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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837985/psn-pdf
    August 31, 2022 - Inequity and Iatrogenic Harm. August 31, 2022 AMA J Ethics. 2022;24(8):e715-e816. https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm Health inequity is recent expansion in the patient safety canon. This special issue examines poor access, quality of care, and health status as contributors to patient harm. A…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40756/psn-pdf
    September 07, 2011 - How reliable is your hospital? A qualitative framework for analysing reliability levels. September 7, 2011 Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39025/psn-pdf
    October 14, 2009 - Implementing patient safety initiatives in rural hospitals. October 14, 2009 Klingner J, Moscovice I, Tupper JB, et al. Implementing Patient Safety Initiatives in Rural Hospitals. J Rural Health. 2009;25(4):352-357. doi:10.1111/j.1748-0361.2009.00243.x. https://psnet.ahrq.gov/issue/implementing-patient-safety-initi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41992/psn-pdf
    May 23, 2013 - Errors as allies: error management training in health professions education. May 23, 2013 King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. https://psnet.ahrq.gov/issue/errors-allies-error-managem…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43838/psn-pdf
    September 12, 2016 - The US has a drug shortage—and people are dying. September 12, 2016 Koba M. https://psnet.ahrq.gov/issue/us-has-drug-shortage-and-people-are-dying National drug shortages are a persisting and serious patient safety issue in the United States. Reporting on the drug shortage problem, this magazine article explores u…
  6. www.ahrq.gov/nursing-home/resources/front-line-clinicians.html
    May 01, 2022 - Nursing Home Series for Front Line Clinicians and Staff Resource: Nursing Home Series for Front Line Clinicians and Staff ​This podcast is the first in a series of Centers for Medicare & Medicaid Services-sponsored podcasts for frontline nursing home staff. Dr. Shari Ling, Deputy Chief Medical Office for th…
  7. www.ahrq.gov/nursing-home/resources/preventing-novel-mdros.html
    May 01, 2022 - Preventing the Spread of Novel or Targeted Multidrug-resistant Organisms (MDROs) in Nursing Homes through Enhanced Barrier Precautions Resource: Preventing the Spread of Novel or Targeted Multidrug-resistant Organisms (MDROs) in Nursing Homes through Enhanced Barrier Precautions This webinar describes a new…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39739/psn-pdf
    August 04, 2010 - A model for developing high-reliability teams. August 4, 2010 Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x. https://psnet.ahrq.gov/issue/model-developing-high-reliability-teams Providing background on high …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45079/psn-pdf
    May 03, 2016 - A piece of my mind. Mentorship malpractice. May 3, 2016 Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884. https://psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice Mentors can serve as coaches to help improve student performan…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41331/psn-pdf
    October 03, 2017 - Leading a highly visible hospital through a serious reportable event. October 3, 2017 Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…
  11. digital.ahrq.gov/health-it-tools-and-resources/patient-generated-health-data-i-patient-reported-outcomes/epros-in-clinical-care
    January 01, 2023 - ePROs in Clinical Care The ePROs in Clinical Care is a new toolkit funded by AHRQ’s Digital Healthcare Research Program designed to help healthcare systems govern, integrate, and report electronic patient-reported outcomes (ePROs) data for clinical care delivery. The ePROs in C…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/AreYouUsingTeachBack.pdf
    June 02, 2025 - Are You Using Teach-Back? Are You Using Teach-Back? To help us understand how our practice is doing in implementing and using teach-back, please answer this short set of questi…
  13. www.ahrq.gov/nursing-home/resources/training-user-guide.html
    June 01, 2022 - COVID-19 Training for Nursing Homes: User Guide and Kudos Kit Resource: COVID-19 Training for Nursing Homes: User Guide and Kudos Kit ​This resource is intended for nursing home staff to put the latest information regarding infection control, COVID-19 preparedness, resident-centered care, vaccine distributi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43017/psn-pdf
    June 12, 2019 - Saying Sorry. June 12, 2019 London, England: NHS Resolution; 2018. https://psnet.ahrq.gov/issue/saying-sorry Although victims of adverse events have clearly expressed their preferences for full error disclosure, most physicians remain uncomfortable with disclosing and apologizing for errors. This leaflet offers in…
  15. www.ahrq.gov/nursing-home/resources/booster-access.html
    July 01, 2022 - Booster Shot Access for Residents and Staff: Vaccine Toolkit for Long-Term Care Settings Resource: Booster Shot Access for Residents and Staff: Vaccine Toolkit for Long-Term Care Settings This LeadingAge toolkit was developed to help long-term care settings (including home- and community-based services orga…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33888/psn-pdf
    January 06, 2025 - ISMP Cheers Awards. January 6, 2025 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-cheers-awards The Institute for Safe Medication Practices sponsors the annual Cheers Awards to recognize both individuals and institutions for their commitment to medication safety. The 2024 awards recogn…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37014/psn-pdf
    September 15, 2011 - Medication safety messages for patients via the web portal: the MedCheck intervention. September 15, 2011 Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168. https://psnet.ahrq.gov/issue/medication-s…
  18. www.ahrq.gov/patient-safety/resources/mednet-guide/index.html
    November 01, 2014 - Implementing a State-Level Quality Improvement Collaborative A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET) This Resource Guide is designed to help State agencies and policymakers, as well as other stakeholders, implement a State-level quality improvement collabor…
  19. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review-nonpregnant-adolescents-and-adults/human-immunodeficiency-virus-hiv-infection-screening
    June 11, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Evidence Review: Nonpregnant Adolescents and Adults Human Immunodeficiency Virus (HIV) Infection: Screening June 11, 2019 Recommendations made by the USPSTF are inde…
  20. www.ahrq.gov/hai/tools/enhanced-recovery/choosing.html
    June 01, 2023 - Choosing a Service Line Tools and Resources To Help Hospitals Choose an ISCR Program The Improving Surgical Care and Recovery (ISCR) program has enhanced recovery pathways for colorectal, gynecologic, hip and knee replacement, hip fracture, and emergency general surgery (appendectomy, cholecystectomy, and maj…