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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45586/psn-pdf
    November 02, 2016 - Antimicrobial stewardship and patient safety. November 2, 2016 Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety Antimicrobial stewardship has been highlighted as a strate…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858323/psn-pdf
    December 13, 2023 - Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. December 13, 2023 O'Neill E. Health Shots. National Public Radio. December 2, 2023. https://psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses Inordinate focus on one element o…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44152/psn-pdf
    November 06, 2015 - Infection Prevention. November 6, 2015 Allen G, ed. AORN J. 2015;101:505-596. https://psnet.ahrq.gov/issue/infection-prevention A primary concern in the perioperative setting is the prevention of health care–associated infections, particularly surgical site infections. Articles in this special issue explore strate…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46081/psn-pdf
    April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42985/psn-pdf
    February 26, 2014 - Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. February 26, 2014 Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04. https://psnet.ahrq.gov/issue/confusion-specimen-mix…
  6. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
    May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Conclusion Previous Page   Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Program (CUSP) Measurement…
  7. digital.ahrq.gov/technology/digital-scribe
    January 01, 2023 - Digital Scribe Assessing the Effects of EHR Optimization Interventions in Primary Care Description This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial intelli…
  8. digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual/citation/effect
    January 01, 2023 - Effect of electronic health record clinical decision support on contextualization of care: A randomized clinical trial. Citation Weiner SJ, Schwartz A, Weaver F, Galanter W, Olender S, Kochendorfer K, Binns-Calvey A, Saini R, Iqbal S, Diaz M, Michelfelder A, Varkey A. Effect of electronic health recor…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50758/psn-pdf
    December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement …
  10. digital.ahrq.gov/ahrq-funded-projects/ml-rover-machine-learning-reduce-laboratory-test-overutilization/citation/picu
    January 01, 2025 - The PICU data collaborative: A novel, multi-institutional, pediatric critical care dataset. Citation Farris RWD, Shah SS, Bennett TD, Brown SR, Cornell TT, Dziorny AC, Flynn A, Grunwell J, Heneghan JA, Kennedy CE, Kretsu A, Mendonca E, Nishisaki A, Rogerson C, Tawfik DS, Wetzel RC, Sanchez-Pinto LN; P…
  11. digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/shared-decision
    January 01, 2023 - Shared decision-making for drug-drug interactions: Formative evaluation of an anticoagulant drug interaction. Citation Gomez Lumbreras A, Reese TJ, Del Fiol G, Tan MS, Butler JM, Hurwitz JT, Brown M, Kawamoto K, Thiess H, Wright M, Malone DC. Shared decision-making for drug-drug interactions: Formativ…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842432/psn-pdf
    January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34979/psn-pdf
    June 22, 2009 - The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? June 22, 2009 Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. https://psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-negle…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42925/psn-pdf
    February 05, 2014 - Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. February 5, 2014 Hamilton DK, Stichler JF, eds. HERD. 2013;7(suppl):1-154. https://psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare- associated Articles in…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44495/psn-pdf
    September 30, 2015 - Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. September 30, 2015 Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.1136/bmjqs-2014- 003921. htt…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50729/psn-pdf
    December 11, 2019 - Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. December 11, 2019 Washington DC; National Quality Forum: October 28, 2019. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement- considerations Efforts to track, understand…
  17. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide168.html
    October 01, 2014 - 168. Components of Intensive Treatment (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Medication Every smoker should be offered medications endorsed in this Guideline, except where contraindicated or for specific populations for which there is insu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47954/psn-pdf
    August 07, 2019 - Special Issue on Resilience Engineering and High Reliability Organizations. August 7, 2019 Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533. https://psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations Resilience is an organizational characteristic that enables indivi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48072/psn-pdf
    June 19, 2019 - Independent double checks: worth the effort if used judiciously and properly. June 19, 2019 ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. https://psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly Independent double checks can reduce risk of human …
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-e.pdf
    September 01, 2015 - Appendix E. Poster on Urinary Catheter Risks and Indications AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix E. Poster on Urinary Catheter Risks and Indications ■ Acute urinary retention or obstruction ■ Perioperative use in selected surgeries ■ Assistance of healing of severe perineal an…