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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73714/psn-pdf
    September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021 Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240. https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43147/psn-pdf
    July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. July 19, 2017 Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. doi:10.1097/01.AOG.0000444442.04111.c6. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43426/psn-pdf
    July 03, 2016 - Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. July 3, 2016 Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. Acad Med. 2014;89(12):1610-3. doi:…
  4. www.ahrq.gov/topics/long-term-care.html
    Topic: Long-Term Care AHRQ has toolkits, recommendations, and other resources for long-term care facilities, such as nursing homes and rehabilitation centers, to improve quality, reduce errors, and increase patient safety. AHRQ Research Findings Support Effort to Reduce Pre…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46032/psn-pdf
    May 03, 2017 - Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. May 3, 2017 King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the Military Health System. Mil Med. 2017;182(…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60274/psn-pdf
    April 29, 2020 - Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. April 29, 2020 Long Y, Hu T, Liu L, et al. Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. J Evid Based Med. 2020. doi:10.1111/jebm.12381.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61101/psn-pdf
    November 04, 2020 - Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. November 4, 2020 Farnborough, UK; Healthcare Safety Investigation Branch. October 2020 https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following- thrombol…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60206/psn-pdf
    April 08, 2020 - Reducing high-risk medication use through pharmacist- led interventions in an outpatient setting. April 8, 2020 Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.japh.2020.01.013. https://psnet.a…
  10. www.ahrq.gov/hai/cusp/toolkit/bckgrnd-qi-team.html
    December 01, 2012 - Background Quality Improvement Team Information Form CUSP Toolkit Health care provider roles 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 in…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50742/psn-pdf
    December 18, 2019 - Prioritizing patient safety efforts in office practice settings December 18, 2019 Kravet SJ, Bhatnagar M, Dwyer M, et al. Prioritizing Patient Safety Efforts in Office Practice Settings. J Patient Saf. 2019;15(4):e98-e101. doi:10.1097/pts.0000000000000652. https://psnet.ahrq.gov/issue/prioritizing-patient-safety-ef…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841146/psn-pdf
    December 07, 2022 - Exploring the intersection of structural racism and ageism in healthcare. December 7, 2022 Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105. https://psnet.ahrq.gov/issue/exploring-intersect…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850345/psn-pdf
    June 14, 2023 - Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. June 14, 2023 Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):1492-1501. doi:10.1097/ccm.0000000000…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44534/psn-pdf
    April 25, 2016 - Addressing disease-related malnutrition in hospitalized patients: a call for a national goal. April 25, 2016 Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41(10):469-473. https://psnet.ahrq.gov/iss…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38579/psn-pdf
    February 18, 2011 - Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. February 18, 2011 Snow V, Beck D, Budnitz T, et al. Transitio…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46830/psn-pdf
    May 30, 2018 - A call to bridge across silos during care transitions. May 30, 2018 Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44245/psn-pdf
    July 15, 2015 - Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. July 15, 2015 Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatment, and Satisfaction. Mayo Clinic …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44742/psn-pdf
    January 06, 2016 - A piece of my mind. From shame to guilt to love. January 6, 2016 Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507- 2508. doi:10.1001/jama.2015.11521. https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love While numerous studies have examined the psychological i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42662/psn-pdf
    October 16, 2013 - Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. October 16, 2013 de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837805/psn-pdf
    August 10, 2022 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. August 10, 2022 Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. Pediatr Qual Saf. 20…