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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46671/psn-pdf
    June 25, 2018 - Twelve tips for embedding human factors and ergonomics principles in healthcare education. June 25, 2018 Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159x.2017.1387240. https://psnet.ahrq.gov/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60007/psn-pdf
    March 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Horsham, PA: Institute for Safe Medication Practices; 2020. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion- pumps Smart pumps are widely available as a medicat…
  3. digital.ahrq.gov/principal-investigator/friedman-amy
    January 01, 2023 - Friedman, Amy Web-based Renal Transplant Patient Medication System - Final Report Citation Friedman A. Web-based Renal Transplant Patient Medication System - Final Report. (Prepared by Yale University under Grant No. R01 HS015038). Rockville, MD: Agency for Healthcare Research…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853071/psn-pdf
    August 30, 2023 - A natural language processing approach to categorise contributing factors from patient safety event reports. August 30, 2023 Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Health Care Inform. 2023;30(1):e100731. https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient- …
  5. digital.ahrq.gov/principal-investigator/davidson-giana
    January 01, 2024 - Davidson, Giana Pharmacy Integrated Transitions (PIT) trial: A protocol for a pragmatic cluster-randomised crossover trial. Citation Hantouli MN, Monsell SE, Davidson GH, Chaing J, Comstock B, Dervish AA, Gionet NJ, Howard S, Jimenez N, Kim C, Liberman M, Lindo EG, Marcum ZA,…
  6. digital.ahrq.gov/principal-investigator/mingle-daniel
    January 01, 2023 - Mingle, Daniel Improving Health Information Technology Implementation in a Rural Health System - Final Report Citation Mingle D. Improving Health Information Technology Implementation in a Rural Health System - Final Report. (Prepared by Maine General Medical Center under Gra…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852452/psn-pdf
    August 16, 2023 - Value assessment of deprescribing interventions: suggestions for improvement. August 16, 2023 Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. https://psnet.ahrq.gov/issue/value-assessment…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43103/psn-pdf
    April 02, 2014 - Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? April 2, 2014 Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School of Nursing. March 14, 2014;22:1-8. https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47731/psn-pdf
    April 27, 2019 - Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. April 27, 2019 Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Comm J Qual Patient Saf. 2019;45(4):…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847536/psn-pdf
    April 12, 2023 - Racism and electronic health records (EHRs): perspectives for research and practice. April 12, 2023 Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jamia/ocad023. https://psnet.ahrq.gov/issu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46058/psn-pdf
    October 23, 2018 - Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. October 23, 2018 Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8). doi:10.100…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41701/psn-pdf
    September 26, 2019 - The CUSP Method September 26, 2019 The CUSP Method. https://psnet.ahrq.gov/issue/cusp-method The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in several landmark pat…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44821/psn-pdf
    December 05, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. December 5, 2022 Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication No. 23-0011. https://psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture Im…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44856/psn-pdf
    September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical Playbook. September 29, 2017 National Quality Partners. Washington, DC: National Quality Forum; 2016. https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook Antimicrobial stewardship has been promoted as a strategy to improve patient safe…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72678/psn-pdf
    January 27, 2021 - Health information technology-related wrong-patient errors: context is critical. January 27, 2021 Kim T, Howe J, Franklin E, et al.?Patient Safety. 2020;2(4):40–57.    https://psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical Patient misidentification errors…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839329/psn-pdf
    November 02, 2022 - Eight human factors and ergonomics principles for healthcare artificial intelligence. November 2, 2022 Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-2021-100516. https://psnet.ahrq.gov/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43970/psn-pdf
    May 19, 2015 - Organisational reporting and learning systems: innovating inside and outside of the box. May 19, 2015 Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203. https://psnet.ahrq.gov/issue/organisational-re…
  18. digital.ahrq.gov/location/usa-wi-milwaukee
    January 01, 2023 - USA, WI, Milwaukee Perception and Use of a Patient Care Window to Improve Care and Family Engagement Description This project evaluated the use of an in-room interactive monitor to improve patient-centered care and family engagement within a pediatric intensive care unit. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46749/psn-pdf
    April 04, 2018 - Toolkit for Improving Perinatal Safety. April 4, 2018 Rockville, MD: Agency for Healthcare Research and Quality. June 2017. https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safe…
  20. digital.ahrq.gov/location/usa-vt-windsor
    January 01, 2023 - USA, VT, Windsor Clinical Portal Survey: Mt. Ascutney Hospital and Health Center Description This is a questionnaire designed to be completed by nurses, physicians, and hospital staff in an inpatient setting. The tool includes questions to assess user's needs of electronic hea…