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  1. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-info-form.html
    July 01, 2023 - Background Quality Improvement Team Information Form AHRQ Safety Program for Perinatal Care Who should use this tool? Health care teams Please indicate staff members designated as Labor and Delivery Quality Improvement Team members. Your team might not have people who serve in all of these rol…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837902/psn-pdf
    August 24, 2022 - Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. August 24, 2022 Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;5(3):ooac070. doi:10.1093/jamiaop…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45993/psn-pdf
    January 01, 2021 - 30-day potentially avoidable readmissions due to adverse drug events. May 3, 2017 Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346. https://psnet.ahrq.gov/issue/30-day-potentially-a…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43149/psn-pdf
    July 23, 2014 - FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. July 23, 2014 Washington, DC: Office of the National Coordinator for Health Information Technology, Federal Communications Commission. Silver Spring, MD: Food and Drug Administration. April 2014. https://psnet.ahrq.gov/issue…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854256/psn-pdf
    October 04, 2023 - Enhancing safety of a system-wide in situ simulation program using no-go considerations. October 4, 2023 Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/sih.0000000000000711. https://psne…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40256/psn-pdf
    March 02, 2011 - Development of a core drug list towards improving prescribing education and reducing errors in the UK. March 2, 2011 Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmacol. 2010;71(2):190-198. doi:10.1111/j…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43139/psn-pdf
    April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia. April 23, 2014 Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86- 110. doi:10.1097/AIA.0000000000000017. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia Labor and delive…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34890/psn-pdf
    February 17, 2011 - Electronic alerts to prevent venous thromboembolism among hospitalized patients. February 17, 2011 Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47868/psn-pdf
    March 20, 2019 - Could CDC guidelines be driving some opioid patients to suicide? March 20, 2019 Dickson EJ. Rolling Stone. March 9, 2019. https://psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide Unintended consequences of restrictions enacted to combat the opioid crisis are a concern for patients …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838921/psn-pdf
    October 26, 2022 - Improving discharge safety in a pediatric emergency department. October 26, 2022 Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307. https://psnet.ahrq.gov/issue/improving-discharge-safety-pedi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34998/psn-pdf
    June 22, 2009 - Cause and effect analysis of closed claims in obstetrics and gynecology. June 22, 2009 White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38046/psn-pdf
    September 10, 2008 - Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. September 10, 2008 Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 autopsy cas…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46089/psn-pdf
    July 26, 2017 - A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. July 26, 2017 Molina WR, Pessoa R, da Silva RD, et al. A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical p…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45286/psn-pdf
    May 07, 2018 - Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6. https://psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility Neuromuscular blockers can result in seriou…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45679/psn-pdf
    January 03, 2018 - Global Guidelines on the Prevention of Surgical Site Infection. January 3, 2018 Global Guidelines on the Prevention of Surgical Site Infection. https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection Efforts to reduce surgical site infections have achieved some success. The World Health O…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42996/psn-pdf
    March 19, 2014 - The "physician-led chart audit": engaging providers in fortifying a culture of safety. March 19, 2014 Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000000000000057. https://psnet.ahrq.go…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46239/psn-pdf
    January 01, 2021 - Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. August 16, 2017 Tyynismaa L, Honkala A, Airaksinen M, et al. Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Error Reporting System. J Patient Sa…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44072/psn-pdf
    August 02, 2015 - The rise of the medical scribe industry: implications for the advancement of electronic health records. August 2, 2015 Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1315-1316. doi:10.1001/jama.2014.17128. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35023/psn-pdf
    March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. March 4, 2011 Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44512/psn-pdf
    September 23, 2015 - Increased mortality associated with weekend hospital admission: a case for expanded seven day services? September 23, 2015 Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596. doi:10.1136/bmj.h4596. https…
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