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5041. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38370/psn-pdf
      August 22, 2009 - Monitoring for medication errors in outpatient settings. August 22, 2009 Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487. https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-sett…

5042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39130/psn-pdf
      November 25, 2009 - Deaths in Acute Hospitals: Caring to the End? November 25, 2009 Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. https://psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end This United Kingdom report analyzed m…

5043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42225/psn-pdf
      April 24, 2013 - Brigham and Women's airing medical mistakes. April 24, 2013 Kowalczyk L. https://psnet.ahrq.gov/issue/brigham-and-womens-airing-medical-mistakes This newspaper article describes how one hospital has fostered open communication about medical errors through a monthly newsletter that recounts mistakes in an effort to…

5044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36955/psn-pdf
      September 13, 2011 - Patient safety in after-hours telephone medicine. September 13, 2011 Killip S, Ireson CL, Love MM, et al. Patient safety in after-hours telephone medicine. Fam Med. 2007;39(6):404-9. https://psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine The investigators talked with patients who had used a fam…

5045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37190/psn-pdf
      October 07, 2011 - Medical errors arising from outsourcing laboratory and radiology services. October 7, 2011 Chasin BS, Elliott SP, Klotz SA. Medical errors arising from outsourcing laboratory and radiology services. Am J Med. 2007;120(9):819.e9-11. https://psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radi…

5046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46852/psn-pdf
      March 07, 2018 - NHS Resolution. March 7, 2018 NHS Resolution. https://psnet.ahrq.gov/issue/nhs-resolution The National Health Service (NHS) is a global leader in patient safety improvement. This website coalesces information and activities generated by three NHS improvement efforts: patient compensation, performance assessment, …

5047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38321/psn-pdf
      June 17, 2014 - No bad apples. June 17, 2014 Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1. https://psnet.ahrq.gov/issue/no-bad-apples This article provides context on a recent study and Joint Commission alert regarding how disruptive behavior may affect patient safety and describes steps hospitals ca…

5048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37358/psn-pdf
      January 02, 2017 - Reducing surgical complications. January 2, 2017 Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5. https://psnet.ahrq.gov/issue/reducing-surgical-complications The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by recommending several ch…

5049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33894/psn-pdf
      April 11, 2011 - Prevention of medication errors in the pediatric inpatient setting. April 11, 2011 Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics Committee on Hospital Care. Pediatrics. 2003;112(2):431-436. https://psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpat…

5050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35527/psn-pdf
      June 29, 2011 - Patient-reported service quality on a medicine unit. June 29, 2011 Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101. https://psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit The investigators interviewed pati…

5051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42241/psn-pdf
      May 01, 2013 - Special Issue on Teamwork. May 1, 2013 Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.   https://psnet.ahrq.gov/issue/special-issue-teamwork Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork in health care. https://psnet.ahrq.gov/issue/special-…

5052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39718/psn-pdf
      July 28, 2010 - What is patient safety culture? A review of the literature. July 28, 2010 Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x. https://psnet.ahrq.gov/issue/what-patient-safety-culture-review-liter…

5053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36307/psn-pdf
      June 30, 2011 - Is "first do no harm" a lost concept in medical education? June 30, 2011 O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77. https://psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education This commentary advocates for better patient safety training in medical…

5054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35481/psn-pdf
      December 30, 2012 - System errors in intrapartum electronic fetal monitoring: a case review. December 30, 2012 Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens Health. 2005;50(6):507-16. https://psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review …

5055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41960/psn-pdf
      May 19, 2014 - It's always something: hospital nurses managing risk. May 19, 2014 Groves PS, Finfgeld-Connett D, Wakefield BJ. It's always something: hospital nurses managing risk. Clin Nurs Res. 2014;23(3):296-313. doi:10.1177/1054773812468755. https://psnet.ahrq.gov/issue/its-always-something-hospital-nurses-managing-risk This…

5056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39685/psn-pdf
      July 14, 2010 - Human Factors in Anaesthesia and Critical Care. July 14, 2010 Hardman JG, Moppett IK, eds. Br J Anaesth. 2010;105(1):1-83.  https://psnet.ahrq.gov/issue/human-factors-anaesthesia-and-critical-care This special issue includes numerous articles discussing how human factors, communication, and latent system fact…

5057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35944/psn-pdf
      August 02, 2010 - Analysis of laboratory critical value reporting at a large academic medical center. August 2, 2010 Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. https://psnet.ahrq.gov/issue/analysis-laboratory-critical-…

5058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36048/psn-pdf
      September 27, 2010 - Can technology improve intershift report? What the research reveals. September 27, 2010 Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007. https://psnet.ahrq.gov/issue/can-technology-improve-inte…

5059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40536/psn-pdf
      September 19, 2012 - Putting the 'patient' in patient safety: a qualitative study of consumer experiences. September 19, 2012 Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.2011.00685.x. https://psnet.ahrq.…

5060. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34137/psn-pdf
      February 06, 2018 - Anesthesia Patient Safety Foundation. February 6, 2018 P.O. Box 6668, Rochester, MN 55903. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the effects of anesthesia. To achieve that mission, APSF s…