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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/final-reportJanuary 01, 2023 - Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability - Final Report Citation Ratwani R. Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability - Final R…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47615/psn-pdfJanuary 30, 2019 - A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute; 2019. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847733/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39960/psn-pdfSeptember 19, 2016 - Respectful Management of Serious Clinical Adverse Events. Second Edition. September 19, 2016 Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition This white paper e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46554/psn-pdfOctober 25, 2017 - Severe hyperglycemia in patients incorrectly using insulin pens at home. October 25, 2017 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. October 12, 2017. https://psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrect… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60589/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60626/psn-pdfJune 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die This feature story describes the COVID-19 experi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72829/psn-pdfMarch 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert… -
www.ahrq.gov/evidencenow/tools/implementing-smbp.htmlAugust 01, 2023 - Implementing Self-Measured Blood Pressure in Primary Care Practices Resource: Implementing SMBP HH4M-Lunch-Learn (4-27-22) (video, 51:18 minutes) In this webinar, American Medical Association (AMA) staff discuss how primary care practices can implement each of the 7 steps for implementing self-measured bl…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43791/psn-pdfDecember 17, 2014 - Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. December 17, 2014 Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43579/psn-pdfOctober 08, 2014 - Implications of Health Literacy for Public Health: Workshop Summary. October 8, 2014 Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42949/psn-pdfFebruary 19, 2014 - Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014 Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Ann Pharmacot… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42301/psn-pdfJuly 22, 2013 - Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. July 22, 2013 Ahmed M, Arora S, Baker P, et al. Building capacity and capability for patient safety education: a train-the- trainers programme for senior doctors. BMJ Qual Saf. 2013;22(8):618-25. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40654/psn-pdfJanuary 01, 2012 - The computerized rounding report: implementation of a model system to support transitions of care. December 15, 2011 Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43284/psn-pdfNovember 28, 2016 - Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. November 28, 2016 Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44407/psn-pdfApril 15, 2016 - Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. April 15, 2016 MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After Im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41917/psn-pdfMay 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding- technology This updated report describes b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43633/psn-pdfNovember 05, 2014 - An integrative review: fatigue among nurses in acute care settings. November 5, 2014 Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104. https://psnet.ahrq.gov/issue/integrative-review-fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840163/psn-pdfNovember 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34885/psn-pdfFebruary 07, 2019 - Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. February 7, 2019 Knox RA. Boston Globe. March 23, 1995; metro/region:1. https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose- caused-death-…
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