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7521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44475/psn-pdf
      October 03, 2017 - Scoring no goal—further adventures in transparency. October 3, 2017 Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385- 8. doi:10.1056/NEJMp1510094. https://psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency This commentary explores challenges to mon…

7522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44121/psn-pdf
      May 13, 2015 - Educating medical trainees on medication reconciliation: a systematic review. May 13, 2015 Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. https://psnet.ahrq.gov/issue/educating-medic…

7523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50875/psn-pdf
      February 05, 2020 - Implementing Closing the Loop. Safe Practices for Diagnostic Results February 5, 2020 Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results Health information technology (HIT) can improve record keepi…

7524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44910/psn-pdf
      March 09, 2016 - Systematically Identified Failure Is the Route to a Successful Health System. March 9, 2016 Tepper J, Martin D, eds. Healthc Pap. 2015;15(2):4-61. https://psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system Identifying and addressing organizational factors that enable individual m…

7525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36716/psn-pdf
      July 26, 2011 - Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. July 26, 2011 Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. Am J Health Syst Pharm.…

7526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837336/psn-pdf
      June 08, 2022 - Automated identification of diagnostic labelling errors in medicine. June 8, 2022 Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. https://psnet.ahrq.gov/issue/automated-identification-diagnostic-labe…

7527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73256/psn-pdf
      May 12, 2021 - Addiction treatment providers in Pa. face little state scrutiny despite harm to clients. May 12, 2021 Pattani A, Mahon E. Kaiser Health News.  April 30, 2021. https://psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients Systemic oversight weaknesses and lack of…

7528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33933/psn-pdf
      March 02, 2011 - Patient safety and medical malpractice: a case study. March 2, 2011 Brennan TA, Mello MM. Patient safety and medical malpractice: a case study. Ann Intern Med. 2003;139(4):267-73. https://psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study This case study discusses the ongoing challenges in bala…

7529. American Medical Foundation Patient Safety Organization | PSO
      pso.ahrq.gov/pso/american-medical-foundation-patient-safety-organization
      March 13, 2013 - SHARE: More topics in this section Return to Search American Medical Foundation Patient Safety Organization PSO Number: P0141 Components of Parent Org(s): American Medical Foundat…

7530. Academic Medical Center (AMC) PSO | PSO
      pso.ahrq.gov/pso/academic-medical-center-amc-pso
      December 22, 2010 - SHARE: More topics in this section Return to Search Academic Medical Center (AMC) PSO PSO Number: P0103 Components of Parent Org(s): Risk Management Foundation of the Harvard Medi…

7531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838638/psn-pdf
      September 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye…

7532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47320/psn-pdf
      September 05, 2018 - Patient safety climate: a study of Southern California healthcare organizations. September 5, 2018 Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. https://psnet.ahrq.gov/issue/patient-safety…

7533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47112/psn-pdf
      May 09, 2018 - 34 ways to survive your next trip to the hospital. May 9, 2018 Crouch M. Reader's Digest. April 2018. https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading patient safety experts to assist p…

7534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43062/psn-pdf
      September 04, 2016 - The relationship between patient safety culture and patient outcomes: a systematic review. September 4, 2016 DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058. https://psnet.ahrq.gov/issue/relat…

7535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46726/psn-pdf
      January 31, 2018 - Toolkit to Promote Safe Surgery. January 31, 2018 Rockville, MD: Agency for Healthcare Research and Quality; November 2017. https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery Preventing surgical complications including surgical site infections are a worldwide target for improvement. This toolkit builds on t…

7536. Coalition for Quality and Patient Safety of Chicagoland (CQPS) | PSO
      pso.ahrq.gov/pso/coalition-quality-and-patient-safety-chicagoland-cqps
      December 10, 2008 - SHARE: More topics in this section Return to Delisted PSOs Search Coalition for Quality and Patient Safety of Chicagoland (CQPS) PSO Number: P0027 Components of Parent Org(s): Ins…

7537. AHRQ Strategic Plan | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/mission/strategic-plan/strategic-plan.html
      September 01, 2024 - AHRQ Strategic Plan Information on the Agency's strategic plans. As 1 of 12 agencies within the Department of Health and Human Services (HHS), the Agency for Healthcare Research and Quality (AHRQ) supports health services research initiatives that seek to improve the quality of healthcare in America. AHRQ’s m…

7538. Promising Areas for Patient Safety Research | PSNet
      psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
      November 02, 2016 - agency's Health Information Technology program launched an Ambulatory Safety and Quality (ASQ) grant initiative

7539. Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health | PSNet
      psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
      March 27, 2024 - (The Blueprint for Health is Vermont's health care reform initiative to increase access to affordable

7540. Archived: Drug Use, Illicit: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/drug-use-illicit-screening-january-2008
      January 15, 2008 - In addition, the Bright Futures initiative includes a recommendation that all adolescents be screened