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The purpose of the Agency for Healthcare Research and Quality is to enhance the quality, appropriateness, and effectiveness of health services, and access to such services through the establishment of a broad base of scientific research and through the promotion of improvements in clinical and health system practices, including the prevention of diseases and other health conditions.

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45510/psn-pdf
    October 19, 2016 - How to perform a root cause analysis for workup and future prevention of medical errors: a review. October 19, 2016 Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20. doi:10.1186/s13037-016-0107-8. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73116/psn-pdf
    April 07, 2021 - Communication on safe caregiving between community nurse case managers and family caregivers. April 7, 2021 Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205. doi:10.3390/heal…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853434/psn-pdf
    September 13, 2023 - Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. September 13, 2023 Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus group interviews with older patients, their relatives, …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836958/psn-pdf
    April 20, 2022 - Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. April 20, 2022 Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in ra…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73119/psn-pdf
    April 07, 2021 - Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. April 7, 2021 Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35405/psn-pdf
    December 14, 2007 - Use of administrative data to find substandard care: validation of the complications screening program. December 14, 2007 Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. doi:10.1097/00005650-200008000-00004. https://psnet.ahrq.gov/issue/u…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837423/psn-pdf
    June 15, 2022 - Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. June 15, 2022 Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by online and offline speech recogniti…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46559/psn-pdf
    December 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45125/psn-pdf
    January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. January 26, 2023 Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute for Safe Medication Practices; January 2023. https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46984/psn-pdf
    April 04, 2018 - Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. April 4, 2018 Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident W…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46908/psn-pdf
    March 21, 2018 - Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross- sectional survey study. March 21, 2018 Schwappach DLB, Taxis K, Pfeiffer Y. Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey study. BMC Health S…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44818/psn-pdf
    February 24, 2018 - Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review. February 24, 2018 Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381. doi:10.1371/jour…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47385/psn-pdf
    April 27, 2019 - Reasons for repeat rapid response team calls, and associations with in-hospital mortality. April 27, 2019 Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005. h…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44150/psn-pdf
    August 21, 2015 - Reflection on adverse event disclosure in the postsurgical hospital context. August 21, 2015 Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. https://psnet.ahrq.gov/issue/reflection…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47853/psn-pdf
    April 10, 2019 - Does a unit shift report "blackout" period improve patient safety? April 10, 2019 Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8- 10. doi:10.1097/01.NUMA.0000553500.85897.51. https://psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patien…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44322/psn-pdf
    June 21, 2016 - Emotional harm from disrespect: the neglected preventable harm. June 21, 2016 Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034. https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45290/psn-pdf
    July 27, 2016 - Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. July 27, 2016 Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Community-Dwelling Older Adults: A Systema…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47380/psn-pdf
    September 05, 2018 - Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. September 5, 2018 Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership, accountability, learning and innovation in healthcare. J Patient Saf Risk Mana…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47676/psn-pdf
    December 19, 2018 - Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. December 19, 2018 Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680. doi:10.1001/jamaintern…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33794/psn-pdf
    November 01, 2015 - In Conversation With… Lorri Zipperer, MA November 1, 2015 In Conversation With… Lorri Zipperer, MA. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma Editor's note: Lorri Zipperer, principal at Zipperer Project Management, was a founding staff member of the National Patient…

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