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  1. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. | PSNet

    psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
    October 02, 2013 - Toolkit Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Citation Text: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for H…

  2. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet

    psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
    April 13, 2018 - Book/Report Second Victim: Error, Guilt, Trauma, and Resilience. Citation Text: Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412. Copy Citation Save Save to your library Print Download PD…

  3. Safety in Medication Use. | PSNet

    psnet.ahrq.gov/issue/safety-medication-use
    January 01, 2019 - Book/Report Safety in Medication Use. Citation Text: Safety in Medication Use. Tully MP, Franklin BD, eds. Boca Raton, FL: CRC Press, Taylor and Francis Group; 2016. ISBN: 9781482227000. Copy Citation Save Save to your library Print Download PDF …

  4. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…

  5. Validity of Patient Safety Indicators in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
    October 16, 2008 - Special or Theme Issue Validity of Patient Safety Indicators in the Veterans Health Administration. Citation Text: Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.   Copy Citation Save Save t…

  6. Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. | PSNet

    psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
    February 17, 2021 - Book/Report Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Citation Text: Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…

  7. The Uneven Burden of Maternal Mortality in the U.S. | PSNet

    psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
    November 15, 2011 - Fact Sheet/FAQs The Uneven Burden of Maternal Mortality in the U.S. Citation Text: The Uneven Burden of Maternal Mortality in the U.S. NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022. Copy Citation Save Save to yo…

  8. Using Six Sigma to improve patient safety in the perioperative process. | PSNet

    psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process
    June 27, 2018 - Newspaper/Magazine Article Using Six Sigma to improve patient safety in the perioperative process. Citation Text: Using Six Sigma to improve patient safety in the perioperative process. Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41…

  9. Medication errors: the year in review: January through December 2021. | PSNet

    psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021
    September 26, 2018 - Newspaper/Magazine Article Medication errors: the year in review: January through December 2021. Citation Text: Medication errors: the year in review: January through December 2021. Pharmacy Practice News Special Edition. December 13, 2022: 43-54. Copy Citation Save …

  10. Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. | PSNet

    psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
    May 20, 2020 - Book/Report Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Citation Text: Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004. Copy Citation …

  11. Preventing catheter-related bloodstream infections: thinking outside the checklist. | PSNet

    psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
    January 05, 2012 - Commentary Preventing catheter-related bloodstream infections: thinking outside the checklist. Citation Text: Preventing catheter-related bloodstream infections: thinking outside the checklist. Perencevich EN; Pittet D. Copy Citation Save Save to your library …

  12. To combat physician burnout and improve care, fix the electronic health record. | PSNet

    psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record
    November 14, 2018 - Newspaper/Magazine Article To combat physician burnout and improve care, fix the electronic health record. Citation Text: To combat physician burnout and improve care, fix the electronic health record. Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018. Copy Citation …

  13. Infection Control in the Intensive Care Unit. | PSNet

    psnet.ahrq.gov/issue/infection-control-intensive-care-unit
    May 27, 2011 - Special or Theme Issue Infection Control in the Intensive Care Unit. Citation Text: Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.   Copy Citation Save Save to your library Print Download PDF Share …

  14. University of Iowa | Digital Healthcare Research

    digital.ahrq.gov/organization/university-iowa
    January 01, 2023 - University of Iowa Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support Description The study will develop and test a vendor-compatible clinical decision support system to support intensive care unit nurses and physical…

  15. USA, IA, Iowa City | Digital Healthcare Research

    digital.ahrq.gov/location/usa-ia-iowa-city
    January 01, 2023 - USA, IA, Iowa City Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support Description The study will develop and test a vendor-compatible clinical decision support system to support intensive care unit nurses and physical…

  16. Improving nursing unit teamwork. | PSNet

    psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
    January 18, 2011 - Commentary Improving nursing unit teamwork. Citation Text: Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. doi:10.1097/00005110-200512000-00009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  17. Research Summary | Digital Healthcare Research

    digital.ahrq.gov/2020-year-review/research-summary
    January 01, 2020 - Research Summary The mission of AHRQ’s Digital Healthcare Research Program is directly aligned with the overall AHRQ mission. Through rigorous research, AHRQ generates the ground-breaking knowledge, tools, and data needed to improve health system performance and health outcomes. Thes…

  18. The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. | PSNet

    psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
    August 07, 2019 - Special or Theme Issue The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. Citation Text: The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. Fahlbruch B, Carroll JS, eds. Safety Sci. 2011;49(1):1-106  …

  19. National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
    October 15, 2018 - Multi-use Website Classic National Surgical Quality Improvement Program. Citation Text: National Surgical Quality Improvement Program. American College of Surgeons. Copy Citation Save Save to your library Print Download PDF …

  20. Machine learning is booming in medicine. It’s also facing a credibility crisis. | PSNet

    psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
    May 22, 2019 - Newspaper/Magazine Article Machine learning is booming in medicine. It’s also facing a credibility crisis. Citation Text: Machine learning is booming in medicine. It’s also facing a credibility crisis. Ross C. STAT. June 2, 2021. Copy Citation Save Save to …
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