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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46631/psn-pdf
    March 20, 2018 - Simulation-based education to ensure provider competency within the healthcare system. March 20, 2018 Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322. https://psnet.ahrq.g…
  2. www.ahrq.gov/research/findings/final-reports/stpra/stpraexh3.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 3. Inclusion and exclusion criteria for literature review Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chap…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72804/psn-pdf
    March 03, 2021 - How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021 Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1136/archdischild-2020-320631. https://p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38309/psn-pdf
    December 23, 2016 - Safely implementing health information and converging technologies. December 23, 2016 Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies As health information techno…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843086/psn-pdf
    January 25, 2023 - Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. January 25, 2023 Riman KA, Harrison JM, Sloane DM, et al. Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. Nurs Res. 2023;72(1):20-2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44971/psn-pdf
    June 01, 2016 - Chemotherapy errors: a call for a standardized approach to measurement and reporting. June 1, 2016 Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2015.008995. https://psnet.ahrq.gov/issue…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45493/psn-pdf
    December 07, 2016 - The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. December 7, 2016 Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47909/psn-pdf
    May 29, 2019 - Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. May 29, 2019 Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Diagnosis (Berl). 2019;6(2):179-185. do…
  9. 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/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837420/psn-pdf
    June 15, 2022 - The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency. June 15, 2022 Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service ef…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50655/psn-pdf
    January 01, 2020 - Reflections on implementing a hospital-wide provider- based electronic inpatient mortality review system: lessons learnt. November 13, 2019 Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866527/psn-pdf
    August 14, 2024 - Developing, implementing, evaluating electronic apparent cause analysis across a health care system. August 14, 2024 Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2024;50(10):724-736. doi:10.1016/j…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47016/psn-pdf
    June 25, 2018 - U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. June 25, 2018 Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for Digital Health Software: Weighing the Benefits and Risks. Ann Intern Med. 2018;168…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50650/psn-pdf
    November 13, 2019 - Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. November 13, 2019 Carson-Stevens A, Campbell S, Bell BG, et al. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Fam Pract. 2019;20(1):134. doi:10.1186/s12875…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41591/psn-pdf
    November 26, 2014 - "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. November 26, 2014 Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. J Gen Intern Med. 2012;27(12)…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844548/psn-pdf
    February 15, 2023 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. February 15, 2023 Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital adm…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44216/psn-pdf
    April 25, 2016 - Improving medication safety during hospital-based transitions of care. April 25, 2016 Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. https://psnet.ahrq.gov/issue/improving-medication-safety-…
  18. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd6d.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Appendix D. Clinical-Community Relationships Measures Instruments (16-23) Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was the Clinical-Community Relat…
  19. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd6b.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Appendix D. Clinical-Community Relationships Measures Instruments (5-10) Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was the Clinical-Community Relati…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. September 1, 2018 Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The …