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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60267/psn-pdf
    March 01, 2021 - Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46704/psn-pdf
    December 04, 2018 - Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. December 4, 2018 Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Improve Advance Care Planning. Jt C…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39960/psn-pdf
    September 19, 2016 - Respectful Management of Serious Clinical Adverse Events. Second Edition. September 19, 2016 Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition This white paper e…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46936/psn-pdf
    April 11, 2018 - You've detailed your last wishes, but doctors may not see them. April 11, 2018 Lamas D. https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experienc…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50700/psn-pdf
    January 01, 2020 - Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. December 4, 2019 Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Plan. Acad Med. 2020;95(8):1172-1178. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34692/psn-pdf
    February 10, 2011 - The economic consequences of medical injuries: implications for a no-fault insurance plan. February 10, 2011 Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA. 1992;267(18):2487-92. https://psnet.ahrq.gov/issue/economic-conse…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42439/psn-pdf
    November 23, 2016 - Guide to Patient and Family Engagement in Hospital Quality and Safety. November 23, 2016 Rockville, MD: Agency for Healthcare Research and Quality; June 2013. https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety Studies have shown that a surprisingly large proportion of hosp…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33899/psn-pdf
    April 16, 2018 - Quick Tips—When Planning for Surgery. April 16, 2018 Agency for Health Research Research and Quality; AHRQ https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery A list of quick tips and questions to aid anyone who is preparing for surgery. https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35102/psn-pdf
    November 04, 2015 - Plan aims to cut hospital deaths. November 4, 2015 Appleby J. https://psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths This article reports on the 100,000 Lives Campaign and its mission, highlighting improvements in two hospitals that have joined the campaign. https://psnet.ahrq.gov/issue/plan-aims-cut-hospital…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42006/psn-pdf
    January 30, 2013 - Strong for Surgery. January 30, 2013 American College of Surgeons. https://psnet.ahrq.gov/issue/strong-surgery This Web site offers resources for both practitioners and patients to optimize safety through pre-procedure planning. https://psnet.ahrq.gov/issue/strong-surgery https://psnet.ahrq.gov/issue/quick-tips-w…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38153/psn-pdf
    October 15, 2008 - Geisinger Health System's plan to fix America's health care. October 15, 2008 Carbonara P. Fast Company. October 2008. https://psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care This magazine article describes how one health system is using an evidence-based, pay-for-performance program t…
  12. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
    January 01, 2019 - Spotlight Spotlight "Do You Want Everything Done?": Clarifying Code Status Source and Credits • This presentation is based on the December 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus M…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33950/psn-pdf
    February 05, 2018 - Quick Tips--When Planning for Surgery. February 5, 2018 Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d. https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0 This AHRQ brochure provides practical advice for patients facing non-emergent surgery, to help them be gen…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37905/psn-pdf
    December 19, 2018 - Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care. December 19, 2018 Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058. https://psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care This book describes si…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39612/psn-pdf
    June 16, 2010 - National Action Plan to Improve Health Literacy. June 16, 2010 Washington, DC: United States Department of Health and Human Services; 2010.   https://psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy This report presents goals for improved health literacy in the United States and recommends pra…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49560/psn-pdf
    April 01, 2008 - The Wrongful Resuscitation April 1, 2008 Teno JM. The Wrongful Resuscitation. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/wrongful-resuscitation The Case   An 80-year-old man with diabetes, peripheral vascular disease, bilateral below-the-knee amputations, and poor quality of life had previously been r…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43607/psn-pdf
    October 15, 2014 - Dallas Ebola case shows even sound plans can fail spectacularly. October 15, 2014 Loftis RL. Dallas Morning News. October 5, 2014. https://psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly Guidelines and rules are developed to help augment safety, but they cannot guarantee it. Th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45191/psn-pdf
    June 01, 2016 - Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial. June 1, 2016 Rau J. Washington Post. May 17, 2016. https://psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial Collecting data to meet quality measurement requirements adds…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46787/psn-pdf
    October 15, 2018 - Institute for Safe Medication Practices International Mentorship Program. October 15, 2018 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program Structured interaction with a wide variety of experts and environments enables medica…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44735/psn-pdf
    January 06, 2016 - Quality and patient safety teams in the perioperative setting. January 6, 2016 Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006. https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting Team effectivenes…

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