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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49759/psn-pdf
    May 01, 2016 - Fall prevention is a three-step process: (i) screening for fall risk, (ii) identifying interventions
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72911/psn-pdf
    March 15, 2021 - Reduce Medication Errors A complete, accurate, and current medication list is a critical tool for identifying
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72517/psn-pdf
    November 25, 2020 - In contrast, Type 2 thinking is more deliberate and requires identifying features from a diagnostic
  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
    January 01, 2022 - compartment should prompt investigation for possible compartment syndrome 29 Compartment Syndrome (7) • Identifying
  5. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
    January 01, 2022 - Developing a more robust outpatient or home-based palliative team can improve continuity of care by identifying
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836794/psn-pdf
    March 31, 2022 - Developing a more robust outpatient or home-based palliative team can improve continuity of care by identifying
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50768/psn-pdf
    December 27, 2019 - When I came to AHRQ, my boss had done some work on identifying non-financial barriers to care, one of
  8. psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - In contrast, Type 2 thinking is more deliberate and requires identifying features from a diagnostic category
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45608/psn-pdf
    October 27, 2016 - Errors, omissions, and outliers in hourly vital signs measurements in intensive care. October 27, 2016 Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. https://psnet.ahrq.gov/issue/errors-omissions…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866353/psn-pdf
    July 24, 2024 - A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. July 24, 2024 Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans with two plan…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36909/psn-pdf
    January 05, 2017 - Medical team training: applying crew resource management in the Veterans Health Administration. January 5, 2017 Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325. https://psnet.ahrq.gov/i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867750/psn-pdf
    March 12, 2025 - Doing 'detective work' to find a cancer: how are non- specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. March 12, 2025 Black GB, Nicholson BD, Moreland J-A, et al. Doing ‘detective work’ to find a cancer: ho…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73156/psn-pdf
    April 21, 2021 - Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. April 21, 2021 Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. Jt Comm J Qual Patient Sa…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39392/psn-pdf
    September 20, 2011 - Effect of point-of-care computer reminders on physician behaviour: a systematic review. September 20, 2011 Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578. https://psnet.ahrq.gov/iss…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47705/psn-pdf
    June 19, 2019 - Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). June 19, 2019 Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573. doi:10.1136/bmjqs-2018- 008372. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47723/psn-pdf
    January 01, 2020 - Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta- analysis. May 1, 2019 Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events. J Patient Saf. 2020;16(2):e61-e74. doi:10.1097/pts.0000000000000589.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73397/psn-pdf
    June 16, 2021 - Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada. June 16, 2021 Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45598/psn-pdf
    November 23, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. November 23, 2016 Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publication No. 17-0004-EF. https://psnet.ahrq.gov/issue/ahrq-nursi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45666/psn-pdf
    April 24, 2018 - The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. April 24, 2018 Salyers MP, Bonfils KA, Luther L, et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Care. 2017;32(4):475-482. doi:10.1007/s11606-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866906/psn-pdf
    October 09, 2024 - Potential harms resulting from patient–clinician real-time clinical encounters using video-based telehealth: a making healthcare safer rapid evidence review. October 9, 2024 Rosen MA, Stewart CM, Kharrazi H, et al. Potential harms resulting from patient–clinician real-time clinical encounters using video-based tel…

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