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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46856/psn-pdf
    June 20, 2018 - Visual acuity, literacy, and unintentional misuse of nonprescription medications. June 20, 2018 Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp170303. https://psnet.ahrq.gov/issu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45177/psn-pdf
    June 01, 2016 - Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. June 1, 2016 Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic review. Palliat Med. 2016;30(6):520…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42396/psn-pdf
    July 31, 2013 - Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 31, 2013 Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38628/psn-pdf
    May 13, 2009 - Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. May 13, 2009 Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. J Am Geriatr So…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43224/psn-pdf
    June 11, 2014 - Look alike/sound alike drugs: a literature review on causes and solutions. June 11, 2014 Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-l…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41031/psn-pdf
    February 10, 2012 - Is patient safety improving? National trends in patient safety indicators: 1998–2007. February 10, 2012 Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi:10.1111/j.1475- 6773.2011.01361…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42548/psn-pdf
    December 29, 2014 - What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. December 29, 2014 Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J Health Care Qual. 2013;25(5):542-5…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44635/psn-pdf
    June 21, 2016 - Evaluation of perioperative medication errors and adverse drug events. June 21, 2016 Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000000000000904. https://psnet.ahrq.gov/issue/evaluation-perioperative-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38645/psn-pdf
    February 15, 2011 - A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. February 15, 2011 Gillespie U, Alassaad A, Henrohn D, et al. A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. Arch Inter…
  10. www.uspreventiveservicestaskforce.org/home/getfilebytoken/7Rk5oKeK_cSwtrdnkHC7Vc
    Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Clinical Summary of USPSTF Recommendation BEHAVIORAL COUNSELING TO PROMOTE A HEALTHFUL DIET AND PHYSICAL ACTIVITY FOR CARDIOVASCULAR DISEASE PREVENTION IN ADULT…
  11. digital.ahrq.gov/location/usa-mo-st-louis
    January 01, 2023 - USA, MO, St. Louis EnhanCed HandOffs (ECHO) Description This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patient-cen…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37940/psn-pdf
    June 16, 2010 - Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? June 16, 2010 Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do n…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43915/psn-pdf
    September 27, 2017 - The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. September 27, 2017 Carthon MB, Lasater KB, Sloane DM, et al. The quality of hospital work environments and missed nursing care is linked to heart failure readmissions:…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41694/psn-pdf
    September 19, 2012 - Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. September 19, 2012 Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter- associated urinary tract infection: a statewide analysis. Ann Intern Med. 2012;157(5):3…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41568/psn-pdf
    April 05, 2013 - Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. April 5, 2013 Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45402/psn-pdf
    November 01, 2017 - Potentially preventable 30-day hospital readmissions at a children's hospital. November 1, 2017 Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. https://psnet.ahrq.gov/issue/potentially-preventabl…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48165/psn-pdf
    August 28, 2019 - Competencies for improving diagnosis: an interprofessional framework for education and training in health care. August 28, 2019 Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosis (Berl). 2019;6(4):335-341. doi…
  18. www.ahrq.gov/hai/cusp/toolkit/ceo-snr-leader-chcklst.html
    December 01, 2012 - CEO and Senior Leader Checklist CUSP Toolkit Checklists for senior leadership Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive …
  19. Ceosnrleaderchcklst (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/ceosnrleaderchcklst.docx
    June 02, 2025 - CEO/Senior Leader Checklist Who should use this tool? Senior leaders. Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training. 2. Assign a senior executive (Chief Executive Officer or another leader) as an active member of each
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43486/psn-pdf
    September 01, 2016 - Indication alerts intercept drug name confusion errors during computerized entry of medication orders. September 1, 2016 Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One. 2014;9(7):e101977. doi:10.1371/journal.pone…