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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43314/psn-pdf
    August 15, 2018 - ISQua Fellowship Programme. August 15, 2018 International Society for Quality in Health Care. https://psnet.ahrq.gov/issue/isqua-fellowship-programme This announcement highlights a peer learning initiative that builds on existing programs and interdisciplinary networks to develop participants' understanding about …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34574/psn-pdf
    March 07, 2005 - Safe Handling of Hazardous Drugs. March 7, 2005 Polovich M; Blecher CS; Glynn-Tucker EM; McDiarmid M; Newton SA https://psnet.ahrq.gov/issue/safe-handling-hazardous-drugs This guideline provides recommendations to enhance the safe delivery of high-risk medications. Topics include assessing occupational exposure ri…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35579/psn-pdf
    November 26, 2008 - Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes. November 26, 2008 Napolitano LM, ed. Surg Clin North Am. 2005;85(6):1061-1380. https://psnet.ahrq.gov/issue/perioperative-issues-surgeons-improving-patient-safety-and-outcomes This issue focuses on the safety of surgical patients, with artic…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35472/psn-pdf
    September 21, 2009 - Clinical alarms: improving efficiency and effectiveness. September 21, 2009 Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. https://psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness The authors outline a process fo…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33903/psn-pdf
    November 28, 2018 - ECRI Guidelines Trust. November 28, 2018 ECRI Institute. https://psnet.ahrq.gov/issue/ecri-guidelines-trust This website is a practical resource to review existing clinical practice guidelines in a centralized location. Key components of the site include links to full-text guidelines and an assessment function tha…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35509/psn-pdf
    January 17, 2025 - Patient Safety Awareness Week. January 17, 2025 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/patient-safety-awareness-week This website provides resources for promoting patient safety during Patient Safety Awareness Week, including a webinar archive, selected readings and communication strate…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36287/psn-pdf
    September 20, 2006 - Nursing Home Complaint Investigations.  September 20, 2006 Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340. https://psnet.ahrq.gov/issue/nursing-home-complaint-investigations This report shares findings from an assessment of Centers for Medicaid and Medicare Services response…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38031/psn-pdf
    September 03, 2008 - Development and evaluation of a required patient safety course.  September 3, 2008 Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course. Am J Pharm Educ. 2008;72(3):65. https://psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course This ar…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35484/psn-pdf
    February 22, 2010 - The development of a patient safety program across the continuum of care. February 22, 2010 Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307. https://psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care The …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36669/psn-pdf
    January 18, 2011 - A review of organizational culture instruments for nurse executives. January 18, 2011 King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31. https://psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives The authors compare too…

  11. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
    October 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case October 2003 Hemivulvectomy: Wrong Side Removed Source and Credits This presentation is based on the Oct. 2003 AHRQ WebM&M Spotlight Case in OB/GYN See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Charles Vin…

  12. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Spotlight Case July 2008 Spotlight Case The Safety and Quality of Long Term Care * * Source and Credits This presentation is based on the September 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49603/psn-pdf
    June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in…

  14. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
    May 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case May 2005 Diagnosing Diagnostic Mistakes Source and Credits This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Robert McNutt, MD; Richard A…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36861/psn-pdf
    November 23, 2016 - Patients as Partners: How to Involve Patients and Families in Their Own Care. November 23, 2016 McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964. https://psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care This book illustrates how health c…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35860/psn-pdf
    March 11, 2019 - Patient safety in the office-based setting. March 11, 2019 Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. https://psnet.ahrq.gov/issue/patient-safety-office-based-setting The authors discuss improving patient safety in the office-based …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35727/psn-pdf
    February 22, 2006 - Risk of medication errors at hospital discharge and barriers to problem resolution. February 22, 2006 Enguidanos SM; Brumley RD. https://psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution The authors reviewed discharge medication records for elderly patients to assess do…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37611/psn-pdf
    February 15, 2011 - SBAR for patients. February 15, 2011 Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06. https://psnet.ahrq.gov/issue/sbar-patients This commentary presents information and background on the standardized communication process known as SBAR (situation, background, assessment, a…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36953/psn-pdf
    June 13, 2007 - Quality and Safety Education for Nurses. June 13, 2007 Cronenwett L, ed. Nurs Outlook. 2007;55(3):117-162. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurses This issue covers a variety of topics related to quality and safety education for nurses, including the integration of safety content into dail…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36963/psn-pdf
    September 12, 2011 - Health literacy and its influence on patient safety. September 12, 2011 Ross J. Health Literacy and Its Influence on Patient Safety. Journal of PeriAnesthesia Nursing. 2007;22(3). doi:10.1016/j.jopan.2007.03.005. https://psnet.ahrq.gov/issue/health-literacy-and-its-influence-patient-safety The author discusses the…
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