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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845301/psn-pdf
    March 01, 2023 - Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. March 1, 2023 Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. BMJ.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36380/psn-pdf
    February 28, 2011 - Graduate medical education and patient safety: a busy-- and occasionally hazardous--intersection. February 28, 2011 Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. Ann Intern Med. 2006;145(8):592-8. https://psnet.ahrq.gov/issue/gra…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36768/psn-pdf
    July 14, 2010 - Hospital leadership and quality improvement: rhetoric versus reality. July 14, 2010 Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. https://psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-r…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841140/psn-pdf
    December 07, 2022 - Association of measured quality and future financial performance among hospitals performing cardiac surgery. December 7, 2022 Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance among hospitals performing cardiac surgery. J Healthc Manag. 2022;67(5):367-379. doi:10.1097/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853057/psn-pdf
    August 30, 2023 - Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. August 30, 2023 Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40994/psn-pdf
    December 18, 2014 - Implementing medication reconciliation in outpatient pediatrics. December 18, 2014 Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48015/psn-pdf
    June 15, 2019 - Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. June 15, 2019 Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Br J Anaesth. 2019;123(1):81-87. doi:10.1016/j.bja.2…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35620/psn-pdf
    February 03, 2011 - Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes. February 3, 2011 Alexander KP, Chen AY, Roe MT, et al. Excess dosing of antiplatelet and antithrombin agents in the treatment of non-ST-segment elevation acute coronary syndromes. JAMA. 2005…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35531/psn-pdf
    May 27, 2011 - U.S. adoption of computerized physician order entry systems. May 27, 2011 Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health Aff (Millwood). 2005;24(6):1654-63. https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems This study discov…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45434/psn-pdf
    September 22, 2017 - Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. September 22, 2017 Soban LM, Kim L, Yuan AH, et al. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. J Nurs Manag. 2017;25(6):…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43798/psn-pdf
    January 07, 2015 - Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. January 7, 2015 Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J Health Syst Pharm. 2014;71(24):2159-66…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41703/psn-pdf
    November 08, 2012 - Anatomy of an incident disclosure: the importance of dialogue. November 8, 2012 Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue Physician organizations who…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36457/psn-pdf
    May 27, 2011 - Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. May 27, 2011 Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order entry. J Am Med Inform Assoc. 2007;14(1):41-7.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838631/psn-pdf
    October 19, 2022 - An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022 Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations: cultivating organization wide quali…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60251/psn-pdf
    April 22, 2020 - Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. April 22, 2020 George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Evidence from the Veterans Health A…
  16. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/readiness.html
    May 01, 2017 - Readiness To Partner With Patient and Family Advisers - Patient and Family Engagement in the Surgical Environment Module As a clinician or staff member, I am ready to work with patient and family advisers when— |___| I believe in the importance of patient and family participation in planning and d…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866276/psn-pdf
    July 10, 2024 - Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital. July 10, 2024 Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured program for improving patient care in the Depar…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837799/psn-pdf
    August 10, 2022 - Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. August 10, 2022 Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a befo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45861/psn-pdf
    April 05, 2017 - Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. April 5, 2017 Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. BMJ Qual Saf. 2017;26(4):288-295. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47069/psn-pdf
    June 18, 2021 - Physical and verbal violence against health care workers. June 18, 2021 Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers The Joint Commission issues sentinel eve…