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  1. 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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43791/psn-pdf
    December 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:…

  3. 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 …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46622/psn-pdf
    December 06, 2017 - White paper on recommendation for systems-based practice competency. December 6, 2017 Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NCQ.0000000000000262. https://psnet.a…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46554/psn-pdf
    October 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…

  6. 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…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840169/psn-pdf
    November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. November 16, 2022 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion Mixed case letters are one suggested strategy to reduce look-alike medication na…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60589/psn-pdf
    June 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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36505/psn-pdf
    February 16, 2011 - Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. February 16, 2011 Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour w…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41632/psn-pdf
    January 01, 2013 - Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study. December 31, 2012 Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. BMJ Qual Saf. 2013;22(1):32-41. do…

  11. 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…

  12. Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/implementation-novel-multi-platform-evidence-based-clinical-decision/final-report
    January 01, 2023 - Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System - Final Report Citation Spyropoulos A, Mcginn T. Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System - Final Report. (Prepared by the Feinstein Institute for Medical Research u…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847733/psn-pdf
    March 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…

  14. Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology – Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/final-report
    January 01, 2023 - Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology – Final Report Citation Solberg L. Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology – Final Report. (Prep…

  15. AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/pcor/index.html
    July 01, 2015 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development, and dissemination and implementation. Public Law 111-148 established the Patient-Cente…

  16. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign/final-report
    January 01, 2023 - Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report Citation Ratwani R., Hettinger A. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. (Prepared by MedStar Health Research Institute under Grant No. R01 HS025136). R…

  17. Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/final-report
    January 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…

  18. Learn Best Practices for the Diagnosis and Treatment of Infectious Syndromes | Agency for Healthcare Research and Quality

    www.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
    June 01, 2021 - Learn Best Practices for the Diagnosis and Treatment of Infectious Syndromes For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, please read the Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs  (PDF, 328 KB). Each sy…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47615/psn-pdf
    January 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…

  20. Slide 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_introduction.pdf
    April 19, 2012 - Slide 1 Community Forum Community Forum Agency for Healthcare Research and Quality Community Forum April 19, 2012 Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session Community Forum Community Forum Community Forum 2 Purpose …
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