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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72762/psn-pdf
    February 17, 2021 - Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. February 17, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care Effective integration of hea…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47855/psn-pdf
    June 19, 2019 - Medication Overload: America's Other Drug Problem. June 19, 2019 Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019. https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem Overprescribing is a common problem that contributes to patient harm. This report examines financial, clinical, an…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38326/psn-pdf
    January 14, 2009 - Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. January 14, 2009 Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hosp Med. 2008;3(6). doi:10.1002/jhm.370.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45565/psn-pdf
    May 24, 2017 - Leading a Culture of Safety: a Blueprint for Success. May 24, 2017 Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017. https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success Health care leadership plays an undeniable role in sust…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46286/psn-pdf
    September 13, 2017 - Preventing blood transfusion failures: FMEA, an effective assessment method. September 13, 2017 Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. https://psnet.ahrq.gov/issue/pre…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37809/psn-pdf
    November 21, 2016 - Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. November 21, 2016 Johnson B, Abraham M, Conway J, et al. Bethesda, MD: Institute for Family-Centered Care; April 2008. https://psnet.ahrq.gov/issue/partnering-patients-and-fam…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837042/psn-pdf
    April 04, 2022 - Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. April 4, 2022 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management Crisis management skills are valuable at both the organizational and clinical …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44041/psn-pdf
    April 01, 2015 - Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. April 1, 2015 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. March 23, 2015 https://psnet.ahrq.gov/issue/pot…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74762/psn-pdf
    February 09, 2022 - Start the year off right by addressing these top 10 medication safety concerns from 2021. February 9, 2022 ISMP Medication Safety Alert! Acute care edition. January 27, 2022;27(2):1-6. https://psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021 Medication errors are a cons…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50867/psn-pdf
    February 05, 2020 - Cognitive testing of older clinicians prior to recredentialing. February 5, 2020 Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing In an…

  11. Designing for Demographics-Optimizing the Usability of Patient Portals - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/designing-demographics-optimizing-usability-patient-portals/final-report
    January 01, 2023 - Designing for Demographics-Optimizing the Usability of Patient Portals - Final Report Citation Naheed A. Designing for Demographics-Optimizing the Usability of Patient Portals - Final Report. (Prepared by MedStar Health Research Institute under Grant No. R03 HS026298). Rockville, MD: Agency for Health…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73144/psn-pdf
    April 14, 2021 - Addressing systemic racism in nursing homes: a time for action. April 14, 2021 Sloane PD, Yearby R, Konetzka RT, et al. Addressing systemic racism in nursing homes: a time for action. J Am Med Dir Assoc. 2021;22(4):886-892. doi:10.1016/j.jamda.2021.02.023. https://psnet.ahrq.gov/issue/addressing-systemic-racism-nu…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38938/psn-pdf
    July 26, 2023 - ISMP's List of Confused Drug Names. July 26, 2023 Horsham, PA; Institute for Safe Medication Practices: July 2023. https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names Drawing on information gathered from the ISMP Medication Errors Reporting Program, this fact sheet provides a comprehensive list of commonly…

  14. National Steering Committee for Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/about/national-steering-committee.html
    June 01, 2021 - National Steering Committee for Patient Safety YouTube embedded video: https://www.youtube-nocookie.com/embed/QUxyRDRTyLA AHRQ is co-leading the National Steering Committee for Patient Safety, which includes members from  two dozen organizations that are joining together to create a national action plan to ac…

  15. Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/empowering-cancer-patients-through-innovations-information-technology-based/final-report
    January 01, 2023 - Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report Citation Gray S. Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report. (Prepared by Beckman Research In…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764413/psn-pdf
    March 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care The emergence of telemedicine during…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47220/psn-pdf
    September 12, 2018 - Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. September 12, 2018 Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018. https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state- hospitals Hospital patien…

  18. Burnout in Primary Care: Assessing and Addressing It in Your Practice | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/burnout-in-primary-care.html
    March 01, 2023 - Burnout in Primary Care: Assessing and Addressing It in Your Practice Resource:   Burnout in Primary Care  (PDF, 1.5 MB, 16 pages) Burnout is a serious and growing problem in primary care practices. Burnout can increase worker turnover and reduce quality of care, leading to lower patient satisfaction and pati…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837192/psn-pdf
    May 25, 2022 - Declaration to Advance Patient Safety. May 25, 2022 National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022. https://psnet.ahrq.gov/issue/declaration-advance-patient-safety Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46069/psn-pdf
    February 28, 2018 - Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. February 28, 2018 Joint Commission Resources. Oak Brook, IL: Joint Commission; 2017. ISBN: 9781599409474. https://psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care- seco…
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