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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47611/psn-pdf
    January 23, 2019 - Drug and opioid-involved overdose deaths- United States, 2013-2017. January 23, 2019 Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. https://psnet.ahrq.gov/issue/drug-and-opioi…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50861/psn-pdf
    February 05, 2020 - Network of Patient Safety Databases Chartbook, 2019 February 5, 2020 Rockville, MD: Agency for Healthcare Research and Quality; December 2019. AHRQ Pub No 20-0023. https://psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook-2019 AHRQ has released the Network of Patient Safety Databases Chartbook, 2019 w…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43686/psn-pdf
    November 26, 2014 - Tools for primary care patient safety: a narrative review. November 26, 2014 Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract. 2014;15:166. doi:10.1186/1471-2296-15-166. https://psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review Proven methods to …

  4. Do It Yourself Run Chart for Primary Care Practices | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/diy-run-chart.html
    July 01, 2022 - Do It Yourself Run Chart for Primary Care Practices Resource: Do It Yourself Run Chart  (XLSX, 86 KB) Primary care practices can use this Excel spreadsheet to create run charts to track their progress in quality improvement. It includes instructions, an example of a diabetes measure, and a programmed blank s…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73332/psn-pdf
    May 26, 2021 - An evolving hospital quality star rating system from CMS: aligning the stars. May 26, 2021 Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946. https://psnet.ahrq.gov/issue/evolving-hospital-quality-star-rat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42821/psn-pdf
    December 18, 2013 - Safe use of electronic health records and health information technology systems: trust but verify. December 18, 2013 Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf. 2013;9(4):177-89. doi:10.1097/PTS.0b013e3182…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73627/psn-pdf
    January 01, 2022 - The problem with 'My Five Moments for Hand Hygiene'. August 25, 2021 Gould D, Purssell E, Jeanes A, et al. The problem with ‘My Five Moments for Hand Hygiene’. BMJ Qual Saf. 2022;31(4):322-326. doi:10.1136/bmjqs-2020-011911. https://psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene The “My Five Moments for…

  8. Remove that Foley (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-h.docx
    June 02, 2025 - Remove that Foley AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix H. Urinary Catheter Pocket Card Front Front Back Remove that Urinary Catheter! Foley catheters can cause: · Infections · Length of Stay · Cost · Patient Discomfort · Antibiotic Use Urinary catheters confine patients to bed, …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48028/psn-pdf
    August 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. August 28, 2019 Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636. https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical specimen and laboratory process proble…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72829/psn-pdf
    March 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45028/psn-pdf
    May 25, 2016 - 'Just culture': improving safety by achieving substantive, procedural and restorative justice. May 25, 2016 Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018. https://psnet.ahrq.gov/issue/just-cultu…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47958/psn-pdf
    June 26, 2019 - Patient safety professionals as the third victims of adverse events. June 26, 2019 Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41432/psn-pdf
    October 19, 2012 - Adverse events are common on the intensive care unit: results from a structured record review. October 19, 2012 Nilsson L, Pihl A, Tågsjö M, et al. Adverse events are common on the intensive care unit: results from a structured record review. Acta Anaesthesiol Scand. 2012;56(8):959-65. doi:10.1111/j.1399- 6576.201…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46716/psn-pdf
    January 10, 2018 - Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. January 10, 2018 Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2017. AHRQ Publication No. 1800051EF. https://psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-tran…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46650/psn-pdf
    July 12, 2018 - Towards a more patient-centered approach to medication safety. July 12, 2018 Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532. https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865719/psn-pdf
    May 01, 2024 - High reliability pediatric heart centers: always working toward getting better. May 1, 2024 Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. https://psnet.ahrq.gov/issue/high-reliability-ped…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41191/psn-pdf
    March 21, 2012 - Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. March 21, 2012 Weir C, Staggers N, Laukert T. Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews. Int J Med Inform. 2012;81(4):219-31. d…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45094/psn-pdf
    May 04, 2016 - Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. May 4, 2016 Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16- 328. https://psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care This analysis found that s…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47061/psn-pdf
    July 25, 2018 - Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. July 25, 2018 Hutchinson M, Jackson D, Wilson S. Technical rationality and the decentring of patients and care delivery: A critique of 'unavoidable' in the context of patient harm. Nu…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47517/psn-pdf
    January 27, 2019 - Defining and classifying terminology for medication harm: a call for consensus. January 27, 2019 Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-2567-5. https://psnet.ahrq.gov/iss…
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