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2761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42212/psn-pdf
      April 17, 2013 - Reducing the risk of adverse drug events in older adults. April 17, 2013 Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am Fam Physician. 2013;87(5):331-6. https://psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults This commentary outlines ty…

2762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47112/psn-pdf
      May 09, 2018 - 34 ways to survive your next trip to the hospital. May 9, 2018 Crouch M. Reader's Digest. April 2018. https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading patient safety experts to assist p…

2763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41296/psn-pdf
      April 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs. April 11, 2012 Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at…

2764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38840/psn-pdf
      August 12, 2009 - Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. August 12, 2009 Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytojournal. 2009;6:11. doi:10.4103/17…

2765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847735/psn-pdf
      May 30, 2023 - SOPS Ambulatory Surgery Center Survey: What You Need to Know. May 30, 2023 Agency for Healthcare Policy and Research: April 27, 2023. https://psnet.ahrq.gov/issue/sops-ambulatory-surgery-center-survey-what-you-need-know Ambulatory surgery centers (ASC) experience a variety of error types that can be exacerbated by…

2766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44426/psn-pdf
      January 01, 2019 - Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. October 7, 2015 Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiology Department. J Patient Saf. 2…

2767. AHRQ Strategic Plan | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/mission/strategic-plan/strategic-plan.html
      September 01, 2024 - AHRQ Strategic Plan Information on the Agency's strategic plans. As 1 of 12 agencies within the Department of Health and Human Services (HHS), the Agency for Healthcare Research and Quality (AHRQ) supports health services research initiatives that seek to improve the quality of healthcare in America. AHRQ’s m…

2768. UBIQUS Document (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/oct_13_webinar_transript_10-13-11.pdf
      October 13, 2011 - As the Consumer Reviewer Administration Manager at SRA International, Carolyn leads the efforts to

2769. Improving Communication and Teamwork Around Antibiotic Decision Making (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
      November 01, 2019 - It is an approach that leads to effective communication.

2770. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet
      psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
      March 31, 2021 - This practice generally leads to more efficient consultation from the emergency department and less confusion

2771. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
      January 12, 2022 - For example, it is important to have a change agent who leads regular meetings after the training to

2772. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - For example, it is important to have a change agent who leads regular meetings after the training to

2773. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      March 27, 2024 - In some cases, just taking that second look at a problem with this set of AI-fueled lenses leads us to

2774. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865524/psn-pdf
      April 10, 2024 - Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. April 10, 2024 Patel K, Smith DJ, Huntley CC, et al. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. PLoS ONE. 2024;19(3):e0298432. doi:10.1371/journal.pone.0298432. https://psnet.ahrq.gov/issue/expl…

2775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73678/psn-pdf
      September 08, 2021 - A report of information technology and health deficiencies in U.S. nursing homes. September 8, 2021 Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. https://psnet.ahrq.gov/issue/report-i…

2776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74261/psn-pdf
      January 19, 2022 - Implicit bias in healthcare professionals: a systematic review. January 19, 2022 FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8. https://psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review…

2777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43366/psn-pdf
      March 04, 2015 - Safety of medication use in primary care. March 4, 2015 Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. https://psnet.ahrq.gov/issue/safety-medication-use-primary-care This systematic review found that incidence rates of…

2778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74057/psn-pdf
      November 10, 2021 - Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. November 10, 2021 Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. Patient Educ …

2779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74093/psn-pdf
      November 17, 2021 - Prevent errors during emergency use of hypertonic sodium chloride solutions. November 17, 2021 ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4. https://psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions Delays in diagnosis and treatment duri…

2780. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41928/psn-pdf
      January 30, 2013 - Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. January 30, 2013 Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. BMJ Qual Saf. 2013;22(2):97-10…