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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853627/psn-pdf
    September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic Delays. September 20, 2023 Health Affairs Forefront; May-September 2023. https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays Diagnostic delays stem from both human and process failures. This series of articles examines how s…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39033/psn-pdf
    October 21, 2009 - Enhancing medication use safety: benefits of learning from your peers. October 21, 2009 Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938. https://psnet.ahrq.gov/issue/enhancing-medi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36277/psn-pdf
    October 21, 2010 - Are the Agency for Healthcare Research and Quality obstetric trauma indicators valid measures of hospital safety? October 21, 2010 Grobman WA, Feinglass J, Murthy S. Are the Agency for Healthcare Research and Quality obstetric trauma indicators valid measures of hospital safety? Am J Obstet Gynecol. 2006;195(3):86…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867648/psn-pdf
    January 01, 2023 - Opioid Taskforce Playbook. January 1, 2023 College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook. https://psnet.ahrq.gov/issue/opioid-taskforce-playbook Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids. This Opioid Playbo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40677/psn-pdf
    August 10, 2011 - Board quality scorecards: measuring improvement. August 10, 2011 Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324. https://psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement Hospital boa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837981/psn-pdf
    August 31, 2022 - Improving medication reconciliation in hospitals. August 31, 2022 Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3. https://psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals Medication reconciliation is a primary method for improving the safety of medication administration in acute care. Thi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45261/psn-pdf
    June 22, 2016 - Hospitals that mess up are urged to confess. June 22, 2016 Tozzi J. Bloomberg News Service. June 10, 2016. https://psnet.ahrq.gov/issue/hospitals-mess-are-urged-confess The concept of proactively responding to medical mistakes through disclosure and compensation has gained acceptance in recent years. This news art…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35541/psn-pdf
    March 29, 2010 - Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. March 29, 2010 Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Health Polic…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43026/psn-pdf
    March 05, 2014 - Common formats for patient safety data collection and event reporting. March 5, 2014 Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214- 9215. https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1 This announcement call…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851068/psn-pdf
    June 28, 2023 - Building a Culture of Safety in Health Care. June 28, 2023 Chicago, IL: American Hospital Association: May 2023. https://psnet.ahrq.gov/issue/building-culture-safety-health-care Healthcare-acquired infections (HAIs) are a common complication of hospital care. This report summarizes lessons learned at a series of i…
  11. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
    March 01, 2015 - PowerPoint Presentation Spotlight Two Wrongs Don't Make a Right (Kidney) This presentation is based on the March 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John G. DeVine, MD, Professor of Orthopaedic Surgery, Medical College of Georgia Ed…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33716/psn-pdf
    September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD September 1, 2011 In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md Editor's note: Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality Improvement and t…
  14. psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
    November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The Problem and Solutions Lindsay E. Nicolle, MD | November 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Nicolle LE. Health Care–Acquired Urinary Tract Infection: The Pr…
  15. psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
    July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience Karen Frush, MD | May 1, 2005  View more articles from the same authors. Citation Text: Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33564/psn-pdf
    March 15, 2025 - Computerized Provider Order Entry March 15, 2025 Computerized Provider Order Entry. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/computerized-provider-order-entry PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice…
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
    March 01, 2011 - Spotlight Case July 2008 Spotlight Case March 2011 Volume Too Low: In and Out Pediatric Patient Safety * * Source and Credits This presentation is based on the March 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Marlene Miller, MD, MSc…
  18. psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
    March 01, 2011 - What Have We Learned About Safe Inpatient Handovers? Sunil Kripalani, MD, MSc | March 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Kripalani S. What Have We Learned About Safe Inpatient Handovers?. PSNet [internet]. …
  19. psnet.ahrq.gov/issue/factors-associated-mental-health-outcomes-among-health-care-workers-exposed-coronavirus
    March 24, 2019 - Study Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. Citation Text: Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 20…
  20. psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
    September 23, 2020 - Study Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. Citation Text: Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiaj…

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