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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45575/psn-pdf
    November 09, 2016 - Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. November 9, 2016 Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of faculty-resident improvement p…
  2. digital.ahrq.gov/document-type/script
    January 01, 2023 - Script GI Clinic Registry: Scripts, Protocols, Processes for Panel Managers Description This document is a comprehensive protocol for colorectal cancer screening followup using a population health management tool. Document Source Measuring and Improving Ambulatory Pa…
  3. digital.ahrq.gov/location/usa-ky-lexington
    January 01, 2023 - USA, KY, Lexington Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description This research tests the effectiveness of MedSMA℞T Mobil…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60246/psn-pdf
    April 22, 2020 - The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. April 22, 2020 Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Patient Saf. 2020;16(4):255-258. do…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42652/psn-pdf
    October 31, 2014 - Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. October 31, 2014 Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):64-71. doi:10.1097/PTS.0b013e31…
  6. psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
    May 11, 2022 - Newspaper/Magazine Article Shakespeare was on target—don't be a borrower or lender. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 10, 2018 This piece describes the dangers…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74717/psn-pdf
    February 02, 2022 - Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. February 2, 2022 Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. doi:10.1542/peds.2020-033704. ht…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43593/psn-pdf
    May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. May 6, 2015 Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint Commission Center for Transforming Healthcare; 2014. https://psnet.ahrq.gov/issu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853428/psn-pdf
    September 13, 2023 - Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. September 13, 2023 Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41732/psn-pdf
    October 03, 2012 - Double checking the administration of medicines: what is the evidence? A systematic review. October 3, 2012 Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45392/psn-pdf
    August 17, 2016 - Boosting medical diagnostics by pooling independent judgments. August 17, 2016 Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113. https://psnet.ahrq.gov/issue/boosting-medical-diagn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866864/psn-pdf
    October 02, 2024 - Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). October 2, 2024 Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the P…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47153/psn-pdf
    October 12, 2018 - Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. October 12, 2018 Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Support Care Ca…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46064/psn-pdf
    April 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic health record cohort study. April 19, 2017 Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch…
  15. www.ahrq.gov/policymakers/chipra/measure_retirement/index.html
    February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B. Appendix C. Appendix D…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38863/psn-pdf
    August 12, 2009 - Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. August 12, 2009 Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care. 2009;18(4):2…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44558/psn-pdf
    April 25, 2016 - Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. April 25, 2016 Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. doi:10.1136/emermed-2014- 204604. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50711/psn-pdf
    January 01, 2020 - Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. December 4, 2019 Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45907/psn-pdf
    December 22, 2017 - Primary care collaboration to improve diagnosis and screening for colorectal cancer. December 22, 2017 Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004. https://ps…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41942/psn-pdf
    July 24, 2017 - Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. July 24, 2017 Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…