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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842775/psn-pdfJanuary 18, 2023 - Safer Together Survey: Advancing Patient and Workforce Safety January 18, 2023 Cambridge, MA: Institute for Healthcare Improvement: January 2023. https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety The National Steering Committee for Patient Safety (NSC) was formed to engage w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35186/psn-pdfJuly 13, 2005 - Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. July 13, 2005 Comarow A. US News & World Report. July 2005 https://psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary- deaths This article, accompanying the widely r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44159/psn-pdfJuly 08, 2016 - Vital Signs: Core Metrics for Health and Health Care Progress. July 8, 2016 Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309324939. https://psnet.ahrq.gov/issue/vital-signs-cor… -
www.ahrq.gov/evidencenow/projects/urinary/resources/our-time-heart-health.htmlJanuary 01, 2019 - Back to MUI Resources This Is Our Time! Are you Ready? Heart Health Now! Recruitment Brochure Resource Document available on the AHRQ website (PDF, 882 KB) Summary This document provides an example of an EvidenceNOW Cooperative's recruitment brochure. This brochure outlines p…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46272/psn-pdfJanuary 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42907/psn-pdfAugust 02, 2015 - Innovation in safety, and safety in innovation. August 2, 2015 Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. https://psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation This commentary discusses systems-focused innovations… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44332/psn-pdfJuly 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45526/psn-pdfJanuary 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45223/psn-pdfSeptember 27, 2017 - Hospital safety climate and safety behavior: a social exchange perspective. September 27, 2017 Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38211/psn-pdfMay 21, 2009 - Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. May 21, 2009 Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration system in reducing preventable adverse… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43335/psn-pdfJuly 09, 2014 - Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. July 9, 2014 Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.0000000000000266. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846455/psn-pdfMarch 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37577/psn-pdfJuly 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. July 12, 2016 Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN: 9781… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45890/psn-pdfFebruary 15, 2017 - A Framework for Safe, Reliable, and Effective Care. February 15, 2017 Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. https://psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care A systems approach to safety ca… -
www.ahrq.gov/evidencenow/tools/team-huddle.htmlFebruary 01, 2025 - Implementing a Daily Team Huddle—AMA CME Module Resource: Daily Team Huddles Boost Productivity and Teamwork This toolkit helps to identify strategies to incorporate daily huddles into practice workflows, to devise daily huddle structure, and to measure the success of the daily huddle for revisions. The resour…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837979/psn-pdfAugust 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health. August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863764/psn-pdfMarch 06, 2024 - Medication errors 2023: the year in review: January through December. March 6, 2024 Pharmacy Practice News; February 2024: Suppl 1-12. https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december The medication process has multiple steps in it that can open the door to mistakes. This ar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837907/psn-pdfAugust 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings Medication errors associated with surgery and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37830/psn-pdfJune 18, 2008 - Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? June 18, 2008 Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.1016/j.amjsurg.2008.01.009. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50875/psn-pdfFebruary 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…
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