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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34667/psn-pdf
    January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. January 17, 2018 Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-657. https://psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond- blaming-individuals In Octobe…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45766/psn-pdf
    February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. February 8, 2017 Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy and Management at Brandeis University; 2016. https://psnet.ahrq.gov/issue/prescription-drug-monit…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43580/psn-pdf
    October 01, 2014 - Reducing medication errors in critical care: a multimodal approach. October 1, 2014 Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530. https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45630/psn-pdf
    March 29, 2017 - Do leadership style, unit climate, and safety climate contribute to safe medication practices? March 29, 2017 Farag A, Tullai-McGuinness S, Anthony MK, et al. Do Leadership Style, Unit Climate, and Safety Climate Contribute to Safe Medication Practices? J Nurs Adm. 2017;47(1):8-15. https://psnet.ahrq.gov/issue/do-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836753/psn-pdf
    March 16, 2022 - Inequities in quality and safety outcomes for hospitalized children with intellectual disability. March 16, 2022 Mimmo L, Harrison R, Travaglia J, et al. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Dev Med Child Neurol. 2022;64(3):314-322. doi:10.1111/dmcn.15066…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50378/psn-pdf
    September 25, 2019 - Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. September 25, 2019 Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nurs Manag. 2019;27(5):1005-1010.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47279/psn-pdf
    July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the Home. July 23, 2018 Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home The home care setting harbors unique challenges to patient safety. This report builds on a previous evidence ass…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46821/psn-pdf
    June 06, 2018 - Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives. June 6, 2018 Morrow E, Call M, Marcus R, et al. Focus on the Quadruple Aim: Development of a Resiliency Center to Promote Faculty and Staff Wellness Initiatives. Jt Comm J Qual Patient Saf. 2018;44(5):2…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36045/psn-pdf
    November 10, 2011 - IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives. November 10, 2011 https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved- estimated-122300-lives In December 2004, the Institute for Healthcare Improvement (IHI) …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866254/psn-pdf
    July 10, 2024 - Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. July 10, 2024 Massey W, Keith C. Spotlight PA: June 20, 2024. https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems- months-shutdown-then Whistleblowers…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47161/psn-pdf
    July 25, 2018 - Quality and the health system: becoming a high reliability organization. July 25, 2018 Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. https://psnet.ahrq.gov/issue/quality-and-health-system-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43345/psn-pdf
    July 16, 2014 - Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. July 16, 2014 Fakih MG, Heavens M, Grotemeyer J, et al. Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. Ann Emerg Med. 2014;63(6):761-8.e1. doi:10.1016…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47257/psn-pdf
    September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. September 26, 2018 Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events. J Pa…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72832/psn-pdf
    March 10, 2021 - Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. March 10, 2021 Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021. doi:10.31478/202103a. https:/…

  16. Galarraga, Jessica E. | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/galarraga-jessica-e
    January 01, 2023 - Galarraga, Jessica E. An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department – Final Report Citation Galarraga J. An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patie…

  17. An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department – Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/ehr-based-screening-tool-support-safe-discharges-covid-19-patients-emergency-department/final-report
    January 01, 2023 - An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department – Final Report Citation Galarraga J. An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department – Final Report.…

  18. SNAC Member: Mark D. Smith, M.D., M.B.A. | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/snac-smith.html
    December 01, 2021 - SNAC Member: Mark D. Smith, M.D., M.B.A. Professor of Clinical Medicine University of California, San Francisco Mark D. Smith, M.D., M.B.A., is a professor of clinical medicine at the University of California, San Francisco. From 2015 to 2019, he served as co-chair of the Guiding Committee of the Health Care…

  19. Toolkit Sections | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections.html
    May 01, 2017 - Toolkit Sections Implementation Implementation Guide : It may be helpful to review this guide before starting a project to reduce infections and other complications in your ambulatory surgery center. The guide takes users step by step through the execution of technical and cultural interventions surroundi…

  20. PBRN Learning Series | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/communities/pbrn/learning-series/index.html
    October 01, 2024 - PBRN Learning Series AHRQ announces a new learning series designed to support and promote the work of Practice Based Research Networks (PBRNs). Each session features examples, information, and advice from experienced leaders actively working in PBRNs. This series is sponsored by AHRQ’s  National Center for Exce…
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