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  1. psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
    December 22, 2021 - Special or Theme Issue Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Citation Text: Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…
  2. www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability.html
    June 01, 2018 - Chartbook on Care Affordability Care Affordability Previous Page Next Page Table of Contents Chartbook on Care Affordability Acknowledgments Care Affordability Care Affordability Trends and Measures Measures of Access Problems Due to Health Care Costs Measures of Inefficiency Supplement…
  3. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
    December 01, 2017 - Perioperative Staff Safety Assessment AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…
  4. www.ahrq.gov/teamstepps-program/curriculum/communication/teach/half-day.html
    May 01, 2023 - Half-Day Training Content In a half-day training, Module 1 activities should take about 40 minutes (as noted below). Components to include in the Communication Module for a half-day training include: Introduction and Objectives: 2 minutes Communication Exercise: 7 minutes Communication's Importance and …
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-2.html
    February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Electronic Patient Portals Previous Page Next Page Table of Contents Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Introduction …
  6. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dansky-kh-et-al-1999
    January 01, 1999 - Dansky KH et al. 1999 "Electronic medical records: are physicians ready?" Reference Dansky KH, Gamm LD, Vasey JJ, et al. Electronic medical records: are physicians ready? Practitioner application. J Healthc Manag 1999;44(6):440. Abstract "The use of electronic medical records [EMR] in healthc…
  7. digital.ahrq.gov/principal-investigator/dexheimer-judith-w
    October 14, 2020 - Dexheimer, Judith W. Automated, machine learning-based alerts increase epilepsy surgery referrals: A randomized controlled trial. Citation Wissel BD, Greiner HM, Glauser TA, Mangano FT, Holland-Bouley KD, Zhang N, Szczesniak RD, Santel D, Pestian JP, Dexheimer JW. Automated, m…
  8. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023704-adelman-final-report-2019.pdf
    January 01, 2019 - of wrong-patient electronic orders, as voluntary reporting is known to be an unreliable method for identifying … Adverse Events in Hospitals: Methods for Identifying Events. 2010.
  9. cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_5_Actions.html
    July 25, 2018 - Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults Actions and Directives more-intensive treatment that is, hospitalization Rec_1: Cond_1: Act_1 where appropriate and available, intensive in-home health care services Rec_1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46123/psn-pdf
    January 01, 2020 - Improving patient safety in handover from intensive care unit to general ward: a systematic review. June 21, 2017 Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1097/pts.0000000000000266. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72543/psn-pdf
    December 09, 2020 - Effects of interorganisational information technology networks on patient safety: a realist synthesis. December 9, 2020 Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):e036608. doi:10.1136/bmjopen-2019…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60003/psn-pdf
    January 01, 2021 - Systemic causes of in-hospital intravenous medication errors: a systematic review. March 4, 2020 Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts.0000000000000632. https://psnet.ah…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843413/psn-pdf
    February 01, 2023 - Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net- HARMS and AcciMap. February 1, 2023 Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. Safety…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34980/psn-pdf
    February 15, 2011 - Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. February 15, 2011 Akins RB, Cole BR. J Patient Saf. 2005;1(1):9-16. https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions- leadership-and-policy In or…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867535/psn-pdf
    January 15, 2025 - Perioperative patient safety recommendations: systematic review of clinical practice guidelines. January 15, 2025 Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. BJS Open. 2024;8(6):zrae143. doi:10.1093/bj…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836965/psn-pdf
    April 20, 2022 - We are not there yet: a qualitative system probing study of a hospital rapid response system. April 20, 2022 Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/pts.0000000000001000. https://psn…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852282/psn-pdf
    August 09, 2023 - Implementation of medication reconciliation in outpatient cancer care. August 9, 2023 Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. https://psnet.ahrq.gov/issue/implementation-medication-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44484/psn-pdf
    May 04, 2016 - Failure mode and effects analysis: a comparison of two common risk prioritisation methods. May 4, 2016 McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10.1136/bmjqs-2015-004130. https://psn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837736/psn-pdf
    July 27, 2022 - Body mass index category and adverse events in hospitalized children. July 27, 2022 Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. https://psnet.ahrq.gov/issue/body-mass-index-categor…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47538/psn-pdf
    January 23, 2019 - What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. January 23, 2019 Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. PLoS One. 2018;13(10):e0206233. …