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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36968/psn-pdf
    February 15, 2011 - The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  February 15, 2011 Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. https://psnet.ahrq.gov/issue/hospital-discharge-review…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37898/psn-pdf
    July 09, 2008 - Patient safety in obstetrics: what aviators, firefighters and others can teach us. July 9, 2008 Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x.2008.00325.x. https://psnet.ahrq.gov/issu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39576/psn-pdf
    September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the Hospital. September 25, 2010 Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059. https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital This guide provides patients with information they need t…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36924/psn-pdf
    April 21, 2011 - A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. April 21, 2011 Davis RL, Wright J, Chalmers F, et al. A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. PLoS Clin Trials. 2007;2(5):e25. https://psnet.ahrq.gov/issue/cluster-ran…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35414/psn-pdf
    May 21, 2014 - Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. May 21, 2014 Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870. https://psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation- report-1 The authors report on the his…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37719/psn-pdf
    July 17, 2018 - AHRQ Health Care Innovations Exchange. July 17, 2018 Agency for Healthcare Research and Quality. 2008-2016. https://psnet.ahrq.gov/issue/ahrq-health-care-innovations-exchange This AHRQ resource provided a searchable collection of innovations in health care, opportunities for medical providers and administrators to…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38297/psn-pdf
    May 21, 2014 - Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. May 21, 2014 Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2007. ISBN: 9780833042170 https://psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-imple…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860390/psn-pdf
    January 10, 2024 - Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. January 10, 2024 Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare workers support interventions after pati…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35852/psn-pdf
    April 12, 2006 - New York, NY: The Commonwealth Fund; 2006.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837044/psn-pdf
    May 04, 2022 - New York, NY: Commonwealth Fund: April 2022.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35015/psn-pdf
    June 16, 2011 - Keeping Patients Safe: Transforming the Work Environment of Nurses. June 16, 2011 Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services. Washington, DC: The National Academies Press; 2004. ISBN: 9780309090674. https://psnet.ahrq.gov/issue/keeping-patients-safe-trans…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36637/psn-pdf
    January 14, 2011 - The effect of the fit between organizational culture and structure on medication errors in medical group practices. January 14, 2011 Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practices. Health Care Manage Rev. 2007…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40430/psn-pdf
    October 18, 2011 - Eliminating CLABSI: A National Patient Safety Imperative. October 18, 2011 Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11- 0037-1-EF. https://psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative This publication reports the impact hospital p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35338/psn-pdf
    May 27, 2011 - The effect of automated alerts on provider ordering behavior in an outpatient setting.   May 27, 2011 Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.0020255. https://psnet.ahrq.gov/issue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37332/psn-pdf
    November 14, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. November 14, 2007 Jacobson KL, Gazmararian JA, Kripalani S, et al. Rockville, MD: Agency for Healthcare Research and Quality. October 2007. AHRQ Publication No. 07-0051. https://psnet.ahrq.gov/issue/our-pharmacy-meeti…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40198/psn-pdf
    February 09, 2011 - Measures and measurement of high-performance work systems in health care settings: propositions for improvement. February 9, 2011 Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement. Health Care Manage Rev. 2011;36(1):3…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35304/psn-pdf
    July 14, 2009 - Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. July 14, 2009 DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. Med Care. 2005;43(9 Suppl):III63-II…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38213/psn-pdf
    November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46800/psn-pdf
    May 16, 2018 - Ireland investigates cervical cancer screening scandal. May 16, 2018 O'Loughlin E. New York Times. April 30, 2018. https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misr…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000…

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