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  1. digital.ahrq.gov/ahrq-funded-projects/personalized-engagement-tool-pediatric-bmt-patients-and-caregivers/final-report
    January 01, 2023 - Personalized Engagement Tool for Pediatric BMT Patients and Caregivers - Final Report Citation Choi S. Personalized Engagement Tool for Pediatric BMT Patients and Caregivers - Final Report. (Prepared by University of Michigan under Grant No. R21 HS023613). Rockville, MD: Agency for Healthcare Research…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60296/psn-pdf
    May 06, 2020 - Ensuring access to medications in the US during the COVID-19 pandemic. May 6, 2020 Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic. JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016. https://psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865874/psn-pdf
    May 15, 2024 - Perceptions of U.S. and U.K. incident reporting systems: a scoping review. May 15, 2024 Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. https://psnet.ahrq.gov/issue/perceptions-us-and-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72528/psn-pdf
    December 02, 2020 - Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review. December 2, 2020 Han SM, Greenfield G, Majeed A, et al. Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review. J Med Internet Res. 2020;22(11):e23482. doi:10.2196/23482. ht…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43645/psn-pdf
    November 12, 2014 - Health IT and Clinical Decision Support Systems. November 12, 2014 Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375. https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems A universal agreement on how to calculate the return on investment for health information technology (IT) and…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838029/psn-pdf
    September 07, 2022 - Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. September 7, 2022 ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6. https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr- downtime Unanticipated…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72735/psn-pdf
    February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No. 20-01521-48. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43261/psn-pdf
    June 18, 2014 - Activation of a medical emergency team using an electronic medical recording–based screening system. June 18, 2014 Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. doi:10.1097/CCM.0000000000000031. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47297/psn-pdf
    October 31, 2018 - Reducing treatment errors through point-of-care glucometer configuration. October 31, 2018 Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014. https://psnet.ahrq.gov/issue/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44842/psn-pdf
    March 02, 2016 - Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. March 2, 2016 Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2015;54(S1). doi:10.1002/hrm.21725. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39879/psn-pdf
    September 29, 2010 - The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. September 29, 2010 Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. J Trauma.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35044/psn-pdf
    September 27, 2017 - Decisions about critical events in device-related scenarios as a function of expertise. September 27, 2017 Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. https://psnet.ahrq.gov/issue/decisions-ab…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39841/psn-pdf
    December 18, 2014 - Emergency department visits for medical device–associated adverse events among children. December 18, 2014 Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-0528. https://psnet.ahrq.gov/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35112/psn-pdf
    June 22, 2009 - Medication safety in older adults: home-based practice patterns. June 22, 2009 Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982. https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns This s…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37981/psn-pdf
    June 16, 2011 - Nurses' perceptions of error communication and reporting in the intensive care unit. June 16, 2011 Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48. https://psnet.ahrq.gov/issue/nurses…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43172/psn-pdf
    May 14, 2014 - Clinical clerkship students' perceptions of (un)safe transitions for every patient. May 14, 2014 Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153. https://psnet.ahrq.gov/issue/clini…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837855/psn-pdf
    August 17, 2022 - Patterns of error in interpretive pathology. August 17, 2022 Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. https://psnet.ahrq.gov/issue/patterns-error-interpretive-pathology Studies have shown diagnostic discordanc…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40958/psn-pdf
    January 19, 2012 - Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers? January 19, 2012 Scott J, Dawson P, Jones D. Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers? BMJ Qual…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866324/psn-pdf
    July 17, 2024 - Total systems safety supports practitioners in partnering with families to protect patients. July 17, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. https://psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients Patient and family concerns can provide…