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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36173/psn-pdf
    September 29, 2010 - The need for organizational change in patient safety initiatives. September 29, 2010 Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. https://psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38209/psn-pdf
    June 02, 2010 - The effects of emergency department staff rounding on patient safety and satisfaction. June 2, 2010 Meade CM, Kennedy J, Kaplan J. The effects of emergency department staff rounding on patient safety and satisfaction. J Emerg Med. 2010;38(5):666-74. doi:10.1016/j.jemermed.2008.03.042. https://psnet.ahrq.gov/issue/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40521/psn-pdf
    June 14, 2011 - Johns Hopkins receives $10 million to open patient safety institute. June 14, 2011 Cohn M. Baltimore Sun. May 27, 2011:A1.  https://psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40813/psn-pdf
    July 19, 2017 - How to develop an effective obstetric checklist. July 19, 2017 Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003. https://psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist This commentary di…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42959/psn-pdf
    February 19, 2014 - A mislabeling event with batched drugs: the unintended consequences of practice changes. February 19, 2014 ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.  https://psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes This newsletter article describes how…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36077/psn-pdf
    July 05, 2006 - Perinatal patient safety from the perspective of nurse executives: a round table discussion. July 5, 2006 Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J. https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion The authors summarize a discussion be…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38475/psn-pdf
    March 10, 2011 - Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. March 10, 2011 Sellier E, Colombet I, Sabatier B, et al. Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. J Am Med Inform Assoc. 2009;16(2):203-10. doi:10.1197/jamia.M2805. https://psnet.ahrq.gov/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40751/psn-pdf
    September 07, 2011 - Developing a programme for medication reconciliation at the time of admission into hospital. September 7, 2011 Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi:10.1007/s11096-011-9530-1. http…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37565/psn-pdf
    February 27, 2008 - Effect of pharmacists on medication errors in an emergency department. February 27, 2008 Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391. https://psnet.ahrq.gov/issue/effect-pharmacists-me…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42600/psn-pdf
    September 18, 2013 - Oral medications inadvertently given via the intravenous route. September 18, 2013 Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91. https://psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route Analyzing data submitted to the Pennsylvania Patient Safety Reporti…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39693/psn-pdf
    July 21, 2010 - Learning accountability for patient outcomes. July 21, 2010 Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979. https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes This commentary discusses efforts to reduce central line blood stream infe…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41691/psn-pdf
    September 19, 2012 - Events associated with the prescribing, dispensing, and administering of medication loading doses. September 19, 2012 Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88. https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication- loading-doses This article discuss…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42176/psn-pdf
    April 17, 2013 - Checklists improve experts' diagnostic decisions. April 17, 2013 Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ. 2013;47(3):301-8. doi:10.1111/medu.12080. https://psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions Checklists have recently be…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41508/psn-pdf
    July 11, 2012 - Complications in surgery: root cause analysis and preventive measures. July 11, 2012 Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0. https://psnet.ahrq.gov/issue/complications-surgery-root-cause…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37173/psn-pdf
    January 02, 2017 - Eliminating adverse drug events at Ascension Health. January 2, 2017 Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(9):527-36. https://psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health The authors describe an initiativ…
  16. digital.ahrq.gov/principal-investigator/wang-hsin-hsiao-scott
    January 01, 2023 - Wang, Hsin-Hsiao Scott Machine-Learning Prediction Model for Personalized Urinary Tract Infection Care in Children Description The study will develop and implement a validated machine learning model to optimize voiding cystourethrogram timing and use for diagnosing vesicourete…
  17. digital.ahrq.gov/program/national-center-excellence-primary-care-research-center-evidence-and-practice-improvement
    January 01, 2023 - National Center for Excellence in Primary Care Research, Center for Evidence and Practice Improvement Program Link: https://www.ahrq.gov/ncepcr/index.html Assessing the Effects of EHR Optimization Interventions in Primary Care Description This research…
  18. digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-6
    January 01, 2023 - Nurse leader training presentation for the deployment of the QI-CDS tool (separate document with supplemental handout for data element definitions) Citation Nurse leader training presentation for the deployment of the QI-CDS tool (separate document with supplemental handout for data element definition…
  19. digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-0
    January 01, 2023 - Specifications for a care planning (CP) clinical decision support (CP-CDS) tool (Chapter 3; Figures 4-10) Citation Specifications for a care planning (CP) clinical decision support (CP-CDS) tool (Chapter 3; Figures 4-10) PDF action-cp-cds-tool-specifications.pdf Project Name …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39793/psn-pdf
    August 25, 2010 - Infection Control in the Intensive Care Unit. August 25, 2010 Crit Care Med. 2010;38:S265-S404.   https://psnet.ahrq.gov/issue/infection-control-intensive-care-unit Articles in this special issue describe strategies to reduce infections in the intensive care unit, including human factors design, guideline use…