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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool10_dc_checklist.docx
    November 01, 2015 - Tool 10: Discharge Process Checklist Tool 10: Discharge PROCESS Checklist Purpose Provide updated guidance to readmission reduction teams for updating discharge processes, based on Centers for Medicare & Medicaid Services (CMS) documents. Description This tool, adapted from the CMS Conditions of Participation (CO…
  2. psnet.ahrq.gov/issue/care-and-outcomes-patients-hospital-stroke
    September 18, 2024 - Study Care and outcomes of patients with in-hospital stroke. Citation Text: Saltman AP, Silver FL, Fang J, et al. Care and Outcomes of Patients With In-Hospital Stroke. JAMA Neurol. 2015;72(7):749-55. doi:10.1001/jamaneurol.2015.0284. Copy Citation Format: DOI Google Schola…
  3. psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
    November 16, 2022 - Commentary Evaluating safety and competency at the bedside. Citation Text: Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-90. doi:10.1097/NND.0b013e3182236634. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  4. psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
    May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…
  5. psnet.ahrq.gov/issue/evaluation-parenteral-nutrition-errors-era-drug-shortages
    October 02, 2013 - Study Evaluation of parenteral nutrition errors in an era of drug shortages. Citation Text: Storey MA, Weber RJ, Besco K, et al. Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. Nutr Clin Pract. 2016;31(2):211-7. doi:10.1177/0884533615608820. Copy Citation For…
  6. psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
    January 17, 2018 - Commentary Not thinking clearly? Play a game, seriously! Citation Text: Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
  7. psnet.ahrq.gov/issue/adverse-drug-events-elderly
    April 21, 2011 - Review Adverse drug events in the elderly. Citation Text: Cresswell KM, Fernando B, McKinstry B, et al. Adverse drug events in the elderly. Br Med Bull. 2007;83(1). doi:10.1093/bmb/ldm016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  8. psnet.ahrq.gov/issue/patient-safety-public-health
    July 19, 2023 - Commentary Patient safety: this is public health. Citation Text: Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  9. psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…
  10. psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
    April 26, 2023 - Newspaper/Magazine Article What's that sound? Managing alarm fatigue. Citation Text: George TP, Martin V. Whatʼs that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f. Copy Citation Format: DOI Google Scholar B…
  11. psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
    November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…
  12. psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
    February 08, 2023 - Commentary Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. Citation Text: Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558. Copy Citation Format…
  13. psnet.ahrq.gov/issue/medication-safety-initiative-reducing-medication-errors
    June 09, 2015 - Study Medication safety initiative in reducing medication errors. Citation Text: Nguyen EE, Connolly PM, Wong V. Medication safety initiative in reducing medication errors. J Nurs Care Qual. 2010;25(3):224-230. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…
  14. psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
    December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …
  15. psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…
  16. psnet.ahrq.gov/issue/problem-never-events
    July 12, 2023 - Commentary The problem with 'never events'. Citation Text: Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  17. psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook-2019
    October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook, 2019 Citation Text: Network of Patient Safety Databases Chartbook, 2019 Rockville, MD: Agency for Healthcare Research and Quality; December 2019. AHRQ Pub No 20-0023. Copy Citation Save Save to your librar…
  18. psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
    February 01, 2023 - Book/Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…
  19. psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
    March 02, 2011 - Review Effects of work hour reduction on residents' lives: a systematic review. Citation Text: Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. Copy Citation Format: DOI Goo…
  20. psnet.ahrq.gov/issue/dual-process-cognitive-interventions-enhance-diagnostic-reasoning-systematic-review
    March 20, 2019 - Review Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. Citation Text: Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.113…