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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867701/psn-pdf
    August 01, 2017 - Toolkit To Improve Safety for Mechanically Ventilated Patients. August 1, 2017 Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017. https://psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients Patients requiring mechanica…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45486/psn-pdf
    September 14, 2016 - Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employers to reduce risks. September 14, 2016 Silver Spring, MD: American Nurses Association; September 2014. https://psnet.ahrq.gov/issue/addressing-nurse-fatigue-promote-safety-and-health-joint-responsibilities…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40385/psn-pdf
    May 21, 2019 - A comprehensive obstetrics patient safety program improves safety climate and culture. May 21, 2019 Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/j.ajog.2010.11.004. https://psnet.a…

  4. Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared decision making and drug-drug interactions. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/coordinated
    January 01, 2023 - Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared decision making and drug-drug interactions. Citation Thiess H, Del Fiol G, Malone DC, Cornia R, Sibilla M, Rhodes B, Boyce RD, Kawamoto K, Reese T. Coordinated use of Health Level 7 standards to su…

  5. View PDF (pdf file)

    integrationacademy.ahrq.gov/print/pdf/node/23255
    View PDF View PDF Website https://bipartisanpolicy.org/?query=behavioral%20health%20integration Mission To build connections, negotiate policy, achieve bipartisan solutions, and improve lives.  Location Washington, DC United States Terms of Use Copyrighted, freely available Description A nonprofit that ensures p…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867449/psn-pdf
    March 13, 2025 - Medication Related Harm. March 13, 2025 Medication Related Harm. Health Services Safety Investigations Body. 2024-2025 https://psnet.ahrq.gov/issue/medication-related-harm Omitted or delayed medication therapy can contribute to patient discomfort, stress, and harm. This series of reports, to be developed over 2024…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47943/psn-pdf
    May 20, 2019 - Governing the safety of artificial intelligence in healthcare. May 20, 2019 Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498. doi:10.1136/bmjqs-2019-009484. https://psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare The unintended risk…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72751/psn-pdf
    February 17, 2021 - The critical need for nursing education to address the diagnostic process. February 17, 2021 Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005. https://psnet.ahrq.gov/issue/critica…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46160/psn-pdf
    June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. June 7, 2017 Horsham, PA: Institute for Safe Medication Practices; May 2017. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults Insulin is a widely used medication that can contribute to serious patien…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47718/psn-pdf
    March 20, 2019 - Impact of patient safety culture on missed nursing care and adverse patient events. March 20, 2019 Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qual. 2019;34(4):287-294. doi:10.1097/NCQ.0000000000000378. https://psnet.ahrq.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39597/psn-pdf
    July 14, 2010 - Ten strategies to improve management of abnormal test result alerts in the electronic health record. July 14, 2010 Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf. 2010;6(2):121-123. doi:10.1097/PTS.0b013e3181ddf652…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855440/psn-pdf
    November 15, 2023 - NPSD Data Spotlight: Patterns of Fall Interventions. November 15, 2023 Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23- 0055. https://psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions Falls are a frequently reported sentinel event. This Data Spo…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42961/psn-pdf
    February 19, 2014 - Healthcare-associated infections: a national patient safety problem and the coordinated response. February 19, 2014 Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.1097/MLR.0b013e3182a54581. https://psne…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854265/psn-pdf
    October 04, 2023 - Can AI help doctors come up with better diagnoses? October 4, 2023 Landro L. Wall Street Journal. September 24, 2023. https://psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses Artificial intelligence (AI) is being considered as a strong contender in the effort to reduce harmful diagnostic error, but c…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37262/psn-pdf
    December 19, 2011 - Academic detailing to improve laboratory testing among outpatient medication users. December 19, 2011 Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. https://psnet.ahrq.gov/issue/academic-detailing-improve-laborat…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42010/psn-pdf
    December 21, 2014 - Impact of attending physician workload on patient care: a survey of hospitalists. December 21, 2014 Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternmed.2013.1864. https://psnet.ahr…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46090/psn-pdf
    December 22, 2018 - More than a tick box: medical checklist development, design, and use. December 22, 2018 Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. https://psnet.ahrq.gov/issue/more-tick-box-medi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45547/psn-pdf
    October 05, 2016 - Sick children face potentially deadly danger: medication errors. October 5, 2016 Furfaro H. Wall Street Journal. September 25, 2016. https://psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors Medication errors in pediatric care are common in the hospital and at home. This newspaper…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47289/psn-pdf
    October 24, 2018 - ASHP guidelines on managing drug product shortages. October 24, 2018 Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441. https://psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages Drug shortages are a pe…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72535/psn-pdf
    December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…
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