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  1. psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
    May 16, 2022 - When the Meds Don’t Reach the Bed Citation Text: Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  2. psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
    July 23, 2024 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations Save Save to your library Print Download PDF Share Facebook …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73575/psn-pdf
    August 04, 2021 - Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. August 4, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.  https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs Lack of appropriate follow up o…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847056/psn-pdf
    April 05, 2023 - Early diagnosis of cancer: systems approach to support clinicians in primary care. April 5, 2023 Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225. https://psnet.ahrq.gov/issue/early-di…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73963/psn-pdf
    October 13, 2021 - Patient perceptions of safety in primary care: a qualitative study to inform care. October 13, 2021 Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/03007995.2021.1976736. https://psnet.a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851067/psn-pdf
    June 28, 2023 - Assessing medication safety in settings not designated solely for pediatric patients. June 28, 2023 ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5. https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients Pediatric patients are at increa…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48129/psn-pdf
    August 14, 2019 - When there's no one to whom an error can be disclosed, how should an error be handled? August 14, 2019 Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553. https://psnet.ahrq.gov/issue/when-theres-no-one-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850348/psn-pdf
    June 14, 2023 - Approaches to improving patient safety in integrated care: a scoping review. June 14, 2023 Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441. https://psnet.ahrq.gov/issue/approaches-improving-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72605/psn-pdf
    December 23, 2020 - Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. December 23, 2020 Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport briefing form and checklist. Am J Obstet Gynecol. 2020;223(5):B12-B15. doi:10.1016/j.ajog.2020.0…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47369/psn-pdf
    April 08, 2019 - Why do hundreds of US women die annually in childbirth? April 8, 2019 Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. https://psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth Maternal mortality is a sentinel event th…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47262/psn-pdf
    August 22, 2018 - The Case for Medication Safety Officers (MSO). August 22, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/case-medication-safety-officers-mso Medication safety is a concern in various settings across an organization. This white paper discusses the role of a medication …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42875/psn-pdf
    January 22, 2014 - Communication in the operating theatre. January 22, 2014 Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332. https://psnet.ahrq.gov/issue/communication-operating-theatre This systematic review of communication in the operating…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36879/psn-pdf
    June 13, 2011 - Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. June 13, 2011 Paterson R. Auckland, NZ; Office of the Health and Disability Commissioner: April 2007. https://psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability- commissioner …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38287/psn-pdf
    February 06, 2009 - Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. February 6, 2009 Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.01717.x. https://psnet.ahrq.gov/iss…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34634/psn-pdf
    March 07, 2005 - Strategic Alliance For Error Reduction in California Healthcare (SAFER). March 7, 2005 University of California Medical Centers at San Francisco; University of California Medical Centers at Davis. https://psnet.ahrq.gov/issue/strategic-alliance-error-reduction-california-healthcare-safer The Strategic Alliance For…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33694/psn-pdf
    April 01, 2010 - In Conversation with…Janet Corrigan, PhD, MBA April 1, 2010 In Conversation with…Janet Corrigan, PhD, MBA. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba Editor's note: Janet M. Corrigan, PhD, MBA, is president and CEO of the National Quality Forum (NQF), a priva…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34934/psn-pdf
    March 11, 2011 - Exploring barriers and facilitators to the use of computerized clinical reminders. March 11, 2011 Saleem JJ, Patterson ES, Militello LG, et al. Exploring barriers and facilitators to the use of computerized clinical reminders. J Am Med Inform Assoc. 2005;12(4):438-47. https://psnet.ahrq.gov/issue/exploring-barrier…
  18. psnet.ahrq.gov/web-mm/communication-failure-whos-charge
    April 01, 2018 - Communication Failure—Who's in Charge? Citation Text: Fackler J, Schwartz JM. Communication Failure—Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndN…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72543/psn-pdf
    December 09, 2020 - Effects of interorganisational information technology networks on patient safety: a realist synthesis. December 9, 2020 Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):e036608. doi:10.1136/bmjopen-2019…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61027/psn-pdf
    October 14, 2020 - COVID-19: the dark side and the sunny side for patient safety. October 14, 2020 Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116. https://psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-p…

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