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6101. Improving Care Transitions of Older Adults | PSNet
      psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
      Improving Care Transitions of Older Adults Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization RCTCLEARN.NET Event Description: This program focu…

6102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60264/psn-pdf
      January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert! January 14, 2021 March 2020--January 2021. https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert Medication safety is improved through the sharing of frontline improvement experiences and concerns. These articles share recommendations to…

6103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847734/psn-pdf
      April 19, 2023 - Patient safety tools for primary care. April 19, 2023 Domdera J. Fam Pract Manag. 2023;30(2):24-28. https://psnet.ahrq.gov/issue/patient-safety-tools-primary-care A large segment of patients receives outpatient care. This commentary suggests that high-reliability concepts be applied in the primary care environment…

6104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42460/psn-pdf
      July 31, 2013 - Effectiveness of the surgical safety checklist in a high standard care environment. July 31, 2013 Lübbeke A, Hovaguimian F, Wickboldt N, et al. Effectiveness of the surgical safety checklist in a high standard care environment. Med Care. 2013;51(5):425-9. doi:10.1097/MLR.0b013e31828d1489. https://psnet.ahrq.gov/is…

6105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39558/psn-pdf
      May 26, 2010 - ReCASTing the RCA: an improved model for performing root cause analyses. May 26, 2010 Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533. https://psnet.ahrq.gov/issue/recasting-…

6106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39576/psn-pdf
      September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the Hospital. September 25, 2010 Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059. https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital This guide provides patients with information they need t…

6107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38453/psn-pdf
      January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…

6108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846165/psn-pdf
      March 15, 2023 - Do no unconscious harm. March 15, 2023 Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698. https://psnet.ahrq.gov/issue/do-no-unconscious-harm Implicit biases can degrade decision making as they impact heuristics, test result interpretation, and patient/physician commun…

6109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41083/psn-pdf
      December 12, 2012 - Teams under pressure in the emergency department: an interview study. December 12, 2012 Flowerdew L, Brown R, Russ S, et al. Teams under pressure in the emergency department: an interview study. Emerg Med J. 2012;29(12):e2. doi:10.1136/emermed-2011-200084. https://psnet.ahrq.gov/issue/teams-under-pressure-emergenc…

6110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841789/psn-pdf
      July 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o…

6111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37638/psn-pdf
      May 24, 2015 - Work hours regulations for house staff in psychiatry: bad or good for residency training? May 24, 2015 Rasminsky S, Lomonaco A, Auchincloss E. Work Hours Regulations for House Staff in Psychiatry: Bad or Good for Residency Training? Academic Psychiatry. 2008;32(1). doi:10.1176/appi.ap.32.1.54. https://psnet.ahrq.g…

6112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851660/psn-pdf
      July 26, 2023 - From aviation to pediatric surgery. July 26, 2023 Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila). 2024;63(4):557-559. doi:10.1177/00099228231176631. https://psnet.ahrq.gov/issue/aviation-pediatric-surgery Human factors strategies are increasingly applied in health …

6113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47475/psn-pdf
      January 23, 2019 - Patient Safety and Quality Improvement. January 23, 2019 Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0 Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight sy…

6114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42370/psn-pdf
      June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…

6115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43238/psn-pdf
      June 04, 2014 - Administering just the diluent or one of two vaccine components leaves patients unprotected. June 4, 2014 ISMP Medication Safety Alert! Acute care edition. May 22, 2014;19:1-2. https://psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients- unprotected Errors occur frequentl…

6116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40865/psn-pdf
      September 12, 2016 - A review of current and emerging approaches to address failure-to-rescue. September 12, 2016 Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to- rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. https://psnet.ahrq.gov/issue/review-current-…

6117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46218/psn-pdf
      October 29, 2017 - Nurses' knowledge and teaching of possible postpartum complications. October 29, 2017 Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371. https://psnet.ahrq.gov/issue/nurses-knowledge…

6118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39257/psn-pdf
      January 27, 2010 - Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. January 27, 2010 Buxbaum J. Portland, ME: National Academy for State Health Policy; January 2010. https://psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordinati…

6119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41321/psn-pdf
      April 25, 2012 - Cognitive balanced model: a conceptual scheme of diagnostic decision making. April 25, 2012 Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. https://psnet.ahrq.gov/issue/cognitive-balanc…

6120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45638/psn-pdf
      January 01, 2019 - Measures to improve diagnostic safety in clinical practice. November 2, 2016 Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338. https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…