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8761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36370/psn-pdf
      June 12, 2013 - Health Information Technology in the United States: The Information Base for Progress. June 12, 2013 Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson Foundation; 2006. https://psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress This report share…

8762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42443/psn-pdf
      January 07, 2015 - Medical audible alarms: a review. January 7, 2015 Edworthy J. Medical audible alarms: a review. J Am Med Inform Assoc. 2013;20(3):584-9. doi:10.1136/amiajnl-2012-001061. https://psnet.ahrq.gov/issue/medical-audible-alarms-review This review examines design, implementation, and standardization concerns related to a…

8763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36094/psn-pdf
      February 12, 2014 - Learning from Disasters: A Management Approach. Third ed. February 12, 2014 Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029. https://psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed This book provides a discussion of how organizations can learn from failur…

8764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35891/psn-pdf
      May 03, 2006 - Costs and Benefits of Health Information Technology. May 3, 2006 Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006. https://psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology The authors reviewed the literature …

8765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35200/psn-pdf
      July 27, 2005 - Hospital R.Ph.s weigh in on new JCAHO patient safety goals. July 27, 2005 Vecchione A. Drug Topics. July 11, 2005 https://psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals This article summarizes the 2006 Joint Commission on Accreditation of Healthcare Organizations patient safety goals and …

8766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39181/psn-pdf
      December 16, 2009 - Decreasing patient misidentification before chemotherapy administration. December 16, 2009 Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717. https://psnet.ahrq.gov/issue/decreasing-patient-…

8767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35869/psn-pdf
      July 23, 2010 - Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. July 23, 2010 Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12. https://psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-el…

8768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40981/psn-pdf
      December 18, 2014 - Improving reporting of outpatient pediatric medical errors. December 18, 2014 Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477. https://psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors This…

8769. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42029/psn-pdf
      September 06, 2016 - Management of drug shortages in the perioperative setting. September 6, 2016 Murray C, Rycek W, Johnson D, Sifuentes-Tovar F. Pharm Purch Prod. January 2013;10:12. https://psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting This magazine article details how one academic medical center used a colla…

8770. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39363/psn-pdf
      March 10, 2010 - Clinical nurse specialists as leaders in rapid response. March 10, 2010 Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9. https://psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response This commentar…

8771. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42769/psn-pdf
      November 27, 2013 - Sepsis: recognizing the next event. November 27, 2013 Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53. https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event This commentary describes the development and implementatio…

8772. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42015/psn-pdf
      April 22, 2013 - Building a culture of safety through team training and engagement. April 22, 2013 Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf. 2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011. https://psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-enga…

8773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40452/psn-pdf
      May 11, 2011 - The novice nurse and clinical decision-making: how to avoid errors. May 11, 2011 Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x. https://psnet.ahrq.gov/issue/novice-nurse-and-clinical-de…

8774. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36034/psn-pdf
      September 27, 2010 - One intensive care nursery's experience with enhancing patient safety. September 27, 2010 Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9. https://psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-s…

8775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40421/psn-pdf
      January 01, 2020 - Safe Surgery 2020. April 27, 2011 GE Foundation. info@safesurgery2020.org. https://psnet.ahrq.gov/issue/safe-surgery-2015 This Web site provides programmatic resources building on work to implement the World Health Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…

8776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38181/psn-pdf
      October 31, 2016 - PSO Privacy Protection Center. October 31, 2016 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/pso-privacy-protection-center This Web site supports AHRQ implementation of the Patient Safety and Quality Improvement Act of 2005 by providing technical assistance and educational materia…

8777. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
      October 06, 2021 - We thought implementing a standard set of postpartum pain orders would help, but it hasn’t changed at … These areas include eliminating language barriers and implementing sensitive approaches to education

8778. Health Equity and Maternal Health | PSNet
      psnet.ahrq.gov/perspective/health-equity-and-maternal-health
      October 06, 2021 - These areas include eliminating language barriers and implementing sensitive approaches to education … We thought implementing a standard set of postpartum pain orders would help, but it hasn’t changed at

8779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38864/psn-pdf
      July 08, 2013 - Addressing the quality and safety gap—parts I-III. July 8, 2013 Princeton, NJ: Robert Wood Johnson Foundation; November 2010. https://psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii Part I of this three-part series examines the quality improvement experience of four health care organizations and…

8780. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37458/psn-pdf
      June 07, 2008 - The National Emergency Department Safety Study: study rationale and design. June 7, 2008 Sullivan AF, Camargo CA, Cleary PD, et al. The National Emergency Department Safety Study: Study Rationale and Design. Acad Emerg Med. 2007;14(12):1182-1189. doi:10.1197/j.aem.2007.07.014. https://psnet.ahrq.gov/issue/national…