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psnet.ahrq.gov/node/45030/psn-pdf
November 01, 2016 - The impact of drug shortages on patients with
cardiovascular disease: causes, consequences, and a call
to action.
November 1, 2016
Reed BN, Fox ER, Konig M, et al. The impact of drug shortages on patients with cardiovascular disease:
causes, consequences, and a call to action. Am Heart J. 2016;175:130-41. doi:10.1…
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psnet.ahrq.gov/node/43976/psn-pdf
November 16, 2015 - Multicenter development, implementation, and patient
safety impacts of a simulation-based module to teach
handovers to pediatric residents.
November 16, 2015
Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety
impacts of a simulation-based module to teach handover…
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psnet.ahrq.gov/node/47872/psn-pdf
March 27, 2019 - Overview of the Environmental Scan of Primary Care-
Based Effort To Reduce Readmissions.
March 27, 2019
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2019. AHRQ Publication No. 18(19)-0055-EF.
https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…
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psnet.ahrq.gov/node/846164/psn-pdf
March 15, 2023 - Crowding in the Emergency Department: Challenges for
the Care of Children.
March 15, 2023
Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of
Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971.
https://psnet.ahrq.gov/issue/crowdin…
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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…
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psnet.ahrq.gov/node/47615/psn-pdf
January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician
Burnout.
January 30, 2019
Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health
and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute;
2019.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/847733/psn-pdf
March 16, 2025 - ISMP Targeted Medication Safety Best Practices for
Community Pharmacy.
March 16, 2025
Institute for Safe Medication Practices: March 2025.
https://psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
Community pharmacies are common providers of medication delivery that harbor proc…
-
psnet.ahrq.gov/node/867771/psn-pdf
January 01, 2018 - Community-Acquired Pneumonia Clinical Decision
Support Implementation Toolkit.
January 1, 2018
Agency for Healthcare Research and Quality. Community-Acquired Pneumonia Clinical Decision Support
Implementation Toolkit.
https://psnet.ahrq.gov/issue/community-acquired-pneumonia-clinical-decision-support-implementatio…
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psnet.ahrq.gov/node/60647/psn-pdf
July 01, 2020 - Beyond the Data: Understanding the Impact of COVID-19
on BAME Groups.
July 1, 2020
Public Health England. London, UK: Crown Copyright; 2020.
https://psnet.ahrq.gov/issue/beyond-data-understanding-impact-covid-19-bame-groups
The COVID-19 pandemic has revealed weaknesses in health care systems worldwide that have af…
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psnet.ahrq.gov/node/50925/psn-pdf
February 19, 2020 - Report of the Independent Inquiry into the Issues Raised
by Paterson.
February 19, 2020
James G. House Commons Report 31. Department of Health and Social Care. London,
England: Crown Copyright; 2020. ISBN 9781528617284.
https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
Shari…
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psnet.ahrq.gov/node/39960/psn-pdf
September 19, 2016 - Respectful Management of Serious Clinical Adverse
Events. Second Edition.
September 19, 2016
Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement;
2011.
https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
This white paper e…
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psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What
Have We Learned in the United States.
June 23, 2020
Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information.
June 23, 2020.
https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
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psnet.ahrq.gov/node/855003/psn-pdf
November 01, 2023 - Logo
The hospital ran out of her child's cancer drug. Now she's
fighting to end shortages.
November 1, 2023
Noguchi Y. Health Shots and All Things Considered. National Public Radio. October 23, 2023.
https://psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
Drug sho…
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psnet.ahrq.gov/node/47032/psn-pdf
May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic
errors and how to avoid them.
May 23, 2018
Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic
Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/60929/psn-pdf
September 16, 2020 - Safer Together: A National Action Plan to Advance Patient
Safety.
September 16, 2020
Boston, MA: Institute for Healthcare Improvement: September 2020.
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
This National Action Plan developed by the National Steering Committee for Pati…
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psnet.ahrq.gov/node/61050/psn-pdf
October 21, 2020 - Health care management during Covid-19: insights from
complexity science.
October 21, 2020
Begun JW, Jiang HJ. NEJM Catalyst. October 9, 2020.
https://psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
Complexity science provides a foundation to manage and learn from cri…
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psnet.ahrq.gov/node/60626/psn-pdf
June 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going
to die’.
June 24, 2020
Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10.
https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
This feature story describes the COVID-19 experi…
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psnet.ahrq.gov/node/45738/psn-pdf
January 17, 2017 - Zero tolerance for deadly hospital-acquired infections.
January 17, 2017
Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40.
https://psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
Hospital rating systems have yet to receive approval across the hea…
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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…
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psnet.ahrq.gov/node/39356/psn-pdf
April 08, 2011 - Team training in the neonatal resuscitation program for
interns: teamwork and quality of resuscitations.
April 8, 2011
Thomas EJ, Williams AL, Reichman EF, et al. Team training in the neonatal resuscitation program for
interns: teamwork and quality of resuscitations. Pediatrics. 2010;125(3):539-546. doi:10.1542/ped…