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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35356/psn-pdf
    May 27, 2011 - Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. May 27, 2011 Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412 https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37340/psn-pdf
    November 14, 2007 - Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. November 14, 2007 Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46682/psn-pdf
    January 24, 2018 - AHRQ Safety Program for Surgery. January 24, 2018 Rockville, MD: Agency for Healthcare Research and Quality. December 2017. AHRQ Publication No. 16(18)-0004-1-EF. https://psnet.ahrq.gov/issue/ahrq-safety-program-surgery Large-scale collaboratives have achieved success in implementing patient safety improvements. T…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43940/psn-pdf
    February 25, 2015 - AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Settings. February 25, 2015 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. February 10, 2015. Publication No. NOT-HS-15-006. https://psnet.ahrq.gov/issue/ahrq…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43947/psn-pdf
    August 28, 2015 - AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). August 28, 2015 US Department of Health and Human Services. August 25, 2015. PA-15-339. https://psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambu…
  8. psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
    February 01, 2014 - evidence that it actually was useful and worked—it was the Hospital Engagement Networks, which CMS funds
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37342/psn-pdf
    December 23, 2012 - A past report from the Commonwealth Fund discussed the framework for a high performance health system
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38241/psn-pdf
    January 15, 2009 - The Commonwealth Fund also supported a similar past report that used patient experiences to discuss
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34995/psn-pdf
    February 03, 2011 - The Research on Adverse Drug Events and Reports (RADAR) project. February 3, 2011 Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40. https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project This article su…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46749/psn-pdf
    April 04, 2018 - Toolkit for Improving Perinatal Safety. April 4, 2018 Rockville, MD: Agency for Healthcare Research and Quality. June 2017. https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47167/psn-pdf
    May 30, 2018 - AHRQ Health Information Technology Division's 2017 Annual Report. May 30, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028- EF. https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report Health care has worked to enhance use…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45566/psn-pdf
    October 19, 2016 - Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. October 19, 2016 Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2016. https://psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report The Partnersh…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35154/psn-pdf
    January 02, 2017 - Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001. January 2, 2017 Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United States, 1995–2001. The Joint Commission Journal on Quality and Patient Safety. 2016;31(7). doi:10.1016…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34868/psn-pdf
    February 03, 2011 - Role of computerized physician order entry systems in facilitating medication errors. February 3, 2011 Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197-203. https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43616/psn-pdf
    October 29, 2014 - Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. October 29, 2014 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1- S141. https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44125/psn-pdf
    May 28, 2015 - AHRQ focuses on ambulatory patient safety. May 28, 2015 Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124. https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety AHRQ has generated funding and educational opportunities toward u…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34780/psn-pdf
    March 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46413/psn-pdf
    February 22, 2018 - A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. February 22, 2018 Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient Saf. 2018;14(1):60-65. doi:10.…

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