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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46126/psn-pdf
     June 19, 2019 - A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. June 19, 2019 Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educational Programs: Lessons From the VA Ch…

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73091/psn-pdf
     March 31, 2021 - Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. March 31, 2021 Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141. doi:10.1097…

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47952/psn-pdf
     January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855001/psn-pdf
     November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. November 1, 2023 Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and- leaders Patient saf…

285. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
     November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45953/psn-pdf
     July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. July 22, 2020 Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618. https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-…

287. Disclosing Medical Errors: A Guide to an Effective Explanation and Apology. | PSNet
     psnet.ahrq.gov/issue/disclosing-medical-errors-guide-effective-explanation-and-apology
     October 26, 2007 - Book/Report Disclosing Medical Errors: A Guide to an Effective Explanation and Apology. Citation Text: Disclosing Medical Errors: A Guide to an Effective Explanation and Apology. Oakbrook Terrace IL: Joint Commission Resources; 2007. ISBN 9781599400211. Copy Citation …

288. HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. | PSNet
     psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
     October 15, 2008 - Book/Report HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. Citation Text: HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…

289. Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet
     psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
     March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

290. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. | PSNet
     psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and-families
     October 23, 2019 - Book/Report Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. Citation Text: Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. …

291. Taking Care of Myself: A Guide for When I Leave the Hospital. | PSNet
     psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital
     November 17, 2010 - Tools/Toolkit Taking Care of Myself: A Guide for When I Leave the Hospital. Citation Text: Taking Care of Myself: A Guide for When I Leave the Hospital. Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059. Copy Citation …

292. Guide for Developing a Community-Based Patient Safety Advisory Council. | PSNet
     psnet.ahrq.gov/issue/guide-developing-community-based-patient-safety-advisory-council
     November 30, 2016 - Toolkit Guide for Developing a Community-Based Patient Safety Advisory Council. Citation Text: Guide for Developing a Community-Based Patient Safety Advisory Council. Leonhardt, K, Bonin D, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008. AHRQ Publication N…

293. A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. | PSNet
     psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality-improvement
     November 30, 2016 - Book/Report A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. Citation Text: A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. Edmonton, Alberta; Canadian Patient Safety Inst…

294. Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. | PSNet
     psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
     November 17, 2010 - Government Resource Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Citation Text: Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Romano PS, Hussey P, Ritley D. Rockville, MD:…

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47881/psn-pdf
     July 10, 2019 - Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. July 10, 2019 Howard J. Cham, Switzerland: Springer Nature Switzerland; 2019. ISBN: 9783319932231. https://psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking- medicine Cogni…

296. Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. | PSNet
     psnet.ahrq.gov/issue/optimizing-medication-management-during-covid-19-pandemic-implementation-guide-post-acute-and
     August 16, 2023 - Study Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. Citation Text: Brandt N, Steinman MA. Optimizing Medication Management During the COVID‐19 Pandemic: An Implementation Guide for Post‐Acute and Long‐Term Care. J A…

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836725/psn-pdf
     March 09, 2022 - Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Health Workers. March 9, 2022 Geneva, Switzerland: World Health Organization and International Labour Organization; 2022. ISBN 9789240040779. https://psnet.ahrq.gov/issue/caring-those-who-care-…

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47975/psn-pdf
     May 29, 2019 - Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. May 29, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice Introducing innovations in practice involves taking calculated ri…

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35349/psn-pdf
     November 18, 2011 - Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. November 18, 2011 Botwinick L, Bisognano M, Haraden C. Cambridge, MA: Institute for Healthcare Improvement; 2006. https://psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishin…

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49770/psn-pdf
     September 01, 2016 - serious risk associated with certain medications.(10) The elements of an REMS can include medication guides