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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44488/psn-pdf
    September 16, 2015 - Environmental Cleaning for the Prevention of Healthcare- Associated Infections (HAIs). September 16, 2015 Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD: Agency for Healthcare Research and Quality; August 2015. Technical Brief No. 22. AHRQ Publication No. 15- EHC020-EF. https://p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836972/psn-pdf
    April 20, 2022 - Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). April 20, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 7, 2022. RFA-HS-22-008. https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and- quality-r18 …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43874/psn-pdf
    February 25, 2015 - An overview of the use and implementation of checklists in surgical specialities - a systematic review. February 25, 2015 Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):1317-23. doi:10.1016/j.ijsu.2014…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45386/psn-pdf
    November 23, 2016 - Balancing doctor egos and errors. November 23, 2016 Sweeney JF. Medical Economics. November 10, 2016. https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discus…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73225/psn-pdf
    May 05, 2021 - Black or 'other'? Doctors may be relying on race to make decisions about your health. May 5, 2021 Smith J, Spodak C. CNN. April 25, 2021. https://psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health Race-adjusted decision making tools perpetuate the potential for diagnos…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48041/psn-pdf
    July 10, 2019 - Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. July 10, 2019 Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1375. https://psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-m…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44617/psn-pdf
    January 22, 2016 - Pediatric prehospital medication dosing errors: a mixed- methods study. January 22, 2016 Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. https://psnet.ahrq.gov/issue/pediatric-preh…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44358/psn-pdf
    September 24, 2016 - Interruptions and medication administration in critical care. September 24, 2016 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. https://psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848044/psn-pdf
    April 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42128/psn-pdf
    August 15, 2013 - Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper- based order entry. August 15, 2013 Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. J Pha…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866567/psn-pdf
    August 21, 2024 - A daily dose of communication to improve quality and safety outcomes. August 21, 2024 Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846455/psn-pdf
    March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41826/psn-pdf
    June 03, 2013 - Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. June 3, 2013 Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist. 2013;53(3):430-40. doi:10.1093/geront…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39265/psn-pdf
    February 03, 2010 - Intensive care unit alarms—how many do we need? February 3, 2010 Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. https://psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need This study found that …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43996/psn-pdf
    November 10, 2018 - When doing wrong feels so right: normalization of deviance. November 10, 2018 Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. https://psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance This…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36711/psn-pdf
    July 25, 2011 - Designing decision support for insulin ordering in a computerized provider order entry system. July 25, 2011 Wright L, Feldott CC, Hargrove FR. Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. Hosp Pharm. 2010;42(2). doi:10.1310/hpj4202-158. https://psnet.ahrq.gov/issu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46799/psn-pdf
    March 20, 2018 - Seen through the patients' eyes: surgical safety and checklists. March 20, 2018 Bergs J, Lambrechts F, Desmedt M, et al. Seen through the patients' eyes: surgical safety and checklists. Int J Qual Health Care. 2018;30(2):118-123. doi:10.1093/intqhc/mzx180. https://psnet.ahrq.gov/issue/seen-through-patients-eyes-su…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41976/psn-pdf
    March 11, 2013 - Moving beyond readmission penalties: creating an ideal process to improve transitional care. March 11, 2013 Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9. doi:10.1002/jhm.1990. https://psnet.ahr…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44274/psn-pdf
    February 18, 2019 - Concepts for the development of a customizable checklist for use by patients. February 18, 2019 Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.0000000000000203. https://psnet.ahrq.gov/issue…