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  1. Nurse Only Visit (pdf file)

    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/NurseOnlyVisit.pdf
    December 18, 2021 - Nurse Only Visit Nurse Only Visit N ur se /P ro vi de r P at ie nt Arrive and check in at reception View patient on EHR schedule as “arrived” Greet and escort patient to exam room; log into computer Select patient from schedule to open encounter Record chief complai…
  2. effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0309_05-03-2008.pdf
    January 01, 2008 - Effective Health Care Topic Number(s): 0082 Document Completion Date: 5-19-09 1 Results of Topic Selection Process & Next Steps  Management of patients with mild renal impairment will move forward to be refined as an effectiveness review via the AHRQ Evidence-based Practice Center (EPC) Progr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73242/psn-pdf
    May 12, 2021 - Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. May 12, 2021 Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. J Nurs Manag. 20…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74157/psn-pdf
    December 08, 2021 - An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. December 8, 2021 Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe serious reportable patient safety inci…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45171/psn-pdf
    August 01, 2016 - Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohort study of acute stroke care. August 1, 2016 Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohor…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73490/psn-pdf
    July 14, 2021 - Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. July 14, 2021 Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74162/psn-pdf
    December 08, 2021 - Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. December 8, 2021 Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations on potentially inappropriate me…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50862/psn-pdf
    February 05, 2020 - Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. February 5, 2020 Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare. Health Serv Res. 2020;55(2):201-210. doi:10.1111/1475-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73608/psn-pdf
    January 01, 2022 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non- randomized intervention studies. August 18, 2021 Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention on the reduction of inappropri…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74175/psn-pdf
    December 15, 2021 - The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting. December 15, 2021 Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimen…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74728/psn-pdf
    February 02, 2022 - Technology-based closed-loop tracking for improving communication and follow-up of pathology results. February 2, 2022 Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18(1):e262-e266. doi:10.1097/pts.…
  12. HHCEB Presentation (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.ppt
    May 20, 2012 - HHCEB Presentation * VTE Prevention: An Institution-wide Initiative University of Michigan Caprini VTE risk assessment May 20, 2012 Marc Moote, PA-C Chief Physician Assistant University of Michigan Health System * * Key Strategies Scope: ALL adult inpatients Standardized VTE Protocol – Caprini model Mandato…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867044/psn-pdf
    October 30, 2024 - "Near miss": a mixed-methods analysis of medical student assignments in patient safety. October 30, 2024 Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196. https://psnet.ahr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837414/psn-pdf
    January 01, 2023 - Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. June 15, 2022 Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifying, reporting and monitoring adverse ev…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72579/psn-pdf
    January 01, 2021 - Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. December 16, 2020 Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116(2):225-233. doi:10.1111/vox.13…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867045/psn-pdf
    October 30, 2024 - The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. October 30, 2024 Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Patient Saf. 2024;50(12):857-866. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838077/psn-pdf
    September 14, 2022 - Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. September 14, 2022 Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriatrics (Basel). 2022;7(4):81. d…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73363/psn-pdf
    June 09, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. June 9, 2021 Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73131/psn-pdf
    April 14, 2021 - Identification of common themes from never events data published by NHS England. April 14, 2021 Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. https://psnet.ahrq.gov/issue/identif…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839821/psn-pdf
    November 09, 2022 - Cognitive biases encountered by physicians in the emergency room. November 9, 2022 Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3. https://psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-em…