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  1. 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…
  2. 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.…
  3. 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…
  4. 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…
  5. 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…
  6. 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 …
  7. 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…
  8. 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…
  9. 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…
  10. www.ahrq.gov/evidencenow/tools/oars-model.html
    November 01, 2018 - Building Rapport with Patients: OARS Communication Skills Resource: The OARS Model: Essential Communication Skills   This short tool describes OARS—a set of verbal and non-verbal communication skills that helps clinicians and educators in primary care practices to engage and build rapport with patients and a…
  11. 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. 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. 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. digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-oh
    January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Ohio Project Description Project Details - Completed Contract Number 290-05-0015-RTI-020 Funding Mechanism(s) Health Information Security and Privacy Collabo…
  17. www.ahrq.gov/talkingquality/resources/initiatives.html
    November 01, 2018 - Key Initiatives in Measuring and Reporting Health Care Quality Several individual organizations and collaborative initiatives have helped to shape the national health care agenda with respect to transparency, accountability, improvement, and informed choice. Within their respective areas of focus, they have spu…
  18. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/qualitative-interview-questions-electronic
    January 01, 2023 - Qualitative Interview Questions for Electronic Health Record Implementation This is an interview guide designed to be conducted with administrators, clinical staff, implementers, and office staff across a health care system. The tool includes questions to assess user's perceptions of electronic health rec…
  19. digital.ahrq.gov/ahrq-funded-projects/evaluation-interactive-social-media-web-site-parents-who-are-concerned-about/final-report
    January 01, 2023 - An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children - Final Report Citation Glanz J. An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children - Final Report. (Prepared by Kaiser F…
  20. digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-clinical-care/final-report
    January 01, 2023 - Impact of Health Information Technology on Clinical Care - Final Report Citation Hsu, J. Impact of Health Information Technology on Clinical Care - Final Report. (Prepared by Kaiser Foundation Research Institute under Grant No. R01 HS015280). Rockville, MD: Agency for Healthcare Research and Quality…