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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45436/psn-pdf
    August 31, 2016 - Improving the communication between teams managing boarded patients on a surgical specialty ward. August 31, 2016 Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750. http…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60158/psn-pdf
    March 25, 2020 - Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. March 25, 2020 Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. BMJ Qual Saf. 2020;29(4). doi:10.1136/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38799/psn-pdf
    September 29, 2009 - Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. September 29, 2009 Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2009;24(4):316-324. doi:10.1097/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60957/psn-pdf
    September 30, 2020 - A narrative review of strategies to increase patient safety event reporting by residents. September 30, 2020 Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19-00649.1. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850352/psn-pdf
    June 14, 2023 - Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. June 14, 2023 Sedney CL, Dekeseredy P, Singh SA, et al. Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. J P…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47224/psn-pdf
    June 27, 2018 - Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. June 27, 2018 Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018468. https://psnet.ahrq.gov/issue/managing-alarms-acute-care-…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36947/psn-pdf
    September 09, 2011 - The safety of warfarin therapy in the nursing home setting. September 9, 2011 Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44. https://psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting The anticoagulant warfarin is co…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44614/psn-pdf
    November 04, 2015 - Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. November 4, 2015 Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General Surgery Procedures. Ann Surg. 20…
  11. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
    January 01, 2019 - Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report Using the electronic health record to identify children likely to suffer last-minute surgery cancellation Principal Investigator: J. “Nick” Pratap, MB Chir, MRCPCH, FRCA1 Team…
  12. digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
    January 01, 2012 - Health Information Technology and Improving Medication Use - Final Report Program Director/Principal Investigator : Bates, David W 0925-0001/0002 (Rev. 08/12) Page 1 Continuation Format Page Title of Project: Health Information Technology and Improving Medication Use Principal Investigator and Team Membe…
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
    May 01, 2017 - Transcranial Doppler Ultrasonography Screening Among Children With Sickle Cell Anemia Transcranial Doppler Ultrasonography Screening Among Children with Sickle Cell Anemia Section 1. Basic Measure Information 1.A. Measure Name Transcranial Doppler Ultrasonography Screening Among Children with Sickle Cell Anemia …
  14. www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
    January 01, 2025 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities Final Report 1. Title Page Principal Investigator: Ellen Taylor Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer healthcare facilitie…
  15. digital.ahrq.gov/sites/default/files/docs/citation/r18hs026172-obrien-final-report-2022.pdf
    January 01, 2022 - interventions.17 Semi- structured provider interviews were conducted by a research coordinator and were recorded
  16. www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
    January 01, 2024 - , in phase 2, it became more challenging to ascertain the extent to which all callbacks were being recorded
  17. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017150-lapane-final-report-2010.pdf
    January 01, 2010 - At baseline and follow-up, we also requested that 5 clinical encounters per physician be audio recorded
  18. digital.ahrq.gov/sites/default/files/docs/citation/r21hs022586-lacson-final-report-2017.pdf
    January 01, 2017 - resulted in increased adherence to our critical result communication policy.(3) ANCR notifications are recorded
  19. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024004-bajaj-final-report-2017.pdf
    January 01, 2017 - Readmissions within 30 days were recorded via the App, with a thorough review of the record and discussion
  20. psnet.ahrq.gov/web-mm/techno-trip
    May 01, 2005 - Techno Trip Citation Text: Cook RI. Techno Trip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…