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  1. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PrescriptionRenewalRequest-PaperSystem.pdf
    January 01, 2010 - Prescription Renewal Request - Paper System Prescription Renewal Request – Paper system P ha rm ac y A dm in is tra tiv e S ta ff or M A P ro vi de r P at ie nt Call pharmacy requesting prescription renewal Retrieve patient chart Give renewal request and chart to provider for approval/ proc…
  2. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/heuristic-evaluation
    January 01, 2023 - Heuristic Evaluation Also Known As Heuristic Analysis Description Heuristic evaluations are a form of usability evaluation in which various accepted principles of design are applied to the system being assessed. Uses Prior to system procurement. In the early stages (especial…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46175/psn-pdf
    September 24, 2017 - Applying lessons from social psychology to transform the culture of error disclosure. September 24, 2017 Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. https://psnet.ahrq.gov/issue/applying-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45457/psn-pdf
    September 01, 2016 - Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. September 1, 2016 Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):358-66. doi:10.1016/j.nwh.2016.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47581/psn-pdf
    January 09, 2019 - Patient safety in inpatient psychiatry: a remaining frontier for health policy. January 9, 2019 Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.2018.0718. https://psnet.ahrq.gov/iss…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43480/psn-pdf
    January 01, 2015 - Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. December 15, 2014 Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081. https://psnet.ahrq.gov/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73403/psn-pdf
    June 16, 2021 - Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. June 16, 2021 Office of Inspector General. June 2, 2021. Report No. 18-02496-157. https://psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville- arkansas-va …
  8. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-6.html
    November 01, 2017 - Established Child Health Care Quality Measures--Child and Adolescent Health Measurement Initiative (CAHMI): Promoting Healthy Development Survey (PHDS) Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Conten…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
    May 01, 2017 - Module 2: Component Kit AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 2: Daily Huddles AHRQ’s Safety Program for Ambulatory Daily Huddle Component Kit Contents 1. Why a Daily Huddle? 2 2. “Know What, Know How, Know Why” for Daily Huddle 4 3. Plan-Do-Study-Act “Ramp”: …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49836/psn-pdf
    July 01, 2018 - Primary Workaround, Secondary Complication July 1, 2018 Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication The Case A young adult with a progressive neurological disorder presented to a hospital emerg…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33629/psn-pdf
    March 01, 2006 - What Does Simulation Add to Teamwork Training? March 1, 2006 Gaba DM. What Does Simulation Add to Teamwork Training? PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training Editor's Note: In these point–counterpoint articles, Drs. Pratt and Sachs of Beth Israel Deacones…
  12. psnet.ahrq.gov/web-mm/near-miss-neonate
    August 15, 2018 - Near Miss With Neonate Citation Text: Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  13. psnet.ahrq.gov/web-mm/magnetic-deflection
    November 18, 2016 - The Magnetic Deflection Citation Text: Kanal E. The Magnetic Deflection. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
  14. psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
    July 01, 2003 - DNR in the OR and Afterwards Citation Text: Lo B. DNR in the OR and Afterwards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33634/psn-pdf
    May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49570/psn-pdf
    October 01, 2008 - Recurrent Hypoglycemia: A Care Transition Failure? October 1, 2008 Eytan T. Recurrent Hypoglycemia: A Care Transition Failure? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure Case Objectives Understand the complementary abilities of an electronic health record a…
  17. psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - SPOTLIGHT CASE The Case of Mistaken Intubation Citation Text: Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX End…
  18. psnet.ahrq.gov/web-mm/medication-mix-bad-worse
    March 01, 2018 - Medication Mix-Up: From Bad to Worse Citation Text: Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49584/psn-pdf
    April 01, 2009 - EMR Entry Error: Not So Benign April 1, 2009 Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign The Case A 47-year-old man with advanced AIDS was admitted to an academic medical center with a chief complaint of shortness of breath. He was …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33663/psn-pdf
    September 15, 2008 - Implementing a Patient Safety Program at a Large National Health System January 1, 2008 Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system Perspectiv…