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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836864/psn-pdf
    April 06, 2022 - Improving the specificity of drug-drug interaction alerts: can it be done? April 6, 2022 Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. https://psnet.ahrq.gov/issue/improving-specif…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60192/psn-pdf
    April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46414/psn-pdf
    January 10, 2018 - Leveraging the electronic health record to improve quality and safety in rheumatology. January 10, 2018 Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. https://psnet.ahrq.gov/issue/lev…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46743/psn-pdf
    January 17, 2018 - Improving Patient Care Through Safe Health IT. January 17, 2018 Philadelphia, PA: Pew Charitable Trusts; December 2017. https://psnet.ahrq.gov/issue/improving-patient-care-through-safe-health-it The usability of health information technologies (IT) is a key component to their safe effective use. This report introd…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50672/psn-pdf
    January 01, 2020 - Deprescribing as a clinical improvement focus. November 20, 2019 Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031. https://psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus Polypharmacy is a …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46241/psn-pdf
    January 30, 2018 - Interventions to improve oral chemotherapy safety and quality: a systematic review. January 30, 2018 Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625. https://psnet.ahrq.gov/issue/intervention…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42774/psn-pdf
    May 28, 2015 - Patient safety in plastic surgery: identifying areas for quality improvement efforts. May 28, 2015 Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10.1097/SAP.0b013e318297791e. https:…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47132/psn-pdf
    June 28, 2018 - National Steering Committee for Patient Safety. June 28, 2018 Agency for Healthcare Research and Quality and the Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/national-steering-committee-patient-safety Preventable patient harm is a global public health concern. This announcement highlights a ne…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44718/psn-pdf
    November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient Safety. November 25, 2015 Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety The 2004 Canadian Adverse Events Study helpe…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50894/psn-pdf
    February 12, 2020 - A professional development course improves unprofessional physician behavior. February 12, 2020 Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.004. https://psnet.ahrq.gov/is…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45466/psn-pdf
    September 07, 2016 - Building a highway to quality health care. September 7, 2016 Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6. doi:10.1097/PTS.0000000000000074. https://psnet.ahrq.gov/issue/building-highway-quality-health-care Substantial progress has been made in improving health …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838639/psn-pdf
    October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions. October 19, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)- 0047-2-EF. https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions Delayed, wrong, and missed diagnoses are commo…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845352/psn-pdf
    September 06, 2023 - Understanding and Improving Diagnostic Safety in Ambulatory Care. September 6, 2023 Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023. https://psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care The articulation of diagnostic error in the ambulatory setting i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44991/psn-pdf
    April 20, 2016 - Does an insulin double-checking procedure improve patient safety? April 20, 2016 Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. https://psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34748/psn-pdf
    March 07, 2005 - Reducing Adverse Drug Events. March 7, 2005 Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events This application-oriented book provides the results of the Institute for Healthcare Improvement (IHI) Breakthrough S…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73884/psn-pdf
    September 29, 2021 - Dual surgeon operating to improve patient safety. September 29, 2021 Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg. 2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014. https://psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety Many non-urgent, non-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38055/psn-pdf
    January 12, 2009 - Improving patient safety: patient-focused, high-reliability team training. January 12, 2009 McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. https://psnet.ahrq.gov/issue/improving-p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50784/psn-pdf
    January 08, 2020 - Improving Quality of Care and Patient Outcomes During Care Transitions (R01). January 8, 2020 Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068. https://psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01 Communication during patient tra…
  19. psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective
    September 26, 2012 - Study Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. Citation Text: Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…
  20. psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
    February 10, 2011 - Study Classic Incident reporting system does not detect adverse drug events: a problem for quality improvement. Citation Text: Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvem…

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