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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35190/psn-pdf
    June 17, 2014 - The quality connection. June 17, 2014 Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2. https://psnet.ahrq.gov/issue/quality-connection This article reports on the results of Hospitals & Health Networks' 2005 Most Wired Survey and Benchmarking Study. Results …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42411/psn-pdf
    July 24, 2013 - Surgical checklists: the human factor. July 24, 2013 O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14. https://psnet.ahrq.gov/issue/surgical-checklists-human-factor This qualitative study identified several barriers to the …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35937/psn-pdf
    June 19, 2007 - Ounce of prevention: to reduce errors, hospitals prescribe innovative designs. June 19, 2007 Naik G. Wall Street Journal. May 8, 2006; A1. https://psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs This article reports on innovations implemented at a Wisconsin hospital to im…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39538/psn-pdf
    May 19, 2010 - CPOE: strategies for success. May 19, 2010 Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f. https://psnet.ahrq.gov/issue/cpoe-strategies-success This commentary reviews tactics to engage nurses in computerized provider order entry (CPOE) implementatio…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36067/psn-pdf
    September 28, 2010 - Operating room briefings. September 28, 2010 Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357. https://psnet.ahrq.gov/issue/operating-room-briefings The authors describe a postoperative debriefing tool used by surgical teams at Johns Hopkin…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42167/psn-pdf
    April 03, 2013 - Engaging Patients in Improving Ambulatory Care. April 3, 2013 Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013. https://psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care This compendium includes strategies and tools to engage patients in health care improvement that ha…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40887/psn-pdf
    June 27, 2018 - Daily check-in for safety: from best practice to common practice. June 27, 2018 Stockmeier C, Clapper C. Patient Saf Qual Healthc. September/October 2011;8:30-31,34-36. https://psnet.ahrq.gov/issue/daily-check-safety-best-practice-common-practice This article reports on organizations that have implemented daily ch…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35517/psn-pdf
    November 17, 2016 - Joint Commission Journal on Quality and Patient Safety. November 17, 2016 Baker D, ed. Oakbrook Terrace, IL: Joint Commission. ISSN: 1553-7250. https://psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safety This monthly, peer-reviewed journal provides both empirical studies and practical instructi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39041/psn-pdf
    October 21, 2009 - The OR and a "just culture." October 21, 2009 Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. https://psnet.ahrq.gov/issue/or-and-just-culture To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving the WHO Sa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39815/psn-pdf
    March 18, 2011 - Introducing new technology safely. March 18, 2011 Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care. 2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554. https://psnet.ahrq.gov/issue/introducing-new-technology-safely This report describes the distinction between techn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35004/psn-pdf
    May 18, 2005 - Lean Six Sigma reduces medication errors. May 18, 2005 Esimai G. Quality Progress; 2005;38(4):51-57. https://psnet.ahrq.gov/issue/lean-six-sigma-reduces-medication-errors The authors analyze one hospital’s quality management program. Using a Six Sigma methodology, the program identified policy and practice changes…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37753/psn-pdf
    May 02, 2018 - Some red rules shouldn't rule in hospitals. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3. https://psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals This article provides a set of criteria for health care professionals to develop and implement red rules as an effecti…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35422/psn-pdf
    June 17, 2014 - Medication safety issue brief. Medication reconciliation. June 17, 2014 Hosp Health Netw. 2005 Sep;79(9):33-34. https://psnet.ahrq.gov/issue/medication-safety-issue-brief-medication-reconciliation This issue brief provides case studies from hospitals that have successfully implemented medication reconciliation pro…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36598/psn-pdf
    June 30, 2011 - E-prescribing first step to improved safety. June 30, 2011 Finkelstein JB. E-prescribing first step to improved safety. Journal of the National Cancer Institute. 2006;98(24):1763-5. https://psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety This article discusses changes implemented at Dana-Farber Cance…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40139/psn-pdf
    January 22, 2017 - Standardizing hospital discharge planning at the Mayo Clinic. January 22, 2017 Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36. https://psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic Implementation of a s…
  16. psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
    October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…
  17. psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 Innovation Contact …
  18. psnet.ahrq.gov/issue/teaching-teamwork-during-neonatal-resuscitation-program-randomized-trial
    April 08, 2011 - Study Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. Citation Text: Thomas EJ, Taggart B, Crandell S, et al. Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. Journal of Perinatology. 2007;27(7). doi:10.1038/sj.jp.7211771…
  19. psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-investment
    October 29, 2017 - Study Intravenous infusion safety technology: return on investment. Citation Text: Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680. Copy Citation Format: DOI Google Scho…
  20. psnet.ahrq.gov/issue/do-no-harm-and-most-good-ai-health-care
    March 19, 2019 - Commentary To do no harm - and the most good - with AI in health care. Citation Text: Goldberg CB, Adams L, Blumenthal D, et al. To do no harm - and the most good - with AI in health care. NEJM AI. 2024;1(3). doi:10.1056/aip2400036. Copy Citation Format: DOI Google Scholar …

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