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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847736/psn-pdf
    April 19, 2023 - Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. April 19, 2023 Washington, DC: VA Office of the Inspector General; March 29, 2023. Report no. 21-03680-80. https://psnet.ahrq.gov/issue/deficiencies-emergent-a…

  2. Advancing Evidence into Practice through Shared, Interoperable Clinical Decision Support Resources (U18) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/advancing-evidence-practice-through-shared-interoperable-clinical-decision-support
    January 01, 2023 - Advancing Evidence into Practice through Shared, Interoperable Clinical Decision Support Resources (U18) Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Pr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36721/psn-pdf
    May 05, 2010 - Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. May 5, 2010 Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Int…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841485/psn-pdf
    December 14, 2022 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. December 14, 2022 Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. J Patient Saf. 20…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47607/psn-pdf
    February 13, 2019 - Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. February 13, 2019 Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74082/psn-pdf
    November 17, 2021 - Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. November 17, 2021 Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and communication-related factors on m…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47243/psn-pdf
    August 08, 2018 - ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. August 8, 2018 Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018;23(3):177-191. doi:10.5863/1551-6776-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60598/psn-pdf
    June 17, 2020 - Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. June 17, 2020 Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. BMJ Qual…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45214/psn-pdf
    July 13, 2016 - Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. July 13, 2016 Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic Promotion in Departments of Medici…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46290/psn-pdf
    January 01, 2021 - Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. August 2, 2017 Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862150/psn-pdf
    February 07, 2024 - Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management. February 7, 2024 Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management. J Am Pharm Assoc (2003).…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38414/psn-pdf
    March 31, 2009 - Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. March 31, 2009 Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Anaes…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47216/psn-pdf
    July 11, 2018 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. July 11, 2018 Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380. https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37640/psn-pdf
    April 02, 2008 - An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. April 2, 2008 France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices after crew resource management traini…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45472/psn-pdf
    September 29, 2017 - Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. September 29, 2017 García MC, Dodek AB, Kowalski T, et al. Declines in Opioid Prescribing After a Private Insurer Policy Change - Massachusetts, 2011-2015. MMWR Morb Mortal Wkly Rep. 2016;65(41):1125-1131. doi:10.15585/m…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866853/psn-pdf
    October 02, 2024 - Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. October 2, 2024 Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(12):769-779. doi:10.1136/bmjqs-202…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74184/psn-pdf
    May 05, 2017 - Systematic review of the impact of physician implicit racial bias on clinical decision making. May 5, 2017 Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10.1111/acem.13214. https://psnet.ahrq.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74054/psn-pdf
    November 10, 2021 - Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. November 10, 2021 Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. ATS Sch. 2021;2(3):…

  19. Bringing Human Factors into Home Health Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/designer-guide/index.html
    December 01, 2017 - Bringing Human Factors into Home Health Care Institute of Medicine Report and Designer's Guide Many health care technologies that involve information technology (IT) are moving into the home, for use by caregivers who look after the growing number of older adults with chronic illnesses. With funding from the …

  20. Notice on Smoking Cessation Guideline Products | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/smoking-cessation.html
    October 01, 2014 - Notice on Smoking Cessation Guideline Products The 1996 guideline, Smoking Cessation, Clinical Practice Guideline , No. 18, sponsored by the Agency for Health Care Policy and Research, has been superseded by a new, updated Tobacco Cessation Guideline released by the Public Health Service in 2008. The inf…
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