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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46551/psn-pdf
    October 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34715/psn-pdf
    February 18, 2011 - Continuous improvement as an ideal in health care. February 18, 2011 Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care Two approaches to improving quality in health care are illustrated in this artic…
  4. www.ahrq.gov/evidencenow/tools/reduce-disparities.html
    February 01, 2025 - Using Data to Reduce Disparities and Improve Quality Resource: Using Data to Reduce Disparities and Improve Quality: A Guide for Health Care Organizations (PDF, 1 MB; 14 pages) This brief recommends strategies that primary care practices and health care organizations can use to effectively organize and inter…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38499/psn-pdf
    March 01, 2011 - The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. March 1, 2011 Cravero JP, Beach ML, Blike G, et al. The incidence and nature of adverse events during pediatric sedatio…
  6. www.ahrq.gov/evidencenow/tools/practice-team.html
    November 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide Resource: The Practice Team This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45668/psn-pdf
    September 29, 2017 - Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. September 29, 2017 Gupta R, Moriates C, Harrison JD, et al. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. BMJ Qual Saf. 2017;26(6):475-483. doi:10.1136/bm…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73969/psn-pdf
    October 26, 2021 - Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 13, 2021 Institute for Safe Medication Practices. October 26, 2021. https://psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially- harmful-dispensing Community …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47738/psn-pdf
    February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of Medication Information. February 6, 2019 Horsham, PA: Institute for Safe Medication Practices; January 2019. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information Inaccurate or incomplete data in electronic health reco…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47456/psn-pdf
    April 30, 2019 - ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. April 30, 2019 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices Standardized practices have not been uniformly adopted to support safe IV medicati…
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44204/psn-pdf
    June 17, 2015 - Effectiveness of interventions to improve patient handover in surgery: a systematic review. June 17, 2015 Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017. https://psnet.…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45369/psn-pdf
    October 29, 2017 - The aging physician and the medical profession: a review. October 29, 2017 Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review. JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342. https://psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44318/psn-pdf
    December 04, 2016 - At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. December 4, 2016 J Med Toxicol. 2015;11(2):165-166, 252-273. https://psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and- medication-safety This special issue hi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44908/psn-pdf
    June 07, 2016 - Speak up! Addressing the paradox plaguing patient- centered care. June 7, 2016 Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416. https://psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-center…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837000/psn-pdf
    May 06, 2022 - Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022. https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath- …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837517/psn-pdf
    June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…
  20. 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…