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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39962/psn-pdf
    September 24, 2016 - Interruptions and medication errors: part I. September 24, 2016 Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b. https://psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i This commentary discusses preventable medic…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39081/psn-pdf
    September 27, 2016 - Medication room madness: calming the chaos. September 27, 2016 Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual. 2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d. https://psnet.ahrq.gov/issue/medication-room-madness-calming-chaos Through space and process desi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35353/psn-pdf
    July 16, 2009 - Best-practice protocols: preventing adverse drug events. July 16, 2009 Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30. https://psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events This article reports on one hospital's use of failure modes and …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39652/psn-pdf
    June 30, 2010 - Aftercare tips for patients checking out of the hospital. June 30, 2010 Alderman L. New York Times. June 18, 2010;B6. https://psnet.ahrq.gov/issue/aftercare-tips-patients-checking-out-hospital This news piece highlights efforts to improve discharge planning, enhance the safety of care transitions, and reduce readm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34001/psn-pdf
    April 16, 2018 - Patient Safety Authority. April 16, 2018 Commonwealth of Pennsylvania https://psnet.ahrq.gov/issue/patient-safety-authority The Patient Safety Authority is an independent state agency charged with taking steps to reduce and eliminate medical errors by identifying problems and recommending solutions. The site inclu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40761/psn-pdf
    September 12, 2016 - Failure to rescue in neonatal care. September 12, 2016 Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. https://psnet.ahrq.gov/issue/failure-rescue-neonatal-care This commentary suggests numerous strategies to redu…
  7. digital.ahrq.gov/organization/university-california-san-diego
    January 01, 2023 - University of California, San Diego Web-Based Intervention for Alcohol Use in Women of Childbearing Potential - 2010 Principal Investigator Delrahim-Howlett, Katia Project Name Web-Based Intervention for Alcohol Use in Women of Childbearing Potential …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43268/psn-pdf
    June 11, 2014 - Medication Safety Program. June 11, 2014 Atlanta, GA: Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/medication-safety-program This Web site provides information for providers and patients to reduce risks related to adverse drug events, including links to fact sheets, research, and govern…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38957/psn-pdf
    January 16, 2013 - Diagnostic Error in Medicine. January 16, 2013 Berner ES, Graber ML, eds. Adv Health Sci Educ Theory Pract. 2009;14(suppl 1):1-112. https://psnet.ahrq.gov/issue/diagnostic-error-medicine This supplement consists of 12 articles drawn from a 2008 conference on diagnostic error, covering topics such as medical proble…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36674/psn-pdf
    January 18, 2011 - An intervention to enhance nursing staff teamwork and engagement. January 18, 2011 Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84. https://psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement The authors d…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34135/psn-pdf
    February 28, 2024 - Hand Hygiene in Healthcare Settings. February 28, 2024 Centers for Disease Control and Prevention https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC) strategy to promote patient safety by reducing infect…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34009/psn-pdf
    November 12, 2014 - Consumer Safe Medicine. November 12, 2014 Plymouth Meeting, PA; Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismps-safe-medicine ISMP's electronic consumer medication safety newsletter is published six times a year and its content aims to engage patients and families in reducing medication…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38368/psn-pdf
    July 30, 2015 - Childrens' Hospitals' Solutions for Patient Safety. July 30, 2015 https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety This Web site provides resources related to a collaborative effort involving more than 80 hospitals with a goal of reducing health care–associated conditions, readmissions, and…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
    May 01, 2017 - The use of standard NICHD nomenclature17,18,19 reduces confusion and risk of error.
  15. digital.ahrq.gov/sites/default/files/docs/citation/r01hs024713-adelman-final-report-2023.pdf
    January 01, 2023 - Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records - Final Report 1 Final Progress Report to Agency for Healthcare Research and Quality Title of Project Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Ph…
  16. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-guide.docx
    September 01, 2022 - The Never Antibiotics Diagnoses: Influenza and RSV – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 The “Never Antibiotics” Diagnoses: Influenza and RSV Ambulatory Care Slide Title and Commentary Slide Number and Slide The “Never Antibiotics” Diagnoses: Influenza and RSV Ambulatory SAY…
  17. www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
    October 01, 2014 - CUSP: A Framework for Success (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on March 7, 2012   Contents Slide 1. CUSP: A Framework for Success Slide 2. Today's Speakers Slide 3. Working Together – The Players Slide 4. Learning Objectives Slide 5. The Mic…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 4. Long Term Management Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapt…
  19. integrationacademy.ahrq.gov/bhi-directory
    November 05, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  20. psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
    May 01, 2018 - SPOTLIGHT CASE Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency Citation Text: Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…