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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859355/psn-pdf
    December 20, 2023 - Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical Trial Optional). December 20, 2023 PA-24-093. Rockville, MD: Agency for Healthcare Research and Quality. December 5, 2023. https://psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safe…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43634/psn-pdf
    November 05, 2014 - Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. November 5, 2014 Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. Clin Med (Lond). 2014;14(5):4…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50555/psn-pdf
    October 16, 2019 - Improving critical incident reporting in primary care through education and involvement. October 16, 2019 Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556. https://psnet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867396/psn-pdf
    December 18, 2024 - Mental Health Inpatient Settings: Creating Conditions for the Delivery of Safe and Therapeutic Care to Adults. December 18, 2024 Mental Health Inpatient Settings: Creating Conditions For The Delivery Of Safe And Therapeutic Care To Adults. Health Services Safety Investigations Body; October 2024. https://psnet.ahr…
  5. digital.ahrq.gov/organization/thomson-reuters-healthcare-inc
    January 01, 2023 - Thomson Reuters Healthcare, Inc. Structuring Care Recommendations for Clinical Decision Support - 2011 Principal Investigator Osheroff, Jerry Project Name Structuring Care Recommendations for Clinical Decision Support Design of a Toolkit t…
  6. www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    February 01, 2025 - Hospitals and Health Systems Tools and resources for Hospitals, Long-term Care Facilities, and Primary Care Facilities Hospital Resources Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety. Communication and O…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854988/psn-pdf
    November 01, 2023 - Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. November 1, 2023 Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843411/psn-pdf
    February 01, 2023 - Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. February 1, 2023 Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual. 2022;11(4):e002057. doi:10.1136…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46107/psn-pdf
    August 16, 2017 - The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation. August 16, 2017 Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational safety climate in healthcare – A multi-level investigation. J Safety Res…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46544/psn-pdf
    September 12, 2018 - Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review. September 12, 2018 Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review. J Hosp Med. 2018. doi:10.12788/jhm.2944. ht…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44874/psn-pdf
    July 11, 2017 - Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. July 11, 2017 Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 2016;91(7):962-6. doi:10.1097/ACM.0000000…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46412/psn-pdf
    October 11, 2017 - Team-based care: the changing face of cardiothoracic surgery. October 11, 2017 Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867137/psn-pdf
    November 13, 2024 - Enteral nutrition: an underappreciated source of patient safety events. November 13, 2024 Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45436/psn-pdf
    August 31, 2016 - Improving the communication between teams managing boarded patients on a surgical specialty ward. August 31, 2016 Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750. http…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72775/psn-pdf
    February 24, 2021 - Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non- randomized controlled study. February 24, 2021 Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes via s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72644/psn-pdf
    February 01, 2021 - Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 7, 2020.  https://psnet.ahrq.gov/issue/best-practices-developing-p…
  18. pso.ahrq.gov/resources/rulemaking
    October 01, 2020 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Resources for Artificial Intelligence (AI) in …
  19. www.ahrq.gov/ncepcr/about/impact-primary-care-webinar-series/health-risks-older-adults.html
    March 01, 2025 - NCEPCR Webinar: Approaches To Address Health Risks in Older Adults  Value and Impact of Primary Care Webinar Series YouTube embedded video: https://www.youtube-nocookie.com/embed/_8ZAA0yE8Rg NCEPCR Webinar: Approaches To Address Health Risks in Older Adults (1:12:56) This  webinar highlights the value and impor…
  20. www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/index.html
    October 01, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary Next Page Table of Contents Building State Cooperatives for Healthcare Improvement: Meeting Summary Introduction Meeting Sessions and Takeaways Appendix A: Meeting Agenda Appendix B: Meeting Attendees’ Biographical Sketche…