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  1. digital.ahrq.gov/location/usa-ms-hattiesburg
    January 01, 2023 - USA, MS, Hattiesburg Creating Online NICU Networks to Educate, Consult & Team Description Developed, implemented, and evaluated a cooperative effort for using health IT to facilitate a continuum of appropriate medical and developmental care, from the time infants are admitted …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72849/psn-pdf
    March 17, 2021 - There's no place like home--integrating a pharmacist into the hospital-in-home model. March 17, 2021 Emonds EE, Pietruszka BL, Hawley CE, et al. There’s no place like home—integrating a pharmacist into the hospital-in-home model. J Am Pharm Assoc (2003). 2021;61(3):e143-e151. doi:10.1016/j.japh.2021.01.003. https…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50554/psn-pdf
    October 16, 2019 - Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. October 16, 2019 Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;43(10):2379-2392. doi:10.1007/s0026…
  4. www.ahrq.gov/sites/default/files/wysiwyg/sops/action-planning-tool-infographic-sops.pdf
    March 01, 2024 - Surveys on Patient Safety Culture Action Planning Steps ACTION PLANNING FOR THE SOPS SURVEYS The AHRQ Surveys on Patient Safety Culture® (SOPS®) Action Planning Tool consists of a three-step process to guide teams as they work to improve patient safety culture. 1 Identify Areas To Improve • What areas do you…
  5. www.ahrq.gov/funding/training-grants/pcor/index.html
    July 01, 2015 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development, and dissemination and implementation. Public Law 111-148 established the Patient-Cente…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866815/psn-pdf
    September 25, 2024 - Why a sociotechnical framework is necessary to address diagnostic error. September 25, 2024 Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231. https://psnet.ahrq.gov/issue/why-sociotechnica…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74053/psn-pdf
    November 10, 2021 - Prevention of failure to rescue in obstetric patients: a realist review. November 10, 2021 Bernstein SL, Kelechi TJ, Catchpole K, et al. Prevention of failure to rescue in obstetric patients: a realist review. Worldviews Evid Based Nurs. 2021;18(6):352-360. doi:10.1111/wvn.12531. https://psnet.ahrq.gov/issue/preve…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74231/psn-pdf
    January 12, 2022 - Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. January 12, 2022 De Angulo NR, Penwill N, Pathak PR, et al. Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Hosp Pediatr. 2022;12(1):e2021006115. doi:10.1542/hpeds.2021-006115. https://…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866160/psn-pdf
    June 19, 2024 - Checking all the boxes: a checklist for when and how to use checklists effectively. June 19, 2024 Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bmjqs-2023-016934. https://psnet.ahrq.gov…
  10. 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 …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48045/psn-pdf
    June 05, 2019 - Obstetric practice guidelines: labor's love lost? June 5, 2019 Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. https://psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost Guidelines play a…
  12. www.ahrq.gov/patient-safety/resources/discharge/index.html
    December 01, 2017 - Improving Hospital Discharge Through Medication Reconciliation and Education Project focused on improving the hospital discharge process. Mark Williams, M.D., Emory University, Atlanta, GA AHRQ Grant No. HS015882-01 Overview This project implements a "discharge bundle" consisting of medication reconcilia…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44065/psn-pdf
    July 16, 2015 - Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. July 16, 2015 Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0193945915577430. https://psnet.ahrq…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45705/psn-pdf
    January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy. January 23, 2017 Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45332/psn-pdf
    August 27, 2018 - Guideline implementation: prevention of retained surgical items. August 27, 2018 Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. https://psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items Although i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850911/psn-pdf
    June 21, 2023 - International perspectives on modifications to the surgical safety checklist. June 21, 2023 Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183. https://psnet.ahrq.gov/issue/internatio…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837590/psn-pdf
    June 29, 2022 - Diagnostic challenges in primary care: identifying and avoiding cognitive bias. June 29, 2022 Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. https://psnet.ahrq.gov/issue/diagnostic-challenges-p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37255/psn-pdf
    December 19, 2011 - Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. December 19, 2011 Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad Emerg Med. 2007;14(10):884-94. htt…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34797/psn-pdf
    October 06, 2015 - Adapting to new technologies in the operating room. October 6, 2015 Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593- 613. doi:10.1518/001872096778827224. https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room New technology continues to offer great ad…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35975/psn-pdf
    June 14, 2011 - A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. June 14, 2011 Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. Soc Sci Med. 20…