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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45409/psn-pdf
    May 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. May 17, 2021 Horsham, PA: Institute of Safe Medication Practices; 2021 https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings Long-term care patients often have concurrent conditions that increase their risk of…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840169/psn-pdf
    November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. November 16, 2022 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion Mixed case letters are one suggested strategy to reduce look-alike medication na…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60589/psn-pdf
    June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020 Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information. June 23, 2020. https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36505/psn-pdf
    February 16, 2011 - Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. February 16, 2011 Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour w…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41632/psn-pdf
    January 01, 2013 - Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study. December 31, 2012 Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. BMJ Qual Saf. 2013;22(1):32-41. do…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36069/psn-pdf
    May 11, 2014 - Health literacy, medication errors, and health outcomes: is there a relationship? May 11, 2014 Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. https://psnet.ahrq.gov/issue/health-literacy-me…
  7. digital.ahrq.gov/ahrq-funded-projects/implementation-novel-multi-platform-evidence-based-clinical-decision/final-report
    January 01, 2023 - Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System - Final Report Citation Spyropoulos A, Mcginn T. Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System - Final Report. (Prepared by the Feinstein Institute for Medical Research u…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847733/psn-pdf
    March 16, 2025 - ISMP Targeted Medication Safety Best Practices for Community Pharmacy. March 16, 2025 Institute for Safe Medication Practices: March 2025. https://psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy Community pharmacies are common providers of medication delivery that harbor proc…
  9. digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/final-report
    January 01, 2023 - Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology – Final Report Citation Solberg L. Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology – Final Report. (Prep…
  10. digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign/final-report
    January 01, 2023 - Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report Citation Ratwani R., Hettinger A. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. (Prepared by MedStar Health Research Institute under Grant No. R01 HS025136). R…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44674/psn-pdf
    December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. December 18, 2017 Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health Since the publication of the Inst…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34061/psn-pdf
    January 04, 2017 - Patient Safety Leadership WalkRounds. January 4, 2017 Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds This study shares the concept of an interventi…
  13. www.ahrq.gov/evidencenow/tools/diy-run-chart.html
    July 01, 2022 - Do It Yourself Run Chart for Primary Care Practices Resource: Do It Yourself Run Chart  (XLSX, 86 KB) Primary care practices can use this Excel spreadsheet to create run charts to track their progress in quality improvement. It includes instructions, an example of a diabetes measure, and a programmed blank s…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42914/psn-pdf
    June 18, 2014 - 2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. June 18, 2014 Joint Commission. January 27, 2014. https://psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced The Eisenberg Award honors individuals and organizations who have made vital accom…
  15. hcup-us.ahrq.gov/pdf/HCUP_Central_Distributor_User_Guide.pdf
    January 01, 2024 - United States or a US territory whose project has undergone review by their academic institution's Institutional … This project must have undergone review by your academic institution's Institutional Review Board (
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
    March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9) Guide to Patient and Family Engagement Patient and Family Advisor Orientation Manual Guide to Patient and Family Engagement Table of Contents About This Orientation Manual ..........................................................…
  17. www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report Title of Project: Diagnostic Error in Medicine Annual Conference Principal Investigator: Hardeep Singh, MD Team Members: • Paul L. Epner, M.Ed, MBA, Executive Vice President, Society to Improve Diagnosis in Me…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Purpos…
  20. hcup-us.ahrq.gov/reports/statbriefs/sb95.pdf
    September 01, 2010 - Statistical Brief #95: Public Hospitals in the United States, 2008 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #95 September 2010 Highlights ■ In 2008, there were 1,131 U.S. public hospitals. These hospitals represented 21.9 pe…