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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47586/psn-pdfMarch 20, 2019 - Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. March 20, 2019 Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative Blood Component Admin… -
www.ahrq.gov/hai/tools/ambulatory-surgery/sections.htmlMay 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…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849122/psn-pdfMay 17, 2023 - Structural racism in behavioral health presentation and management. May 17, 2023 Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133. https://psnet.ahrq.gov/issue/structural-racism-behavioral-health-prese… -
www.ahrq.gov/cpi/about/nac/snac-smith.htmlDecember 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…
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www.ahrq.gov/ncepcr/communities/pbrn/learning-series/index.htmlOctober 01, 2024 - New 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 …
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digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/advancing-research-evidence-into-clinical-practie-through-cdsJanuary 01, 2018 - Advancing Research Evidence into Clinical Practice through Clinical Decision Support (CDS) CDS helps clinicians, patients, and others on the care team by delivering the right information at the right time so they can make the best care decisions. When developed and implemented well, CDS us…
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digital.ahrq.gov/principal-investigator/galarraga-jessica-eJanuary 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…
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digital.ahrq.gov/ahrq-funded-projects/ehr-based-screening-tool-support-safe-discharges-covid-19-patients-emergency-department/final-reportJanuary 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.…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74102/psn-pdfJanuary 01, 2022 - Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866350/psn-pdfJuly 24, 2024 - Living with the aftermath: the second victim experience among certified registered nurse anesthetists. July 24, 2024 Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173-180. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47068/psn-pdfJune 25, 2018 - The need for closed-loop systems for management of abnormal test results. June 25, 2018 Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. https://psnet.ahrq.gov/issue/need-closed-loop-systems… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838193/psn-pdfSeptember 28, 2022 - Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. September 28, 2022 de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47619/psn-pdfApril 08, 2019 - A decade of health information technology usability challenges and the path forward. April 8, 2019 Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):743-744. doi:10.1001/jama.2019.0161. https://psnet.ahrq.gov/issue/decade-health-in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36088/psn-pdfSeptember 28, 2010 - Impact and implications of disruptive behavior in the perioperative arena. September 28, 2010 Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837666/psn-pdfJuly 13, 2022 - Developing and aligning a safety event taxonomy for inpatient psychiatry. July 13, 2022 Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. https://psnet.ahrq.gov/issue/developing-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34657/psn-pdfJune 14, 2011 - Multidisciplinary approaches to reducing error and risk in a patient care setting. June 14, 2011 Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002;14(4):359-67, viii. https://psnet.ahrq.gov/issue/multidisciplinary-ap… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44280/psn-pdfJuly 15, 2015 - Innovation in practice: a multidisciplinary medication safety initiative. July 15, 2015 Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99. https://psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47279/psn-pdfJuly 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47923/psn-pdfApril 17, 2019 - Improving employee voice about transgressive or disruptive behavior: a case study. April 17, 2019 Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.0000000000002447. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74003/psn-pdfOctober 27, 2021 - Test-retest reliability of an experienced Global Trigger Tool review team. October 27, 2021 Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433. https://psnet.ahrq.gov/issue/test-rete…
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