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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45968/psn-pdf
    October 24, 2024 - State of Care. October 24, 2024 Newcastle Upon Tyne, UK: Care Quality Commission; October 2024. https://psnet.ahrq.gov/issue/state-care This website provides access to an annual report that summarizes National Health Service hospital and social care performance across a range of care quality metrics at both the tr…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853445/psn-pdf
    December 15, 2022 - Jake Tapper shares harrowing story of daughter's near- fatal misdiagnosis. December 15, 2022 CNN. December 15, 2022. https://psnet.ahrq.gov/issue/jake-tapper-shares-harrowing-story-daughters-near-fatal-misdiagnosis Diagnostic errors are a recognized cause of preventable patient harm.  This video highlights a teen’…
  3. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapf.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix F. Team Checkup Tools Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods Participation Outcomes Adul…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60538/psn-pdf
    May 27, 2020 - Diagnostic Safety Toolkit. May 27, 2020 Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020. https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit Effective communication is an important component of diagnostic accuracy. Shaped with data co…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43734/psn-pdf
    January 21, 2015 - Explicit and Standardized Prescription Medicine Instructions. January 21, 2015 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions Standardization has been embraced as a strategy to improve health litera…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38635/psn-pdf
    May 13, 2009 - Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. May 13, 2009 Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing Terminology and Reporting Adverse Events for Emer…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48152/psn-pdf
    July 17, 2019 - Safety incident reports associated with blood transfusions. July 17, 2019 Vossoughi S, Perez G, Whitaker BI, et al. Safety incident reports associated with blood transfusions. Transfusion (Paris). 2019;59(9):2827-2832. doi:10.1111/trf.15429. https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-tra…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42702/psn-pdf
    January 09, 2014 - Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. January 9, 2014 Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40808/psn-pdf
    January 12, 2012 - Prevalence of polypharmacy exposure among hospitalized children in the United States. January 12, 2012 Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/archpediatrics.2011.161. https://p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50807/psn-pdf
    January 15, 2020 - Artificial intelligence is rushing into patient care - and could raise risks. January 15, 2020 Szabo L. Scientific American and Kaiser Health News. December 24, 2019. https://psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks Artificial intelligence (AI) has the potential to im…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38129/psn-pdf
    January 02, 2017 - The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. January 2, 2017 Schwartz JM, Nelson KL, Saliski M, et al. The daily goals communication sheet: a simple and novel tool for improved communication and care. Jt Comm J Qual Patient Saf. 2008;34(10):608-13, 561. https://…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38503/psn-pdf
    June 16, 2009 - Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. June 16, 2009 Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and interventi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73886/psn-pdf
    September 29, 2021 - When less is more: the role of overdiagnosis and overtreatment in patient safety. September 29, 2021 Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013. https://psnet.ahrq.gov/issue/when-less-more-role-overdi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47821/psn-pdf
    May 22, 2019 - Patient Safety. May 22, 2019 National Pharmacy Association; NPA. https://psnet.ahrq.gov/issue/patient-safety-15 This website for independent community pharmacy owners across the United Kingdom features both free and members-only guidance, reporting platforms, and document templates to support patient safety. It i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866531/psn-pdf
    August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of Patients. August 14, 2024 Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. . https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients Artificial intelligence (AI) is rapidly …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42631/psn-pdf
    November 08, 2013 - "That was a close call": endorsing a broad definition of near misses in health care. November 8, 2013 Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. https://psnet.ahrq.gov/issue/was-close-call…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839328/psn-pdf
    November 02, 2022 - Quality and Safety. November 2, 2022 Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272. https://psnet.ahrq.gov/issue/quality-and-safety-1 Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to lower-income countries around the world support safe pedia…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46863/psn-pdf
    December 05, 2024 - Safer Together Annual Report. December 5, 2024 Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association. https://psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm This annual publication provides common cause analyses of incidents submitted to a pediatric patient …
  19. digital.ahrq.gov/ahrq-funded-projects/inform-shared-decision-making-advanced-bayesian-causal-inference-improve/citation/application
    January 01, 2023 - An application programming interface implementing Bayesian approaches for evaluating effect of time-varying treatment with R and Python. Citation Chen C, Huang B, Kouril M, Liu J, Kim H, Sivaganisan S, Welge JA and DelBello MP (2023) An application programming interface implementing Bayesian approache…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74145/psn-pdf
    January 01, 2022 - Diagnostic Excellence in the ICU: Thinking Critically and Masterfully. December 1, 2021 Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158. https://psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully Critical care diagnosis is complicated by factors such as stress, patient a…