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  1. Appendix A. RACI Chart | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apa.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix A. RACI Chart Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opport…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39976/psn-pdf
    November 17, 2010 - A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. November 17, 2010 Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:10.1097/ACM.0b013e3181ed455b. h…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39277/psn-pdf
    August 22, 2018 - Preventing maternal death. August 22, 2018 Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4. https://psnet.ahrq.gov/issue/preventing-maternal-death The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid adoption of risk reduction strategies. Adher…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44012/psn-pdf
    April 29, 2015 - Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. April 29, 2015 Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.1002/jhm.2293. https://psnet.ahrq…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47903/psn-pdf
    January 01, 2021 - A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. April 17, 2019 Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilitie…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74102/psn-pdf
    January 01, 2022 - Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379. https://psnet…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34989/psn-pdf
    February 24, 2011 - Laboratory safety monitoring of chronic medications in ambulatory care settings. February 24, 2011 Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525-1497.2005.40182.x. https://psne…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34075/psn-pdf
    December 23, 2008 - Communicating with patients about medical errors: a review of the literature. December 23, 2008 Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. https://psnet.ahrq.gov/issue/communicating-patients-about-medical-error…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43580/psn-pdf
    October 01, 2014 - Reducing medication errors in critical care: a multimodal approach. October 1, 2014 Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530. https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42697/psn-pdf
    December 05, 2013 - An initiative to improve the management of clinically significant test results in a large health care network. December 5, 2013 Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50569/psn-pdf
    October 23, 2019 - Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. October 23, 2019 Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585. d…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60344/psn-pdf
    May 20, 2020 - American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. May 20, 2020 American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. Am Geriatr Soc. 2020;68(5):908-911. doi:10.1111/jgs.16477. https://psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-nurs…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867380/psn-pdf
    December 18, 2024 - Cognitive biases and artificial intelligence. December 18, 2024 Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639. doi:10.1056/aics2400639. https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence Previous studies have raised concerns about cognit…

  14. Conclusions | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication6.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Conclusions Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. D…

  15. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
    January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting Project Title: Factors that Enhance Diagnostic Imaging Safety in the Ambulatory Setting Principal Investigator: Ronilda Lacson, MD, PHD Team Members: Ramin Khorasani, MD, MPH Ivan Ip, MD, MPH Sonali Desai, MD Allen Ka…

  16. Diabetes | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/diabetes.html
    June 01, 2018 - Chartbook on Effective Treatment Diabetes Previous Page Next Page Table of Contents Chartbook on Effective Treatment Acknowledgments Effective Treatment Effective Treatment Trends and Measures Cardiovascular Disease Cancer Chronic Kidney Disease Diabetes HIV and AIDS Mental Health …

  17. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet

    psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
    September 27, 2023 - Verbal Orders and Medication Overrides: A Dangerous Combination Citation Text: Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…

  18. Procedure Complications – Who is Responsible for Follow up? | PSNet

    psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
    July 31, 2023 - Procedure Complications – Who is Responsible for Follow up? Citation Text: Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Cita…

  19. Patient Experience Measures from the CAHPS® Child Hospital Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/measures-child-hcahps-909.pdf
    March 20, 2017 - Patient Experience Measures from the CAHPS® Child Hospital Survey CAHPS® Child Hospital Survey and Instructions Patient Experience Measures from the CAHPS Child Hospital Survey Document No. 909 Updated 3/20/17 Patient Experience Measures from the CAHPS® Child Hospital Survey Introduction..................…

  20. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
    January 01, 2024 - Final Progress Report: How Do Consumers View the Risks of Medical Errors? FINAL REPORT Title of Project: How Do Consumers View the Risks of Medical Errors? Principal Investigator: Ellen Peters Team Member: Paul Slovic Organization: Decision Research Inclusive Dates of Project: 09/01/2001 – 08/31/2003 Federal …
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