, 2013 - New York, NY: The Commonwealth Fund; March 22, 2013.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43429/psn-pdf
    October 11, 2016 - CA sitting on millions in hospital fines. October 11, 2016 Clark C. https://psnet.ahrq.gov/issue/ca-sitting-millions-hospital-fines Although California has collected an estimated $15 million in penalties from hospitals for adverse events, this news piece describes how much of the money has yet to be allocated or s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38233/psn-pdf
    March 03, 2010 - The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise. March 3, 2010 Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.   https://psnet.ahrq.gov/issue/science-simulation-healthcare-defining-and-developing-clinical-expertise This special issue highlights an AHRQ-funded sympo…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39474/psn-pdf
    June 27, 2011 - A model for medication safety event detection. June 27, 2011 Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014. https://psnet.ahrq.gov/issue/model-medication-safety-event-detection This AHRQ-funded work describes a model to iden…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38187/psn-pdf
    October 29, 2008 - The importance of simulation: preventing hand-off mistakes. October 29, 2008 Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007. https://psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes This article discusses an AHRQ…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35539/psn-pdf
    March 29, 2010 - Differentiating close calls from errors: a multidisciplinary perspective. March 29, 2010 Etchegaray JM; Thomas EJ; Geraci JM; Simmons D; Martin SK. https://psnet.ahrq.gov/issue/differentiating-close-calls-errors-multidisciplinary-perspective In this AHRQ-funded study, the investigators determined that health care …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35616/psn-pdf
    June 23, 2010 - Potential medication dosing errors in outpatient pediatrics. June 23, 2010 McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. https://psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics The authors of this…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35389/psn-pdf
    June 09, 2011 - Working conditions that support patient safety. June 9, 2011 Hughes RG, Clancy CM. Working conditions that support patient safety. J Nurs Care Qual. 2005;20(4):289- 292. https://psnet.ahrq.gov/issue/working-conditions-support-patient-safety Drawing on insights from AHRQ-funded research, the authors recap how human…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36030/psn-pdf
    June 09, 2011 - Human factors of complex sociotechnical systems. June 9, 2011 Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. https://psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems In this AHRQ–funded study, the author discusses how working across boundaries (organizati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37474/psn-pdf
    March 30, 2016 - Implementing a Program of Patient Safety in Small Rural Hospitals. March 30, 2016 Rockville, MD: Agency for Healthcare Research and Quality; October 2004. https://psnet.ahrq.gov/issue/implementing-program-patient-safety-small-rural-hospitals This AHRQ-funded Partnerships in Implementing Patient Safety (PIPS) proje…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35688/psn-pdf
    June 28, 2010 - A practical tool to learn from defects in patient care. June 28, 2010 Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108. https://psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care The authors describe …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36193/psn-pdf
    September 30, 2010 - The Ethics of Using QI Methods to Improve Health Care Quality and Safety. September 30, 2010 Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40. https://psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety The participants in this AHRQ–funded …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34919/psn-pdf
    February 25, 2009 - Changes in prognosis after the first postoperative complication. February 25, 2009 Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. https://psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication The aut…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36482/psn-pdf
    February 17, 2011 - Dangerous deception--hiding the evidence of adverse drug events. February 17, 2011 Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71. https://psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events This commentary discusses the recen…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40937/psn-pdf
    November 16, 2011 - AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011. November 16, 2011 Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09- P013-4-E. https://psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011 This annou…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42079/psn-pdf
    August 15, 2018 - Ambulatory Safety and Quality Program: Health IT Portfolio. August 15, 2018 Rockville,MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Pub. No. 10-P004. https://psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013 This publication summarizes a funding initiative t…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867188/psn-pdf
    November 20, 2024 - Ensuring safe practice by late career physicians: institutional policies and implementation experiences. November 20, 2024 White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med. 2024;177(12):1702-1710. doi:1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859355/psn-pdf
    December 20, 2023 - Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical Trial Optional). December 20, 2023 PA-24-093. Rockville, MD: Agency for Healthcare Research and Quality. December 5, 2023. https://psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safe…

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