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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36242/psn-pdf
    March 06, 2019 - Your attention please... designing effective warnings. March 6, 2019 ISMP Medication Safety Alert! Acute care edition. February 28, 2019. https://psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings Medication warnings inform providers and patients about risks associated with medication use. As w…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844757/psn-pdf
    September 11, 2019 - Diagnostic overshadowing in dentistry. September 11, 2019 Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. https://psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry Assumptions, communication barriers, and implicit biases can compromis…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46461/psn-pdf
    November 01, 2017 - Complications: acknowledging, managing, and coping with human error. November 1, 2017 Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. https://psnet.ahrq.gov/issue/complications-acknowledging-managing-and-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42678/psn-pdf
    February 21, 2015 - The reliability of AHRQ Common Format Harm Scales in rating patient safety events. February 21, 2015 Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3182948ef9. https://psnet.ahrq.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867701/psn-pdf
    August 01, 2017 - Toolkit To Improve Safety for Mechanically Ventilated Patients. August 1, 2017 Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017. https://psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients Patients requiring mechanica…
  6. www.uspreventiveservicestaskforce.org/uspstf/document/draft-evidence-review/unhealthy-alcohol-use-adolescents-adults-behavioral-counseling-interventions
    August 05, 2025 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Evidence Review Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions August 05, 2025 Recommendations made b…
  7. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/key-driver.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Key Driver Diagram Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Ot…
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/index.html
    March 01, 2017 - Home and Community-based Services Home and community resources Assessing the Health and Welfare of the HCBS Population Report on developing outcome indicators to assess the 'health and welfare' of recipients of Medicaid home- and community-based services (HCBS). Environmental Scan of Measures …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41273/psn-pdf
    June 01, 2012 - Minimizing inappropriate medications in older populations: a ten-step conceptual framework. June 1, 2012 Scott IA, Gray LC, Martin J, et al. Minimizing inappropriate medications in older populations: a 10-step conceptual framework. Am J Med. 2012;125(6):529-37.e4. doi:10.1016/j.amjmed.2011.09.021. https://psnet.ah…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43882/psn-pdf
    February 18, 2015 - Case Studies in Patient Safety: Foundations for Core Competencies. February 18, 2015 Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548. https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies Patient stories can help illustrate…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47146/psn-pdf
    June 27, 2018 - Provider perspectives on partnering with parents of hospitalized children to improve safety. June 27, 2018 Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. doi:10.1542/hpeds.2017-0159. https…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37846/psn-pdf
    April 11, 2011 - Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. April 11, 2011 Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 2008;121(6):e1577-e1584. doi:10.1542/p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43649/psn-pdf
    November 05, 2014 - How patients can improve the accuracy of their medical records. November 5, 2014 Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-9214.1080. https://psnet.ahrq.go…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46602/psn-pdf
    February 21, 2018 - Are quality improvement collaboratives effective? A systematic review. February 21, 2018 Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926. https://psnet.ahrq.gov/issue/are-quality-improvement-coll…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41420/psn-pdf
    September 26, 2012 - Improving healthcare quality through organisational peer- to-peer assessment: lessons from the nuclear power industry. September 26, 2012 Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. BMJ Qual Saf. 2012;21(10):872-5. h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866072/psn-pdf
    June 05, 2024 - WHO Global Report on Patient Safety. June 5, 2024 Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. https://psnet.ahrq.gov/issue/who-global-report-patient-safety Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the seven objectives of the…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46483/psn-pdf
    October 04, 2017 - Fall Prevention in Hospitals Training Program. October 4, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training program pro…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46161/psn-pdf
    May 31, 2017 - Developing team cognition: a role for simulation. May 31, 2017 Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96- 103. doi:10.1097/sih.0000000000000200. https://psnet.ahrq.gov/issue/developing-team-cognition-role-simulation Simulation training has been advocated as a …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46243/psn-pdf
    June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and Recovery. June 5, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit- based S…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45019/psn-pdf
    April 27, 2016 - Effectiveness of surgical safety checklists in improving patient safety. April 27, 2016 Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02. https://psnet.ahrq.gov/issue/effectiveness-s…