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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41955/psn-pdf
    January 09, 2013 - Making Medical Devices Safer at Home. January 9, 2013 Consumer Updates. Silver Spring, MD: US Food and Drug Administration; December 12, 2012. https://psnet.ahrq.gov/issue/making-medical-devices-safer-home Highlighting concerns associated with patients' use of medical devices at home, such as difficulty understand…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42830/psn-pdf
    December 18, 2013 - How to Identify and Address Unsafe Conditions Associated With Health IT. December 18, 2013 Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for Health Information Technology; November 15, 2013. https://psnet.ahrq.gov/issue/how-identify-and-address-unsafe-c…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40668/psn-pdf
    March 04, 2015 - Body CT: technical advances for improving safety. March 4, 2015 Marin D, Nelson RC, Rubin GD, et al. Body CT: technical advances for improving safety. AJR Am J Roentgenol. 2011;197(1):33-41. doi:10.2214/AJR.11.6755. https://psnet.ahrq.gov/issue/body-ct-technical-advances-improving-safety This article explores risk…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42332/psn-pdf
    June 12, 2013 - Quality improvement through implementation of discharge order reconciliation. June 12, 2013 Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. https://psnet.ahrq.gov/issue/quality-impr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40568/psn-pdf
    June 29, 2011 - Tubing misconnections: normalization of deviance. June 29, 2011 Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. https://psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance Analyzing published ca…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41411/psn-pdf
    October 19, 2012 - Minnesota Hospital Association Statewide Project: SAFE from FALLS. October 19, 2012 Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b. https://psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35382/psn-pdf
    October 05, 2005 - Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations. October 5, 2005 Hall J. Fredericksburg Times. September 25, 2005 https://psnet.ahrq.gov/issue/rx-better-prescription-hospital-bans-doctors-using-confusing-medical- abbreviations This article presents one hospital’s pro…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42493/psn-pdf
    August 14, 2013 - Partnering to prevent falls: using a multimodal multidisciplinary team. August 14, 2013 Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. https://psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-m…
  9. digital.ahrq.gov/organization/mainegeneral-medical-center
    January 01, 2023 - Mainegeneral Medical Center Improving Health Information Technology Implementation in a Rural Health System - 2008 Principal Investigator Mingle, Daniel Project Name Improving Health Information Technology Implementation in a Rural Health System …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43055/psn-pdf
    May 01, 2017 - AHRQ's Safety Program for Ambulatory Surgery. May 1, 2017 Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May 2017. AHRQ Publication No. 16(17)-0019-1-EF. https://psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery This report provides information about a na…
  11. digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual/citation/contextualizing
    January 01, 2023 - Contextualizing care: An essential and measurable clinical competency. Citation Weiner SJ. Contextualizing care: An essential and measurable clinical competency. Patient Educ Couns. 2022 Mar;105(3):594-598. doi: 10.1016/j.pec.2021.06.016. Epub 2021 Jun 15. PMID: 34158194. Link https://pubmed.n…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47556/psn-pdf
    November 28, 2018 - Improving Diagnosis. November 28, 2018 Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70. https://psnet.ahrq.gov/issue/improving-diagnosis This special issue raises awareness of challenges to reducing diagnostic error. Articles discuss insights from experts about how to improve diagnosis, t…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43491/psn-pdf
    January 01, 2015 - The systems approach to medicine: controversy and misconceptions. December 9, 2014 Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106. https://psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconcept…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42364/psn-pdf
    September 18, 2013 - The pursuit of better diagnostic performance: a human factors perspective. September 18, 2013 Henriksen K, Brady J. The pursuit of better diagnostic performance: a human factors perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii1-ii5. doi:10.1136/bmjqs-2013-001827. https://psnet.ahrq.gov/issue/pursuit-better-diagnosti…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38341/psn-pdf
    April 02, 2009 - CPOE: it don't come easy. April 2, 2009 Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim. https://psnet.ahrq.gov/issue/cpoe-it-dont-come-easy Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE) systems could reduce medical errors…
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
    April 01, 2022 - Quality Improvement in Action Facilitator Guide CUSP Module: Quality Improvement in Action Facilitator Guide Slide Number and Image This module, titled “Quality Improvement in Action,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…
  17. www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report Title of Project: Diagnostic Error in Medicine Annual Conference Principal Investigator: Hardeep Singh, MD Team Members: • Paul L. Epner, M.Ed, MBA, Executive Vice President, Society to Improve Diagnosis in Me…
  18. www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
    January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics FINAL PROGRESS REPORT Title of Project: Pursuing Perfection in Pediatric Therapeutics Principal Investigator: Carole Lannon, MD, MPH Team Members: Research Director: Michael Seid, PhD Education Liaison: Peter Margolis, MD, PhD Program Manage…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
    December 01, 2017 - Applying CUSP To Promote Safe Surgery AHRQ Safety Program for Surgery Applying the Comprehensive Unit-based Safety Program (CUSP) To Promote Safe Surgery AHRQ Publication No. 16(18)-0004-14-EF December 2017 AHRQ Safety Program for Surgery Contents Introduction .........................................…
  20. psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
    November 25, 2020 - SPOTLIGHT CASE Some Patients Can't Wait: Improving Timeliness of Emergency Department Care Citation Text: Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…