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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42455/psn-pdf
    September 09, 2013 - Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. September 9, 2013 Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. Jt Comm J Qual Pati…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50891/psn-pdf
    February 12, 2020 - Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. February 12, 2020 Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals. Am J Infect Control. 2020. doi:10.1…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61097/psn-pdf
    November 04, 2020 - Obstetrician-gynecologist views of pregnancy-related medication safety. November 4, 2020 SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. https://psnet.ahrq.gov/issue/obs…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42206/psn-pdf
    April 24, 2013 - Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. April 24, 2013 March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). doi:10.1136/bmjopen-2013-002549. ht…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45620/psn-pdf
    December 07, 2016 - A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. December 7, 2016 Manojlovich M, Lee S, Lauseng D. A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes. J Patient Saf. 2016;12(4):173-179. https://psnet.ahrq.g…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34594/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. January 4, 2017 Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9. https://psnet.ahrq.gov/…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44204/psn-pdf
    June 17, 2015 - Effectiveness of interventions to improve patient handover in surgery: a systematic review. June 17, 2015 Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017. https://psnet.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60804/psn-pdf
    August 12, 2020 - Improved medication management with introduction of a perioperative and prescribing pharmacist service. August 12, 2020 Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3):299-305. doi:10.1177/0897190018…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838014/psn-pdf
    September 07, 2022 - Effect of a rapid response team on the incidence of in- hospital mortality. September 7, 2022 Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005. https://psnet.ahrq.gov/issue/effect…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854625/psn-pdf
    January 01, 2024 - Remote patient monitoring improves patient falls and reduces harm. October 18, 2023 Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749. https://psnet.ahrq.gov/issue/remote-patient-monitoring-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837701/psn-pdf
    July 20, 2022 - Pediatric surgical errors: a systematic scoping review. July 20, 2022 Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. https://psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45188/psn-pdf
    June 01, 2016 - Reporting and second-order problem solving can turn short-term fixes into long-term remedies. June 1, 2016 ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4. https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long- term-remedies Workarounds are pr…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40295/psn-pdf
    March 16, 2011 - The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team. March 16, 2011 Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60731/psn-pdf
    July 29, 2020 - Patient feedback for safety improvement in primary care: results from a feasibility study. July 29, 2020 Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen-2020-037887. https://psnet.ahrq.g…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41034/psn-pdf
    January 04, 2012 - The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. January 4, 2012 Jones D, Bagshaw SM, Barrett J, et al. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Crit Care Med. 2012;40(1):98-103. doi:10.1…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840169/psn-pdf
    November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. November 16, 2022 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion Mixed case letters are one suggested strategy to reduce look-alike medication na…

  17. Information Availability Survey for Triage Visits (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/information-availability-survey-triage-visits.pdf
    June 16, 2021 - Information Availability Survey for Triage Visits Information Availability Survey for Triage Visits Lehigh Valley Hospital; Allentown, Pennsylvania Survey short description: This is a questionnaire designed to be completed by physicians and clinical staff in a hospital. The tool includes q…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72628/psn-pdf
    January 13, 2021 - Awareness of human factors in the operating theatres during the COVID-19 pandemic. January 13, 2021 Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858. https://psnet.ahrq.gov/issue/awa…

  19. Comparative Reports on Dialysis Facilities | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/resources/comparative-reports/dialysis-facilities.html
    October 01, 2022 - Comparative Reports on Dialysis Facilities The following reports are examples of comparative information on the quality of care provided by dialysis facilities. Report Title: Dialysis Facility Compare Website: https://www.medicare.gov/care-compare/?providerType=DialysisFacility&redirect=true . Accessed Jul…

  20. 68. For the Patient Willing To Quit (Continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
    October 01, 2014 - 68. For the Patient Willing To Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Strategy A5. Arrange —Ensure follow-up contact   Action Strategies for implementation Arrange for follow-up contacts, either in person or via telephone …
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