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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47754/psn-pdf
    April 17, 2019 - FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. April 17, 2019 Silver Spring, MD: US Food and Drug Administration; April 9, 2019. https://psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45335/psn-pdf
    August 10, 2016 - The Feasibility of Determining the Effectiveness and Cost- effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. August 10, 2016 Bhattacharya D, Aldus CF, Barton G, et al. Health Tech…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60966/psn-pdf
    January 01, 2021 - Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. September 30, 2020 Scopetti M, Santurro A, Tartaglia R, et al. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Int J Qual Health Care. 2021;33(1):mzaa085. doi:10.1093/intqhc/m…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73443/psn-pdf
    June 30, 2021 - Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period. June 30, 2021 Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen?year period. J Med Radiat Sci. 2021;6…
  5. www.ahrq.gov/talkingquality/translate/scores/index.html
    March 01, 2016 - Generating Health Care Quality Scores That Show Differences The critical link between collecting performance information and sharing that information with others is the process of generating scores. The nature of the score is often inherent in the measure (e.g., an overall rating on a 1-10 scale). But even in…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74152/psn-pdf
    December 08, 2021 - Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. December 8, 2021 Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Patient Relat Outcome …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36348/psn-pdf
    March 09, 2009 - Reducing medical error in the Military Health System: how can team training help? March 9, 2009 Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006. https://psnet.ahrq.g…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45192/psn-pdf
    December 04, 2016 - Evidence summary and recommendations for improved communication during care transitions. December 4, 2016 Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230. https://psnet.ahrq.gov/iss…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46133/psn-pdf
    May 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859343/psn-pdf
    December 20, 2023 - Reducing retained foreign objects in the operating room: a quality improvement initiative. December 20, 2023 Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847. https…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43595/psn-pdf
    November 19, 2014 - Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. November 19, 2014 Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk assessment and analysis of adverse …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…
  13. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
    March 01, 2017 - T.E.A.M.S. infographic AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Culture consists of values, attitudes, and beliefs that can have an impact on resident safety, care outcomes, and staff satisfaction. Culture influences how change can occur. T Team Formation The most effective…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864370/psn-pdf
    March 13, 2024 - How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? March 13, 2024 DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Diagnosis (Berl). 20…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72851/psn-pdf
    March 17, 2021 - Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. March 17, 2021 Gurwitz JH, Kapoor A, Garber L, et al. Effect of a multifaceted clinical pharmacist intervention on medication safety after …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35877/psn-pdf
    July 23, 2010 - National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. July 23, 2010 Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46103/psn-pdf
    September 23, 2017 - Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. September 23, 2017 Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0911. https://psnet.ahrq.gov/issue/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73466/psn-pdf
    July 07, 2021 - COVID-19 and open notes: a new method to enhance patient safety and trust. July 7, 2021 Blease CR, Salmi L, Hägglund M, et al. COVID-19 and open notes: a new method to enhance patient safety and trust. JMIR Ment Health. 2021;8(6):e29314. doi:10.2196/29314. https://psnet.ahrq.gov/issue/covid-19-and-open-notes-new-m…
  19. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig1-2.html
    April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 1-2. Williams, Lavizzo-Mourey, and Warren's framework for understanding the relationships between race, medical/health care, and health Previous Page Next Page Table of Contents Race, Ethnicity, and Langua…
  20. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4fig4-2.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 4-2: Karliner algorithm Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Eviden…