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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39904/psn-pdf
    October 13, 2010 - Patient safety: moving the bar in prison health care standards. October 13, 2010 Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242. https://psnet.ahrq.gov/issue/patient-safety-moving-bar-prison…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40898/psn-pdf
    February 06, 2012 - Creating a web-based incident analysis and communication system. February 6, 2012 Marsal S, Heffner JE. Creating a web-based incident analysis and communication system. J Hosp Med. 2012;7(2):142-7. doi:10.1002/jhm.956. https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system This…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38567/psn-pdf
    April 15, 2009 - 2009 National Patient Safety Goals. April 15, 2009 Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008. https://psnet.ahrq.gov/issue/2009-national-patient-safety-goals This commentary provides background on the development of the Joint Commission's 200…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35457/psn-pdf
    January 05, 2017 - Examining nurses' decision process for medication management in home care. January 5, 2017 Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85. https://psnet.ahrq.gov/issue/examining-nurses-decision-process-medic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38113/psn-pdf
    February 28, 2009 - Prioritising the prevention of medication handling errors. February 28, 2009 Bertsche T, Niemann D, Mayer Y, et al. Prioritising the prevention of medication handling errors. Pharm World Sci. 2008;30(6):907-15. doi:10.1007/s11096-008-9250-3. https://psnet.ahrq.gov/issue/prioritising-prevention-medication-handling-e…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38304/psn-pdf
    December 17, 2008 - ISMP Announces 11th Annual Cheers Awards Recipients. December 17, 2008 https://psnet.ahrq.gov/issue/ismp-announces-11th-annual-cheers-awards-recipients The Cheers awards annually recognize leaders in the field of medication safety. Among the 2008 honorees are FDA Patient Safety News; the Health Information Translat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36344/psn-pdf
    February 17, 2011 - Clinical problem-solving. Lost in transcription. February 17, 2011 Kalus RM, Shojania KG, Amory JK, et al. Clinical problem-solving. Lost in transcription. N Engl J Med. 2006;355(14):1487-91. https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription This case involves an iatrogenic reaction that occ…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34958/psn-pdf
    June 14, 2011 - Patient safety in an interprofessional learning environment. June 14, 2011 Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3. https://psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment The authors discuss a patient safet…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40521/psn-pdf
    June 14, 2011 - Johns Hopkins receives $10 million to open patient safety institute. June 14, 2011 Cohn M. Baltimore Sun. May 27, 2011:A1.  https://psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36452/psn-pdf
    December 22, 2010 - Transfer of accountability: transforming shift handover to enhance patient safety. December 22, 2010 Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. https://psnet.ahrq.gov/issue/transfer-accountability-t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37173/psn-pdf
    January 02, 2017 - Eliminating adverse drug events at Ascension Health. January 2, 2017 Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(9):527-36. https://psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health The authors describe an initiativ…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37384/psn-pdf
    March 28, 2012 - Reducing harm to patients. Using patient safety dashboards at the board level. March 28, 2012 Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. https://psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-das…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33957/psn-pdf
    February 05, 2018 - State Patient Safety Centers: A New Approach to Promote Patient Safety. February 5, 2018 Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004. https://psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety Six states have enacted legislation to su…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41620/psn-pdf
    August 22, 2012 - Improving care transitions: optimizing medication reconciliation. August 22, 2012 Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527. https://psnet.ahrq.gov/issue/improvin…
  15. psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
    March 27, 2024 - Study A case of mistaken identity: staff input on patient ID errors. Citation Text: Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d. Copy Citation Format: DOI Google …
  16. psnet.ahrq.gov/issue/patient-safety-primary-care-has-many-aspects-interview-study-primary-care-doctors-and-nurses
    July 23, 2008 - Study Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses. Citation Text: Gaal S, van Laarhoven E, Wolters R, et al. Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses. J Eval Clin Pr…
  17. psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
    August 25, 2021 - Study Nurse well-being: a concept analysis. Citation Text: Patrician PA, Bakerjian D, Billings R, et al. Nurse well-being: a concept analysis. Nurs Outlook. 2022;70(4):639-650. doi:10.1016/j.outlook.2022.03.014. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…
  18. psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
    June 28, 2023 - Study Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Citation Text: Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
  19. psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
    February 12, 2020 - Commentary An infrastructure to provide safer, higher quality, and more equitable telehealth. Citation Text: Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…
  20. psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-prescribing-american-society-parenteral-and
    February 17, 2015 - Commentary Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model. Citation Text: Guenter P, Boullata JI, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Pare…

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