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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43178/psn-pdf
    July 28, 2014 - Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. July 28, 2014 Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining s…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35899/psn-pdf
    January 02, 2017 - Labeling solutions and medications in sterile procedural settings. January 2, 2017 Sheridan DJ. Labeling solutions and medications in sterile procedural settings. Jt Comm J Qual Patient Saf. 2006;32(5):276-82. https://psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings In response …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60034/psn-pdf
    March 11, 2020 - Responding to unprofessional behavior by trainees - a "just culture" framework. March 11, 2020 Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591. https://psnet.ahrq.gov/issue/resp…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38509/psn-pdf
    April 01, 2009 - Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. April 1, 2009 Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Patient Saf Surg. 2009;3(1):…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43048/psn-pdf
    April 02, 2014 - Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. April 2, 2014 Dalton D, Williams N. London, UK: The Royal College of Surgeons of England; March 2014.  https://psnet.ahrq.gov/issue/building-culture-candour-review-thresh…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46028/psn-pdf
    July 05, 2017 - The role of morbidity and mortality rounds in medical education: a scoping review. July 5, 2017 Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234. https://psnet.ahrq.gov/issue/role-morb…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46350/psn-pdf
    September 24, 2017 - Time for transparent standards in quality reporting by health care organizations. September 24, 2017 Pronovost P, Wu AW, Austin M. Time for Transparent Standards in Quality Reporting by Health Care Organizations. JAMA. 2017;318(8):701-702. doi:10.1001/jama.2017.10124. https://psnet.ahrq.gov/issue/time-transparent-…
  8. digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-learning-network/citation/barriers
    January 01, 2023 - Barriers, facilitators, and potential solutions to advancing interoperable clinical decision support: Multi-stakeholder consensus recommendations for the opioid use case. Citation Marcial LH, Blumenfeld B, Harle C, Jing X, Keller MS, Lee V, Lin Z, Dover A, Midboe AM, Al-Showk S, Bradley V, Breen J, Fa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72828/psn-pdf
    March 10, 2021 - A recurring call to action: every healthcare organization needs a medication safety officer! March 10, 2021 ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4. https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety- officer Leadership ro…
  10. digital.ahrq.gov/ahrq-funded-projects/treat-ecards-translating-evidence-action-electronic-clinical-decision-support/final-report
    January 01, 2023 - TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in ARDS - Final Report Citation Gong M. TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in ARDS - Final Report. (Prepared by Albert Einstein College of Medicine under Grant No. R18…
  11. digital.ahrq.gov/ahrq-funded-projects/implementation-and-dissemination-gabby-health-information-technology-system/final-report
    January 01, 2023 - Implementation and Dissemination of 'Gabby,' a Health Information Technology System for Young Women, into Community-Based Clinical Sites - Final Report Citation Jack B. Implementation and Dissemination of 'Gabby,' a Health Information Technology System for Young Women, into Community-Based Clinical Si…
  12. digital.ahrq.gov/ahrq-funded-projects/hopscore-electronic-outcomes-based-emergency-triage-system/final-report
    January 01, 2023 - HopScore: an Electronic Outcomes-Based Emergency Triage System - Final Report Citation Levin, S. HopScore: an Electronic Outcomes-Based Emergency Triage System - Final Report. (Prepared by Johns Hopkins University under Grant No. R21 HS023641). Rockville, MD: Agency for Healthcare Research and Quality…
  13. digital.ahrq.gov/organization/hancock-county-health-services
    January 01, 2023 - Hancock County Health Services Electronic Health Record Implementation for Continuum of Care in Rural Iowa - 2008 Principal Investigator O'Brien, John Project Name Electronic Health Record Implementation for Continuum of Care in Rural Iowa …
  14. digital.ahrq.gov/ahrq-funded-projects/achieving-individualized-precision-prevention-ipp-through-scalable/final-report
    January 01, 2023 - Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form - Final Report Citation Friedman C. Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Co…
  15. digital.ahrq.gov/location/usa-oh-cleveland
    January 01, 2023 - USA, OH, Cleveland A Decision Support Tool for the Discontinuation of Disease Modifying Therapies in Multiple Sclerosis Description This research will develop, validate, and evaluate a decision support tool using a machine learning algorithm to standardize the approach to disc…
  16. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/final-report
    January 01, 2023 - Health Information Technology in Heart Failure Care - Final Report Citation Blecker S. Health Information Technology in Heart Failure Care - Final Report. (Prepared by the New York University School of Medicine under Grant No. K08 HS023683). Rockville, MD: Agency for Healthcare Research and Quality, 2…
  17. digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/final-report
    January 01, 2023 - Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability - Final Report Citation Ratwani R. Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability - Final R…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864862/psn-pdf
    March 20, 2024 - Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. March 20, 2024 Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887. https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic- review The Medication Without H…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48141/psn-pdf
    July 24, 2019 - Evidence Brief: Implementation of High Reliability Organization Principles. July 24, 2019 Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. https://psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles This brief evalu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44794/psn-pdf
    May 21, 2019 - Medical Device Use Error: Root Cause Analysis. May 21, 2019 Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. https://psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis Applying human factors engineering to examine mistakes associated with medical device use can lead …