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5301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47818/psn-pdf
      April 03, 2019 - Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. April 3, 2019 Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther Adv Drug Saf. 2019;10:204209861882…

5302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38330/psn-pdf
      September 24, 2010 - Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. September 24, 2010 Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Jt Comm J Qu…

5303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865929/psn-pdf
      May 22, 2024 - Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. May 22, 2024 Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp Epidemiol. 2024;45(4):405-411. doi:10.1…

5304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44877/psn-pdf
      April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. April 27, 2016 Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16- 158. https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and- pre…

5305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837068/psn-pdf
      May 11, 2022 - Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. May 11, 2022 Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…

5306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47367/psn-pdf
      October 15, 2018 - Themed Issue on Innovations in Medication Safety. October 15, 2018 Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2154. https://psnet.ahrq.gov/issue/themed-issue-i…

5307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47279/psn-pdf
      July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the Home. July 23, 2018 Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home The home care setting harbors unique challenges to patient safety. This report builds on a previous evidence ass…

5308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46861/psn-pdf
      February 28, 2018 - Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. February 28, 2018 Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-ove…

5309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44664/psn-pdf
      May 30, 2016 - Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. May 30, 2016 Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10.4187/respcare.04151. https://psnet…

5310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44422/psn-pdf
      November 17, 2017 - Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. November 17, 2017 Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22. doi:10.4…

5311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44536/psn-pdf
      November 11, 2015 - Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. November 11, 2015 Lenander C, Bondesson Å, Midlöv P, et al. Healthcare system intervention for safer…

5312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47924/psn-pdf
      June 05, 2019 - Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. June 5, 2019 Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. Am J…

5313. Mahler, Simon A | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/mahler-simon
      January 01, 2023 - Mahler, Simon A Risk of delayed percutaneous coronary intervention for STEMI in the Southeast United States. Citation Messinger MC, Ashburn NP, Chait JS, Snavely AC, Hapig-Ward S, Stopyra JP, Mahler SA. Risk of delayed percutaneous coronary intervention for STEMI in the Southe…

5314. Wake Forest University Health Sciences | Digital Healthcare Research
      digital.ahrq.gov/organization/wake-forest-university-health-sciences
      January 01, 2023 - Wake Forest University Health Sciences Digital EMS Point-of-Care Innovation to Improve Rural STEMI Outcomes Description This research will develop, implement, refine, and evaluate an app to support clinical decisions for ST-Elevation Myocardial Infarction care in rural areas b…

5315. AHRQ-Funded Patient Safety Research Featured in Health Affairs | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/healthaffairs.html
      March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …

5316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837694/psn-pdf
      July 20, 2022 - Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. July 20, 2022 Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient har…

5317. Toolkit Sections | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections.html
      May 01, 2017 - Toolkit Sections Implementation Implementation Guide : It may be helpful to review this guide before starting a project to reduce infections and other complications in your ambulatory surgery center. The guide takes users step by step through the execution of technical and cultural interventions surroundi…

5318. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
      March 07, 2008 - The benefits expected from these improvements include reduced dosage changes (causing fewer adverse

5319. Microsoft Word - Stand Alone R-E Exec Sum 4-28 for web.docx (pdf file)
      hcup-us.ahrq.gov/reports/race/StandAloneR_EExecSum4_28forweb.pdf
      March 11, 2011 - Microsoft Word - Stand Alone R-E Exec Sum 4-28 for web.docx 1 STATE DOCUMENTATION OF RACIAL AND ETHNIC HEALTH DISPARITIES TO INFORM STRATEGIC ACTION: SUMMARY Nearly a decade ago, the Institute of Medicine (IOM) issued a call to action to redesign the United States’ health care system because Americans do not …

5320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49527/psn-pdf
      December 01, 2006 - Right Patient, Wrong Sample December 1, 2006 Astion ML. Right Patient, Wrong Sample. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample The Case A 54-year-old man was admitted to the hospital for preoperative evaluation and elective knee surgery. On the morning of surgery, the patien…