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  1. digital.ahrq.gov/organization/purdue-university
    January 01, 2023 - Purdue University An Evaluation of the Spread and Scale of PatientToc™ From Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes Description The research team implemented PatientToc™ - a mobile application for patient-reported outcomes co…
  2. www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab13.html
    December 01, 2017 - Table 13. Health coverage among adults with diabetes and/or cardiovascular disease. All project sites. Fiscal year 2010 ARRA Grants Initiative Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for adva…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60193/psn-pdf
    July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis. April 1, 2020 Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.  https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73097/psn-pdf
    March 31, 2011 - The Future of Nursing: Leading Change, Advancing Health. March 31, 2011 Institute of Medicine. Washington, DC: The National Academies Press: 2011. https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health The effective engagement of nursing is key to patient safety and care quality improvement. T…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/qualifications.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Prevention Facilitator Training—Recommended Facilitator Trainee Qualifications Know about adult learning principles and have experience training adults. Can adjust the technical complexity of the content to the audience's level of understanding. Have exce…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37752/psn-pdf
    May 07, 2019 - Guidance for the Safe Use of Automated Dispensing Cabinets. May 7, 2019 Horsham, PA: Institute for Safe Medication Practices; 2019. https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents associ…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44679/psn-pdf
    November 18, 2015 - Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. November 18, 2015 ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5. https://psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps The perioperative environment …
  8. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review43/bladder-cancer-screening-2004
    March 30, 2020 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Evidence Review Bladder Cancer in Adults: Screening, 2004 March 30, 2020 Recommendations made by the USPSTF are independent of the U.S. government. They shou…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39973/psn-pdf
    January 04, 2011 - Residency training at a crossroads: duty-hour standards 2010. January 4, 2011 Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010. Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287. https://psnet.ahrq.gov/issue/residency-training-cross…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40868/psn-pdf
    October 19, 2011 - Simulation to enhance patient safety: why aren't we there yet? October 19, 2011 Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest. 2011;140(4):854-858. doi:10.1378/chest.11-0728. https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet Discussin…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74249/psn-pdf
    January 12, 2022 - Medication safety issues with newly authorized PAXLOVID. January 12, 2022 Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid Emerging care practices can produce unsafe situations due to the newness…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854638/psn-pdf
    October 18, 2023 - Early identification and evaluation of severe pressure injuries. October 18, 2023 Quick Safety. October 2023;70:1-2. https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries Pressure injuries are a significant and preventable patient safety threat. This article summarizes recommen…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61052/psn-pdf
    April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into a Vein. April 1, 2019 Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein Wrong route medication administration is a never event. This report examined the co…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39728/psn-pdf
    January 03, 2017 - Diffusing aviation innovations in a hospital in the Netherlands. January 3, 2017 de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. https://psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-n…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36661/psn-pdf
    March 22, 2010 - Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. March 22, 2010 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007. https://psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication- errors This …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35879/psn-pdf
    July 23, 2010 - Preventing vincristine administration errors: does evidence support minibag infusions? July 23, 2010 Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. https://psnet.ahrq.gov/issue/preventing-v…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50805/psn-pdf
    January 15, 2020 - Advancing safety with closed-loop communication of test results. January 15, 2020 Quick Safety. December 17, 2019;(52):1-3. https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41053/psn-pdf
    December 30, 2014 - Time to accelerate integration of human factors and ergonomics in patient safety. December 30, 2014 Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. https://psnet.ahrq.gov/issue/time-acc…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45793/psn-pdf
    July 19, 2024 - SHOT Annual Report. July 19, 2024 S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. https://psnet.ahrq.gov/issue/shot-annual-report-2019 Although errors in the blood transfusion process are rare, they can be harmful. This annual report provides an anal…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46553/psn-pdf
    October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…