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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44022/psn-pdfMay 28, 2015 - Initiatives to identify and mitigate medication errors in England. May 28, 2015 Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847725/psn-pdfApril 19, 2023 - A scoping review of the hidden curriculum in pharmacy education. April 19, 2023 Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999. https://psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46099/psn-pdfMay 31, 2017 - A quality improvement approach to standardization and sustainability of the hand-off process. May 31, 2017 Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u222156.w8291. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860389/psn-pdfJanuary 10, 2024 - Error codes at autopsy to study potential biases in diagnostic error. January 10, 2024 Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. https://psnet.ahrq.gov/issue/error-codes-autopsy-stu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60225/psn-pdfApril 15, 2020 - Beyond 'find and fix': improving quality and safety through resilient healthcare systems. April 15, 2020 Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43713/psn-pdfDecember 03, 2014 - Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014 West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care practices: A report from the sh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47926/psn-pdfMay 22, 2019 - The Canadian Quality and Patient Safety Framework for Health and Social Services. May 22, 2019 Canadian Patient Safety Institute and Health Standards Organization. https://psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services This 5-year framework aims to guide the activitie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36333/psn-pdfJuly 10, 2008 - The care transitions intervention: results of a randomized controlled trial. July 10, 2008 Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8. https://psnet.ahrq.gov/issue/care-transitions-intervention-results-ra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72814/psn-pdfMarch 10, 2021 - Implementing a human factors approach to RCA(2) : tools, processes and strategies. March 10, 2021 Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.21454. https://psnet.ahrq.gov/issue/… -
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.htmlNovember 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.18. Major Factors that Facilitate Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Ca…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47688/psn-pdfMarch 19, 2019 - Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. March 19, 2019 Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in tho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836810/psn-pdfMarch 30, 2022 - Periodic resuscitation cart checks and nurse situational awareness: an observational study. March 30, 2022 Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12.002. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46362/psn-pdfJanuary 01, 2021 - Making patient safety event data actionable: understanding patient safety analyst needs. October 4, 2017 Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.1097/pts.0000000000000400. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34921/psn-pdfFebruary 27, 2009 - A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. February 27, 2009 Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005;33(3):533-540. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61077/psn-pdfOctober 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020. https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43137/psn-pdfMay 28, 2015 - Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. May 28, 2015 Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qual. 2015;30(3):232-47. doi:10.1177/1… -
www.uspreventiveservicestaskforce.org/apps/api.jspPrevention TaskForce API Overview The Prevention TaskForce is an application designed to help primary care clinicians identify the screening, counseling, and preventive medication services that are appropriate for their patients. The Prevention TaskForce API utilizes a Representational State Transfer (REST) archite…
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digital.ahrq.gov/care-setting/free-clinicJanuary 01, 2023 - Free Clinic School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Children with Special Health Care Needs Living in Rural and Underserved Communities Description This study examined parent and provider experiences and care costs for in-person, …
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digital.ahrq.gov/principal-investigator/jih-janeFebruary 22, 2022 - Jih, Jane Improving the Management of Multiple Chronic Conditions with mPROVE - Final Report Citation Jih J. Improving the Management of Multiple Chronic Conditions with mPROVE – Final Report. (Prepared by University of California, San Francisco under Grant No. U18 HS026883). …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47525/psn-pdfOctober 31, 2018 - Peer training using cognitive rehearsal to promote a culture of safety in health care. October 31, 2018 Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.0000000000000478. https://psnet.ahrq.go…
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