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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73466/psn-pdf
    July 07, 2021 - COVID-19 and open notes: a new method to enhance patient safety and trust. July 7, 2021 Blease CR, Salmi L, Hägglund M, et al. COVID-19 and open notes: a new method to enhance patient safety and trust. JMIR Ment Health. 2021;8(6):e29314. doi:10.2196/29314. https://psnet.ahrq.gov/issue/covid-19-and-open-notes-new-m…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866527/psn-pdf
    August 14, 2024 - Developing, implementing, evaluating electronic apparent cause analysis across a health care system. August 14, 2024 Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2024;50(10):724-736. doi:10.1016/j…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48019/psn-pdf
    June 26, 2019 - Please reconcile, not wait a while. June 26, 2019 Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while Medication reconciliation to ensure ac…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844548/psn-pdf
    February 15, 2023 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. February 15, 2023 Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital adm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41646/psn-pdf
    September 05, 2012 - Interventions to increase clinical incident reporting in health care. September 5, 2012 Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2. https://psnet.ahrq.gov/issue/in…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45299/psn-pdf
    July 20, 2016 - Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. July 20, 2016 Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilitated Discharge Counseling and Medic…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72658/psn-pdf
    January 20, 2021 - “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. January 20, 2021 Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46903/psn-pdf
    December 04, 2018 - Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? December 4, 2018 Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41. https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn- about-improvement …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35300/psn-pdf
    March 04, 2011 - How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. March 4, 2011 Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ? blockers in non-cardiac surgery? Sys…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852285/psn-pdf
    August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. August 9, 2023 ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5. https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety- part…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45805/psn-pdf
    April 12, 2017 - 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. April 12, 2017 Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract. 2017;64(6):e26484. doi:10.1002/pbc.2…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46142/psn-pdf
    June 14, 2017 - Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. June 14, 2017 Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. https://psnet.ahrq.gov/issue/introducing-new-ju…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46312/psn-pdf
    August 15, 2018 - Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. August 15, 2018 Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Care. JAMA Intern Med. 2017;177(9)…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39046/psn-pdf
    October 28, 2009 - Medication reconciliation in ambulatory care: attempts at improvement. October 28, 2009 Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. https://psnet.ahrq.gov/issue/medication-re…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37784/psn-pdf
    May 27, 2011 - A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. May 27, 2011 Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safety. J Am Med Inform Assoc. 2008;15(4):…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849325/psn-pdf
    January 01, 2024 - Medication safety event reporting: factors that contribute to safety events during times of organizational stress. May 24, 2023 Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stress. J Nurs Care Qual. 2024;39(1):51-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46506/psn-pdf
    October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48064/psn-pdf
    June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019. https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…
  19. www.ahrq.gov/topics/women.html
    Topic: Women The AHRQ Policy on the Inclusion of Priority Populations in Research (NOT-HS-03-010) requires that priority populations be included in all AHRQ-supported research projects involving human subjects, unless a clear and compelling rationale and justification is provided that inclusion is inappropriate. Rese…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837762/psn-pdf
    August 03, 2022 - A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. August 3, 2022 Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. BMJ Qu…