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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46147/psn-pdf
    August 08, 2018 - A Department of Medicine infrastructure for patient safety and clinical quality improvement. August 8, 2018 Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. doi:10.1177/1062860617743324. http…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46955/psn-pdf
    May 30, 2018 - Governing the quality and safety of healthcare: a conceptual framework. May 30, 2018 Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020. https://psnet.ahrq.gov/issue/governing-quality-and-safety-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60628/psn-pdf
    July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. June 24, 2020 Cambridge, MA; CRICO Strategies: July 14, 2020. https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and- financial-loss Malpractice claims can generate …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43585/psn-pdf
    July 16, 2015 - At risk care plans: a way to reduce readmissions and adverse events. July 16, 2015 Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50936/psn-pdf
    February 26, 2020 - Sitters as a patient safety strategy to reduce hospital falls: a systematic review. February 26, 2020 Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46784/psn-pdf
    January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). January 11, 2023 Rockville, MD: Agency for Healthcare Research and Quality. PA-21-266. https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-ad…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50629/psn-pdf
    November 06, 2019 - Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. November 6, 2019 O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observatio…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35038/psn-pdf
    January 02, 2017 - Using Six Sigma to reduce medication errors in a home- delivery pharmacy service. January 2, 2017 Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. https://psnet.ahrq.gov/issue/using-six-sigma-redu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46693/psn-pdf
    December 20, 2017 - Coupling policymaking with evaluation—the case of the opioid crisis. December 20, 2017 Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014. https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45068/psn-pdf
    August 15, 2017 - Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. August 15, 2017 Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3):668-73. doi:10.1161/STROKEAHA…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855426/psn-pdf
    November 15, 2023 - Anesthesia workspaces for safe medication practices: design guidelines. November 15, 2023 MohammadiGorji S, Joseph A, Mihandoust S, et al. Anesthesia workspaces for safe medication practices: design guidelines. HERD. 2024;17(1):64-83. doi:10.1177/19375867231190646. https://psnet.ahrq.gov/issue/anesthesia-workspace…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865880/psn-pdf
    May 15, 2024 - Racial and ethnic harm in patient care is a patient safety issue. May 15, 2024 Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. https://psnet.ahrq.gov/issue/racial-and-ethnic-har…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36244/psn-pdf
    June 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854259/psn-pdf
    January 01, 2024 - The power of written word: reflection reduces errors of omission. October 4, 2023 Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. https://psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-…
  15. www.ahrq.gov/funding/process/index.html
    March 01, 2016 - Grants Process and Application Basics Grant application process guidance and application basics. Grant Application Basics Provides links to guides on how to create grant applications to AHRQ to supporting research to improve the quality, effectiveness, accessibility, and cost effectiveness of health c…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44125/psn-pdf
    May 28, 2015 - AHRQ focuses on ambulatory patient safety. May 28, 2015 Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124. https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety AHRQ has generated funding and educational opportunities toward u…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44521/psn-pdf
    July 03, 2016 - Crib of horrors: one hospital's approach to promoting a culture of safety. July 3, 2016 Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843. https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-app…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47091/psn-pdf
    March 19, 2019 - Provider interruptions and patient perceptions of care: an observational study in the emergency department. March 19, 2019 Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;28(4):296-304. doi:10.1136/bmjqs-2…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866555/psn-pdf
    August 21, 2024 - Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. August 21, 2024 Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. J Patient Saf. 2024;20(5…
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-intro.pdf
    May 12, 2022 - The Power of Patient Stories for Improving the Patient Experience webcast - Intro The Power of Patient Stories for Improving the Patient Experience A Webcast Presented by the AHRQ CAHPS User Network May 12, 2022 1:00 – 2:00 pm ET Today’ Agenda • Welcome from AHRQ • The Power of Patient Stories • Using Narrat…