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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47731/psn-pdf
    April 27, 2019 - Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. April 27, 2019 Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Comm J Qual Patient Saf. 2019;45(4):…
  2. cds.ahrq.gov/sites/default/files/cds/artifact/136331/Bisphosphonates%20Patient%20Handout.pdf
    July 18, 2023 - Osteoporosis Patient Handout Bisphosphonates are the safest choice for most people like you, who have thin or fragile bones, because this risks of falling and breaking a bone are greater than the risks of side effects. Your medication is: _______________________________________ Orally (by mouth) I.V. (infusion) D…
  3. cds.ahrq.gov/sites/default/files/cds/artifact/127731/FallPreventionChairExercises.pdf
    July 18, 2023 - Exercise Handouts w/ Drawings These exercises will help you to improve your balance and get stronger. Go online to homestrong.net for videos of each exercise and other tips. Sitting up straight, extend one leg as straight as you can. Hold for a count of 3. Slowly lower the leg down. Repeat with your other leg. 1. …
  4. cds.ahrq.gov/sites/default/files/cds/artifact/66551/Bisphosphonates%20Patient%20Handout.pdf
    July 18, 2023 - Osteoporosis Patient Handout Bisphosphonates are the safest choice for most people like you, who have thin or fragile bones, because this risks of falling and breaking a bone are greater than the risks of side effects. Your medication is: _______________________________________ Orally (by mouth) I.V. (infusion) D…
  5. digital.ahrq.gov/sites/default/files/docs/page/taha-podcast-transcript.pdf
    June 16, 2021 - Taha Podcast Transcript Podcast 2   Factors that Influence Successful Use of a Patient Portal (Dr. Jessica Taha)  Narrator: Welcome to Health IT Spotlight from the Agency for Healthcare Research and Quality.  Web‐based patient portals have the potential to facilitate patient involvement in managing  their health car…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44979/psn-pdf
    April 06, 2016 - When a surgeon should just say 'I'm sorry'. April 6, 2016 Cohen E. CNN. March 24, 2016. https://psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry Poor communication regarding medical errors can contribute to patient and family frustration and fear. Reporting on a case involving disclosure of a wrong-site …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47825/psn-pdf
    March 06, 2019 - Diagnostic error as a result of drug-laboratory test interactions. March 6, 2019 van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug- laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. https://psnet.ahrq.gov/issue/diagnostic-err…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44149/psn-pdf
    June 03, 2015 - Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. June 3, 2015 Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;19 Suppl 1:S59-70. doi:10.1111/hdi.12248. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72806/psn-pdf
    March 03, 2021 - A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was much harder. March 3, 2021 Boodman SG. Washington Post. February 20, 2021. https://psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal- pain-getting-doct…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41959/psn-pdf
    January 16, 2013 - Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. January 16, 2013 Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improv…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44424/psn-pdf
    August 19, 2015 - Taking patients' narratives about clinicians from anecdote to science. August 19, 2015 Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361. https://psnet.ahrq.gov/issue/taking-patients-narrati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73889/psn-pdf
    September 29, 2021 - Australian hospital leaders on the provision of safe care: implications for safety I and safety II. September 29, 2021 Leggat SG, Balding C, Bish M. Perspectives of Australian hospital leaders on the provision of safe care: implications for safety I and safety II. J Health Org Manag. 2021;35(5):550-560. doi:10.1108…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47503/psn-pdf
    October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43498/psn-pdf
    October 06, 2016 - Creating a distraction simulation for safe medication administration. October 6, 2016 Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46289/psn-pdf
    January 01, 2021 - Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. August 9, 2017 Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington State Hospitals. J Patient …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47979/psn-pdf
    May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43186/psn-pdf
    May 19, 2014 - ASPEN parenteral nutrition safety consensus recommendations: translation into practice. May 19, 2014 Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294. https://psnet.ahr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45418/psn-pdf
    May 09, 2017 - Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. May 9, 2017 Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017;24(2):460-468. doi:10.1093/jamia/ocw1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45854/psn-pdf
    July 12, 2017 - The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. July 12, 2017 Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and Evaluation of a Website to Reduce …