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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844798/psn-pdf
    September 25, 2019 - Poetry and Medicine. Mistakes. September 25, 2019 Kittleson M. JAMA. 2019;322(10):984. https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes-0 Medical mistakes are a source of anxiety for both patients and clinicians. This poem articulates a physician's perspective regarding the psychological impact of uncerta…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34926/psn-pdf
    February 03, 2010 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls. February 3, 2010 Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36. https://psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37951/psn-pdf
    May 26, 2011 - The Leapfrog Group's CPOE standard and evaluation tool. May 26, 2011 Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25. https://psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool This article describes an evaluation tool designed for…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37339/psn-pdf
    January 02, 2017 - A check-up for safety culture in "my patient care area." January 2, 2017 Sexton JB, Paine LA, Manfuso J, et al. A Check-up for Safety Culture in “My Patient Care Area”. doi:10.1016/s1553-7250(07)33081-x. https://psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area This tool is designed to allow frontline…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35761/psn-pdf
    February 15, 2017 - SBAR: a shared mental model for improving communication between clinicians. February 15, 2017 Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75. https://psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41711/psn-pdf
    September 26, 2012 - Beyond FMEA: the structured what-if technique (SWIFT). September 26, 2012 Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. https://psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards This commentary…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41442/psn-pdf
    May 30, 2012 - Radiation Therapy Safety: The Critical Role of the Radiation Therapist. May 30, 2012 Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundation; 2012. https://psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist Summarizing the rol…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43800/psn-pdf
    August 02, 2016 - Patient Safety Culture: Theory, Methods and Application. August 2, 2016 Waterson P, ed. London, UK: Ashgate; 2014. ISBN: 9781409448143. https://psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application This publication covers patient safety culture including its background in high-risk industries, …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50633/psn-pdf
    November 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in assessment to ensure their safety. This re…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35957/psn-pdf
    August 02, 2010 - A practical approach to measure the quality of handwritten medication orders: a tool for improvement. August 2, 2010 Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000205738.45580.5a. https://ps…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865934/psn-pdf
    May 01, 2023 - MHA Person- and Family-Centered Care. May 1, 2023 MHA Keystone Center. Michigan Health and Hospital Association. https://psnet.ahrq.gov/issue/mha-person-and-family-centered-care Person- and family-centered (PFC) care puts the patient and their family at the center of decision making and planning for their health a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44693/psn-pdf
    June 15, 2016 - Safety. June 15, 2016 Center for Health Design. https://psnet.ahrq.gov/issue/safety-0 Elements of the health care work environment can affect the care delivery. This website highlights design considerations for health care facilities that can help reduce noise, falls, and hospital-acquired infections. The collect…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41808/psn-pdf
    October 08, 2024 - ISMP Medication Safety Intensive. October 8, 2024 Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). https://psnet.ahrq.gov/issue/ismp-medication-safety-intensive This virtual workshop will explore tactics for community and specialty pharmacies to ensure medication safety, inc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35034/psn-pdf
    November 05, 2015 - Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. November 5, 2015 Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute for Healthcare Improvement; 2008. https://psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-car…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36816/psn-pdf
    August 26, 2011 - Embedding quality improvement and patient safety - the UCLA value analysis experience. August 26, 2011 Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. https://psnet.ahrq.gov/issue/embedding-quality-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40812/psn-pdf
    November 16, 2011 - Introducing the patient safety professional: why, what, who, how, and where? November 16, 2011 Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e585. https://psnet.ahrq.gov/issue/introd…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36942/psn-pdf
    March 18, 2010 - Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. March 18, 2010 Patient Safety Advisory https://psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer- system-safety This article shares findings from a workgroup that assessed the efficac…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856639/psn-pdf
    November 29, 2023 - Impact Wellbeing. November 29, 2023 National Institute for Occupational Safety and Health. Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/impact-wellbeing Clinician burnout has become a major concern for both healthcare workforce and patient safety. This portal provides access to too…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50665/psn-pdf
    November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38192/psn-pdf
    November 05, 2008 - Evaluation of critical incidents in general surgery. November 5, 2008 Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296. https://psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery This study developed an…

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