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  1. psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
    December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024  Also Read the Essay View more articles from the same authors. Citation…
  2. psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
    December 18, 2024 - The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Dykes PC, Sousane Z, Mossb…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73128/psn-pdf
    July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. April 7, 2021 https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications- and-enhances Summary The Hospital at Homesm program provides hospital-level care…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49483/psn-pdf
    June 01, 2005 - Getting to the Root of the Matter June 1, 2005 Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/getting-root-matter Case Objectives Appreciate the goals and limitations of root cause analysis Outline the steps to conduct root cause analysis The Case A…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838079/psn-pdf
    September 14, 2022 - Exploring the impact of employee engagement and patient safety. September 14, 2022 Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059. https://psnet.ahrq.gov/issue/exploring-impact-employee-engag…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36016/psn-pdf
    September 27, 2016 - Strategies used by nurses to recover medical errors in an academic emergency department setting. September 27, 2016 Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-7. https://psnet.ahrq.gov/iss…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45938/psn-pdf
    September 29, 2017 - Is excessive resource utilization an adverse event? September 29, 2017 Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698. https://psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event Overuse of therapies, medication…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38521/psn-pdf
    September 19, 2016 - Inpatient suicide: preventing a common sentinel event. September 19, 2016 Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007. https://psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event Suici…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60538/psn-pdf
    May 27, 2020 - Diagnostic Safety Toolkit. May 27, 2020 Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020. https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit Effective communication is an important component of diagnostic accuracy. Shaped with data co…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40487/psn-pdf
    June 01, 2011 - Developing and testing a tool to measure nurse/physician communication in the intensive care unit. June 1, 2011 Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b013e31820dbe02. https://psnet.ahrq.gov…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36935/psn-pdf
    September 01, 2011 - When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? September 1, 2011 Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Qual Manag Health Care. 2007…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73989/psn-pdf
    October 20, 2021 - How is safety climate measured? A review and evaluation. October 20, 2021 Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413. https://psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation Assessing s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40098/psn-pdf
    December 18, 2014 - Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. December 18, 2014 Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Pediatrics. 2010;126(6):e1461-8. doi:10.1542/peds.2009-2872…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38734/psn-pdf
    July 01, 2009 - Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. July 1, 2009 Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;133(6):933-7. doi:10.1043/1543-2165- …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36637/psn-pdf
    January 14, 2011 - The effect of the fit between organizational culture and structure on medication errors in medical group practices. January 14, 2011 Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practices. Health Care Manage Rev. 2007…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36026/psn-pdf
    March 28, 2011 - Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. March 28, 2011 Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf Health Care. 2006;15(3):196-201. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43720/psn-pdf
    November 26, 2014 - Hamilton father misdiagnosed with lung cancer demands answers. November 26, 2014 Carville O. The Star. November 14, 2014. https://psnet.ahrq.gov/issue/hamilton-father-misdiagnosed-lung-cancer-demands-answers This news article reports on a case involving a patient who was misdiagnosed with terminal cancer and touc…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866869/psn-pdf
    October 02, 2024 - Core Elements of Hospital Diagnostic Excellence (DxEx). October 2, 2024 Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex Diagnostic excellence is an expansion of the diagnostic error red…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43985/psn-pdf
    December 06, 2017 - Development of a medication safety and quality survey for small rural hospitals. December 6, 2017 Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154. https://psnet.ahrq.go…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60885/psn-pdf
    September 02, 2020 - Becoming a High Reliability Organization. September 2, 2020 VHA Forum. Summer 2020;1-12. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization High reliability attainment is a stated goal for health care organizations. This special issue covers established initiatives at the United States Veterans He…

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