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141. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses
     May 29, 2024 - Book/Report Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Citation Text: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.   Copy Ci…

142. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. | PSNet
     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…

143. Medication Without Harm: WHO's Third Global Patient Safety Challenge. | PSNet
     psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
     July 14, 2021 - Book/Report Medication Without Harm: WHO's Third Global Patient Safety Challenge. Citation Text: Medication Without Harm: WHO's Third Global Patient Safety Challenge. Geneva, Switzerland: World Health Association; 2017. Copy Citation Save Save to your library …

144. IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. | PSNet
     psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care
     January 29, 2019 - Book/Report IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. Citation Text: IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. Geneva, Switzerland: World Health Organization; 2011.   Copy Citation …

145. Safety-I and Safety-II: The Past and Future of Safety Management. | PSNet
     psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management
     July 22, 2019 - Book/Report Classic Safety-I and Safety-II: The Past and Future of Safety Management. Citation Text: Safety-I and Safety-II: The Past and Future of Safety Management. Hollnagel E. Aldershot, Hampshire, England: Ashgate; 2014. ISBN: 9781472423085. Copy Citation…

146. How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. | PSNet
     psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
     February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…

147. Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. | PSNet
     psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying-gaps-and-future
     September 30, 2020 - Book/Report Emerging Classic Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. Citation Text: Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Di…

148. Textbook of Patient Safety and Clinical Risk Management. | PSNet
     psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
     September 11, 2019 - Book/Report Textbook of Patient Safety and Clinical Risk Management. Citation Text: Textbook of Patient Safety and Clinical Risk Management. Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.    Copy Citat…

149. Making Healthcare Safe: The Story of the Patient Safety Movement. | PSNet
     psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
     January 20, 2021 - Book/Report Making Healthcare Safe: The Story of the Patient Safety Movement. Citation Text: Making Healthcare Safe: The Story of the Patient Safety Movement. Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252. Copy Citation Save Save to you…

150. VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. | PSNet
     psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
     September 14, 2022 - Newspaper/Magazine Article VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Citation Text: VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Muoio D. Fierce Healthcare. April 21, 2023. Copy…

151. Health Worker Safety: A Priority for Patient Safety. | PSNet
     psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety
     October 07, 2020 - Book/Report Health Worker Safety: A Priority for Patient Safety. Citation Text: Health Worker Safety: A Priority for Patient Safety. Geneva, Switzerland: World Health Organization; September 17, 2020. Copy Citation Save Save to your library Print Downl…

152. AHRQ Research Summit on Improving Diagnosis in Health Care. | PSNet
     psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care
     October 23, 2019 - Government Resource AHRQ Research Summit on Improving Diagnosis in Health Care. Citation Text: AHRQ Research Summit on Improving Diagnosis in Health Care. Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016. Copy Citation Save Save to you…

153. IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. | PSNet
     psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
     January 09, 2019 - Measurement Tool/Indicator Classic IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Citation Text: IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Instit…

154. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/854855
     January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Patient as a Team Member in Clinical Care Curated Library Foundations Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving Patient Safety. Kendir C, Fujisawa R, Brito Fernandes O, et al. Paris, F…

155. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet
     psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
     September 11, 2019 - Study Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. Citation Text: Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059…

156. Leading change: why transformation efforts fail. | PSNet
     psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
     March 03, 2021 - Commentary Classic Leading change: why transformation efforts fail. Citation Text: Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Copy Citation Save Save to your library …

157. Health Literacy Interventions and Outcomes: An Updated Systematic Review. | PSNet
     psnet.ahrq.gov/issue/health-literacy-interventions-and-outcomes-updated-systematic-review
     August 17, 2022 - Book/Report Health Literacy Interventions and Outcomes: An Updated Systematic Review. Citation Text: Health Literacy Interventions and Outcomes: An Updated Systematic Review. Berkman ND, Sheridan SL, Donahue KE, et al. Evidence Report/Technology Assessment: Number 199. Rockville, MD:…

158. Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. | PSNet
     psnet.ahrq.gov/issue/hospital-testing-effectiveness-co-designed-educational-materials-improve-patient-and-visitor
     February 28, 2024 - Study Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. Citation Text: King L, Belan I, Clark RA, et al. Hospital testing of the effectiveness of co-designed educational m…

159. Advancing Anticoagulation Stewardship: A Playbook. | PSNet
     psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
     March 23, 2012 - Book/Report Advancing Anticoagulation Stewardship: A Playbook. Citation Text: Advancing Anticoagulation Stewardship: A Playbook. Washington DC; National Quality Forum and Anticoagulation Forum; 2022. Copy Citation Save Save to your library Print Download…

160. Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. | PSNet
     psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
     December 24, 2008 - Toolkit Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Citation Text: Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publicat…