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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50781/psn-pdf
    January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44531/psn-pdf
    September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for Patients. September 30, 2015 Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients The never events list was dev…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60951/psn-pdf
    September 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im…
  4. www.ahrq.gov/evidencenow/projects/urinary/resources/interactive-pathway-flowchart.html
    January 01, 2023 - Back to MUI Resources Interactive Urinary Incontinence Care Pathway Flowchart Resource This document is available on the AHRQ website (PDF, 173 KB) Summary This UI care pathway flowchart was created using draw.io by the EMPOWER study team to aid practices participating in the…
  5. www.ahrq.gov/evidencenow/heart-health/cholesterol/guideline.html
    September 01, 2018 - 2013 ACC/AHA Guideline on Treatment of Cholesterol to Reduce CVD Resource title: 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults . Resource description: This clinical guideline, published in Circulation in 2011, outlines how to treat hig…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842775/psn-pdf
    January 18, 2023 - Safer Together Survey: Advancing Patient and Workforce Safety January 18, 2023 Cambridge, MA: Institute for Healthcare Improvement: January 2023. https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety The National Steering Committee for Patient Safety (NSC) was formed to engage w…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35186/psn-pdf
    July 13, 2005 - Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. July 13, 2005 Comarow A. US News & World Report. July 2005 https://psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary- deaths This article, accompanying the widely r…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44159/psn-pdf
    July 08, 2016 - Vital Signs: Core Metrics for Health and Health Care Progress. July 8, 2016 Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309324939. https://psnet.ahrq.gov/issue/vital-signs-cor…
  9. www.ahrq.gov/evidencenow/projects/urinary/resources/our-time-heart-health.html
    January 01, 2019 - Back to MUI Resources This Is Our Time! Are you Ready? Heart Health Now! Recruitment Brochure Resource Document available on the AHRQ website (PDF, 882 KB) Summary This document provides an example of an EvidenceNOW Cooperative's recruitment brochure. This brochure outlines p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45724/psn-pdf
    July 21, 2017 - Remembering to learn: the overlooked role of remembrance in safety improvement. July 21, 2017 Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46272/psn-pdf
    January 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42907/psn-pdf
    August 02, 2015 - Innovation in safety, and safety in innovation. August 2, 2015 Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. https://psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation This commentary discusses systems-focused innovations…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44332/psn-pdf
    July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38211/psn-pdf
    May 21, 2009 - Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. May 21, 2009 Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration system in reducing preventable adverse…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846455/psn-pdf
    March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37577/psn-pdf
    July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. July 12, 2016 Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN: 9781…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45890/psn-pdf
    February 15, 2017 - A Framework for Safe, Reliable, and Effective Care. February 15, 2017 Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. https://psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care A systems approach to safety ca…
  18. www.ahrq.gov/evidencenow/tools/team-huddle.html
    February 01, 2025 - Implementing a Daily Team Huddle—AMA CME Module Resource: Daily Team Huddles Boost Productivity and Teamwork This toolkit helps to identify strategies to incorporate daily huddles into practice workflows, to devise daily huddle structure, and to measure the success of the daily huddle for revisions. The resour…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837979/psn-pdf
    August 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health.  August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863764/psn-pdf
    March 06, 2024 - Medication errors 2023: the year in review: January through December. March 6, 2024 Pharmacy Practice News; February 2024: Suppl 1-12. https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december The medication process has multiple steps in it that can open the door to mistakes. This ar…