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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35737/psn-pdf
    July 15, 2010 - Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. July 15, 2010 Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Crit Care Med. 2006;34(3 Suppl)…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42568/psn-pdf
    December 29, 2014 - Hospital readmission and parent perceptions of their child's hospital discharge. December 29, 2014 Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt051. https://psnet.ahrq.gov/iss…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836719/psn-pdf
    March 09, 2022 - Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. March 9, 2022 Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested corrections to the medical record throug…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867007/psn-pdf
    October 23, 2024 - Development and psychometric analysis of a patient- reported measure of diagnostic excellence for emergency and urgent care settings. October 23, 2024 Gleason KT, Dukhanin V, Peterson SK, et al. Development and psychometric analysis of a patient-reported measure of diagnostic excellence for emergency and urgent ca…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37446/psn-pdf
    January 06, 2017 - How useful are voluntary medication error reports? The case of warfarin-related medication errors. January 6, 2017 Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44609/psn-pdf
    June 21, 2016 - The missing evidence: a systematic review of patients' experiences of adverse events in health care. June 21, 2016 Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in health care. Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860380/psn-pdf
    January 10, 2024 - Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. January 10, 2024 Havranek MM, Rüter F, Bilger S, et al. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? January 8, 2020 Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult patient transfers, handovers, an…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72566/psn-pdf
    January 01, 2021 - Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. December 16, 2020 Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…
  10. psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
    May 11, 2022 - Newspaper/Magazine Article Shakespeare was on target—don't be a borrower or lender. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 10, 2018 This piece describes the dangers…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44687/psn-pdf
    June 21, 2016 - Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. June 21, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err- human This report provides an objective assessmen…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44965/psn-pdf
    February 15, 2017 - Identification and Prioritization of Health IT Patient Safety Measures. February 15, 2017 Washington, DC: National Quality Forum; February 2016. https://psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures Health information technology (IT) has transformed health care and improv…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41496/psn-pdf
    December 21, 2014 - Hospital-based medication reconciliation practices: a systematic review. December 21, 2014 Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-69. doi:10.1001/archinternmed.2012.2246. https://psnet.ahrq.gov/issue/h…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45907/psn-pdf
    December 22, 2017 - Primary care collaboration to improve diagnosis and screening for colorectal cancer. December 22, 2017 Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004. https://ps…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44189/psn-pdf
    September 09, 2015 - Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. September 9, 2015 Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 2015;10(8):517-24. doi:10.1002/jh…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61041/psn-pdf
    October 21, 2020 - Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. October 21, 2020 Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvemen…
  17. psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
    October 24, 2021 - In Conversation With… Michael Cohen, RPh, MS, ScD (hon) October 1, 2018  Citation Text: In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49392/psn-pdf
    April 01, 2003 - Another Fall April 1, 2003 Bogardus SG. Another Fall. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/another-fall Case Objectives List risk factors for falls in hospitalized patients Understand appropriate use of restraints Identify system issues contributing to falls in hospitalized patients Case & Comm…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840256/psn-pdf
    November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD November 16, 2022 In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd Editor’s note: Dr. Pascale Carayon, PhD, is a p…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33826/psn-pdf
    February 01, 2017 - In Conversation With… Amy C. Edmondson, PhD, AM February 1, 2017 In Conversation With… Amy C. Edmondson, PhD, AM. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am Editor's note: Dr. Edmondson is professor of Leadership and Management at Harvard Business School. Her la…

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