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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73871/psn-pdf
    September 22, 2021 - Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). September 22, 2021 Rockville, MD: Agency for Healthcare Research and Quality; September 9, 2021. PA-21-267.  https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care- facilities-r…
  2. www.ahrq.gov/ncepcr/communities/pbrn/registry/southern-illinois-practice-research-organization.html
    January 01, 2012 - Southern Illinois Practice Research Organization Status: Inactive Registered Date: January 1, 2012 PBRN Acronym: SIPRO PBRN Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties) Other PBRN Type Other: Non-a…
  3. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix H Hierarchy of Solutions Do solutions meet the following criteria: Address the root cause/contributing factor. Are specific and concrete. Can be understood and implemented by a reader unfamiliar with the situation. Will be tested or simulated prior to…
  4. www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.html
    March 01, 2017 - Tips for Implementing Interventions These tips are to help educators prepare for a live training session and facilitate an interactive experience. Reinforce that the session focuses on ways the team can work together to improve resident safety and reduce catheter-associated urinary tract infections (CAUTIs)…
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Conclusion Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in …
  6. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide77.html
    October 01, 2014 - 77. For the Patient Who Has Recently Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Addressing problems encountered by former smokers (Continued) Weight gain Recommend starting or increasing physical activity. Reassure the patient that…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_gtube.pdf
    June 02, 2025 - NICU Toolkit, Appendix A, Gastrostomy Tube Gastrostomy Tube (G Tube or Button) Giving medicines and feeding if your baby has a gastrostomy tube: ■ Clear the G tube or button as your health care provider showed you. ■ Check for placement of the G tube or button. ■ Slowly push in liquid medicine or feeding with…
  8. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-1.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklis…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837206/psn-pdf
    May 25, 2022 - Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. May 25, 2022 Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 2022;48(3):319-327. doi:10.1016/j.jen.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60828/psn-pdf
    August 19, 2020 - When COVID-19 hit, many elderly were left to die. August 19, 2020 Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. https://psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die Residential care facilities have been challenged by C…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39460/psn-pdf
    March 23, 2011 - Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. March 23, 2011 Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787. https://psnet.a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44183/psn-pdf
    November 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. November 3, 2015 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling of alerts due to alarm fatigue can hinder the abilit…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853062/psn-pdf
    August 30, 2023 - Quality and safety practices among academic obstetrics and gynecology departments. August 30, 2023 Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.0000000000000129. https://psnet.ahrq.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44675/psn-pdf
    July 05, 2016 - Why July matters. July 5, 2016 Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. https://psnet.ahrq.gov/issue/why-july-matters Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient mortality increa…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45376/psn-pdf
    November 09, 2016 - The new CMS hospital quality star ratings: the stars are not aligned. November 9, 2016 Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679. https://psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866399/psn-pdf
    July 31, 2024 - Typology of solutions addressing diagnostic disparities: gaps and opportunities. July 31, 2024 Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. https://psnet.ahrq.gov/issue/typol…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36529/psn-pdf
    August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43080/psn-pdf
    March 26, 2014 - Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. March 26, 2014 Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Transfu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38070/psn-pdf
    March 10, 2011 - Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. March 10, 2011 Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44187/psn-pdf
    November 10, 2015 - A safe practice standard for barcode technology. November 10, 2015 Leung AA, Denham CR, Gandhi TK, et al. A safe practice standard for barcode technology. J Patient Saf. 2015;11(2):89-99. doi:10.1097/PTS.0000000000000049. https://psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology Barcode technology has…