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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60542/psn-pdf
    May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride May 27, 2020 Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride The Case  An infant with trisomy 21 underwent repair of a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49768/psn-pdf
    September 01, 2016 - A Pill Organizing Plight September 1, 2016 McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/pill-organizing-plight Case Objectives Identify patients at high risk for adverse drug events. List drugs that are considered inappropriate in older patients. …
  3. digital.ahrq.gov/sites/default/files/docs/citation/r18hs018167-roberts-final-report-2013.pdf
    January 01, 2013 - Self-Management & Reminders with Technology: SMART Appraisal of an Integrated PHR - Final Report Title: Self-Management & Reminders with Technology: SMART Appraisal of an Integrated PHR Principal Investigator: Mark S. Roberts, MD, MPP Team Members: Gary Fischer MD, University of Pittsburgh, Co-Investigator …
  4. Anxiety in Children (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/anxiety-children_research-protocol.pdf
    September 12, 2016 - Anxiety in Children Evidence-based Practice Center Systematic Review Protocol Project Title: Anxiety in Children I. Background and Objectives for the Systematic Review Childhood anxiety disorders are very common, affecting one in eight children1. The National Institute of Mental Health (NIMH) estimates a li…
  5. S29 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s29.pdf
    October 01, 2007 - ORIGINAL ARTICLE Cluster Randomized Trials Opportunities and Barriers Identified by Leaders of Eight Health Plans Kathleen M. Mazor, MS, EdD,* James E. Sabin, MD,†‡§ Denise Boudreau, PhD,¶ Michael J. Goodman, PhD,� Jerry H. Gurwitz, MD,* Lisa J. Herrinton, PhD,** Marsha A. Raebel, PharmD,††‡‡ Douglas Roblin, PhD,§§ …
  6. 04-E029-1 Summary (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-surveillance_executive.pdf
    December 01, 2011 - Five surveys of patients reported that their physician’s treatment recommendation was the most influential … recommended by their urologists to seek a second opinion. 12 None of the men followed through with the recommendation … The survey in North Carolina reported that there was a difference in whether physician recommendation
  7. hcup-us.ahrq.gov/db/state/siddist/WALetter_PAY2_PAY2_X.pdf
    August 01, 2008 - Microsoft Word - WALetter_PAY2_PAY2_X.doc DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 The Washington HCUP Central Distributor State Inpatient Databases (SID) that were purchased prior to August 2008 …
  8. digital.ahrq.gov/ahrq-funded-projects/automated-notification-follow-testing-recommendations-across-care-settings/citation/impact
    January 01, 2023 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. Citation Lacson R, O'Connor SD, Sahni VA, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed…
  9. digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/learning-health-systems-applying-data-and-evidence-improve-patient-care
    January 01, 2018 - Learning Health Systems—Applying Data and Evidence to Improve Patient Care Health systems that effectively apply data and evidence to improve patient outcomes and care are called learning health systems (LHSs). Gathering evidence on how best to utilize health IT to generate, integrate, an…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48170/psn-pdf
    July 31, 2019 - Developing resilience to combat nurse burnout. July 31, 2019 Quick Safety. July 15, 2019;(50):1-4. https://psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem . Recommendations focus on the role …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35015/psn-pdf
    June 16, 2011 - Keeping Patients Safe: Transforming the Work Environment of Nurses. June 16, 2011 Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services. Washington, DC: The National Academies Press; 2004. ISBN: 9780309090674. https://psnet.ahrq.gov/issue/keeping-patients-safe-trans…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42491/psn-pdf
    September 18, 2013 - The incidence of diagnostic error in medicine. September 18, 2013 Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615. https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine This review examines eight research methods used to es…
  13. www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
    September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls For older adults, falls are serious, no matter the setting. These falls can cause bone fractures, disability, and even death. Among people 75 and older, falls are far more likely to cause admissions into a long term care facility than for adults 10…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39023/psn-pdf
    November 19, 2018 - Pediatric Readiness in the Emergency Department. November 19, 2018 Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459. https://psnet.ahrq.gov/issue/pediatric-readiness-emergency-department This revised set of gu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35719/psn-pdf
    April 12, 2011 - Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. April 12, 2011 Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.089540. https://psnet.ahrq.gov/issue/ris…
  16. www.ahrq.gov/patients-consumers/index.html
    August 01, 2018 - Patients & Consumers AHRQ offers the latest evidence-based information for improving your health Diagnosis & Treatment Information for Patients and Consumers about getting diagnosed, having surgery, taking medications and having treatments, and using hospitals and clinics Diagnosis Surgery …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35535/psn-pdf
    July 13, 2010 - American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. July 13, 2010 Bates DW, Clark NG, Cook RI, et al. American College of Endocrinology and American Association of Clinical Endocrinolo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40592/psn-pdf
    July 06, 2011 - Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. July 6, 2011 Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nursing Surveillance, Utilization of a MET an…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42687/psn-pdf
    September 29, 2017 - Safety checklist compliance and a false sense of safety: new directions for research. September 29, 2017 Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168. https://psnet.ahrq.gov/issue/s…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37261/psn-pdf
    December 19, 2011 - Creating complex health improvement programs as mindful organizations: from theory to action. December 19, 2011 Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83. https://psnet.ahrq.gov/issue/creating-complex…