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6301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851052/psn-pdf
      June 28, 2023 - Opportunities for diagnostic improvement among pediatric hospital readmissions. June 28, 2023 Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. https://psnet.ahrq.gov/issue/opportuni…

6302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43143/psn-pdf
      April 25, 2016 - Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. April 25, 2016 West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. Jt Comm J Qual Patient…

6303. Bckgrndqiteam (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/bckgrndqiteam.doc
      June 02, 2025 - Background Quality Improvement Team Information Form Who should use this tool? Health care providers. Please indicate people designated as Quality Improvement Team Members. Your team may not have people who serve in all of these roles. These individuals from are members of the Qual…

6304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46633/psn-pdf
      November 22, 2017 - The high costs of unnecessary care. November 22, 2017 Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. https://psnet.ahrq.gov/issue/high-costs-unnecessary-care The provision of unneeded care can result in physical, financial, and psychological harm to patie…

6305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73589/psn-pdf
      August 11, 2021 - Suicide and suicide attempts on hospital grounds and clinic areas. August 11, 2021 Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. https://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hos…

6306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46403/psn-pdf
      September 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof…

6307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47217/psn-pdf
      June 27, 2018 - Drug shortages roundtable: minimizing the impact on patient care. June 27, 2018 Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048. https://psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care This commenta…

6308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855438/psn-pdf
      November 15, 2023 - Intravenous (IV) push medications – bridging the gap between education and clinical practice. November 15, 2023 ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4. https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical- practice Intravenous…

6309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44403/psn-pdf
      June 21, 2016 - Preventability of hospital-acquired venous thromboembolism. June 21, 2016 Haut ER, Lau BD, Kraus PS, et al. Preventability of Hospital-Acquired Venous Thromboembolism. JAMA Surg. 2015;150(9):912-5. doi:10.1001/jamasurg.2015.1340. https://psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism …

6310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47154/psn-pdf
      May 23, 2018 - Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375. doi:1…

6311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45325/psn-pdf
      April 08, 2018 - Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness. April 8, 2018 Thomas DB, Newman-Toker DE. Diagnosis is a team sport - partnering with allied health professionals to reduce diagnostic erro…

6312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47888/psn-pdf
      May 11, 2019 - Achieving dialysis safety: the critical role of higher- functioning teams. May 11, 2019 Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial. 2019;32(3):266-273. doi:10.1111/sdi.12778. https://psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-t…

6313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73995/psn-pdf
      October 20, 2021 - Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. October 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 12, 2021. https://psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety- communication …

6314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47800/psn-pdf
      June 26, 2019 - Error and Uncertainty in Diagnostic Radiology. June 26, 2019 Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncer…

6315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45376/psn-pdf
      November 09, 2016 - The new CMS hospital quality star ratings: the stars are not aligned. November 9, 2016 Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679. https://psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-a…

6316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44791/psn-pdf
      January 13, 2016 - FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. January 13, 2016 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…

6317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43980/psn-pdf
      March 18, 2015 - Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. March 18, 2015 Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/NHH.0000000000000195. https://psnet.ahr…

6318. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-info-form.html
      July 01, 2023 - Background Quality Improvement Team Information Form AHRQ Safety Program for Perinatal Care Who should use this tool? Health care teams Please indicate staff members designated as Labor and Delivery Quality Improvement Team members. Your team might not have people who serve in all of these rol…

6319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45271/psn-pdf
      August 10, 2016 - Patient identification and tube labelling—a call for harmonisation. August 10, 2016 van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015- 1089. https://psnet.ah…

6320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38873/psn-pdf
      August 19, 2009 - What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. August 19, 2009 Horwitz LI, Moin T, Krumholz HM, et al. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qual Saf Health Care. 2009;18(4):248-5…