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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37087/psn-pdf
    October 03, 2011 - Improving patient safety in the ED waiting room. October 3, 2011 Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2007;33(4):331-5. https://psnet.ahrq.gov/issue/improvin…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866958/psn-pdf
    October 16, 2024 - Beyond error: a qualitative study of human factors in serious adverse events. October 16, 2024 Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583. https://psnet.ahrq.gov/issue/beyond-error-qualitative-study…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857450/psn-pdf
    January 01, 2024 - Transforming team performance through reimplementation of the surgical safety checklist. December 6, 2023 Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/jamasurg.2023.5400. https://psnet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50557/psn-pdf
    October 16, 2019 - Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial October 16, 2019 Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial. JAMA Netw Open. 2019…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74032/psn-pdf
    November 03, 2021 - Patient, surgeon, and health care worker safety during the COVID-19 pandemic. November 3, 2021 Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124. https://psnet.ahrq.gov/issue/patient-surgeon-and-health-care-wor…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47763/psn-pdf
    February 13, 2019 - Priorities for pediatric patient safety research. February 13, 2019 Hoffman JM, Keeling NJ, Forrest CB, et al. Priorities for Pediatric Patient Safety Research. Pediatrics. 2019;143(2). doi:10.1542/peds.2018-0496. https://psnet.ahrq.gov/issue/priorities-pediatric-patient-safety-research This study aimed to priorit…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37233/psn-pdf
    December 15, 2011 - Nurses improve medication safety with medication allergy and adverse drug reports. December 15, 2011 Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7. https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-me…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33952/psn-pdf
    July 16, 2009 - Bar code label requirement for human drug products and biological products. July 16, 2009 Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171. https://psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products The US Food and Drug Administration (FDA) require…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44481/psn-pdf
    September 09, 2015 - When doctors get it wrong: misdiagnoses are getting a closer look. September 9, 2015 Olsen J. Star Tribune. August 30, 2015. https://psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look Diagnostic error is garnering increased attention as a patient safety problem. This news article r…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45022/psn-pdf
    April 20, 2016 - Clinical decision support for early recognition of sepsis. April 20, 2016 Amland RC, Hahn-Cover KE. Clinical decision support for early recognition of sepsis.  Am J Med Qual. 2016;31(2):103-10. doi:10.1177/1062860614557636. https://psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis Sepsis is a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42320/psn-pdf
    June 12, 2013 - Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside rounds. June 12, 2013 Henneman EA, Kleppel R, Hinchey KT. Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside rounds. J Nurs Adm. 2013;43(5):280-5. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43151/psn-pdf
    April 30, 2014 - Open for Better Care. April 30, 2014 Health Quality & Safety Commission New Zealand. https://psnet.ahrq.gov/issue/open-better-care This Web site hosts tools and resources associated with a national campaign to augment patient care. The initiative aims to build collaborative programs across New Zealand to reduce fa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866115/psn-pdf
    June 12, 2024 - Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. June 12, 2024 Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866244/psn-pdf
    July 10, 2024 - Optimizing the use of dose error reduction software on intravenous infusion pumps. July 10, 2024 Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385. https://psnet.ahrq.gov/issue/optimizi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33787/psn-pdf
    January 01, 2018 - make some progress in that area, our mission has expanded from safety in health care to the Triple Aim … The Triple Aim emerged from looking at problems in a new way. … One is the Triple Aim: IHI's vision that all of us in health care need to move from focus on the experience
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842422/psn-pdf
    January 11, 2023 - The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee. January 11, 2023 REPAIR Project Steering Committee. Acad Med. 2022;97(12):1753-1759.  https://psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-rac…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764400/psn-pdf
    March 02, 2022 - A mixed methods evaluation of medication reconciliation in the primary care setting. March 2, 2022 Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journal.pone.0260882. https://psnet.ahr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840144/psn-pdf
    November 16, 2022 - Dedicated teams to optimize quality and safety of surgery: a systematic review. November 16, 2022 Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078. doi:10.1093/intqhc/mzac078. ht…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47770/psn-pdf
    February 13, 2019 - Patient participation in patient safety—an exploration of promoting factors. February 13, 2019 Sahlström M, Partanen P, Azimirad M, et al. Patient participation in patient safety-An exploration of promoting factors. J Nurs Manag. 2019;27(1):84-92. doi:10.1111/jonm.12651. https://psnet.ahrq.gov/issue/patient-partic…
  20. psnet.ahrq.gov/issue/gaps-center
    October 01, 2023 - Multi-use Website GAPS Center. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL November 15, 2011 The GAPS Center (Getting At Patient Safety) aims to create, test, validate, and refine tools for h…

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