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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46596/psn-pdf
    November 01, 2017 - Infection prevention and control in pediatric ambulatory settings. November 1, 2017 Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857. https://psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings Patient safety in the ambulatory environme…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41380/psn-pdf
    June 20, 2012 - A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. June 20, 2012 Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress.2011.12.021. https://psnet.ahrq.gov…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34627/psn-pdf
    December 08, 2015 - Patient & Worker Safety. December 8, 2015 Association of periOperative Registered Nurses. https://psnet.ahrq.gov/issue/patient-worker-safety This site hosts a guideline collection as a part of the Association of PeriOperative Registered Nurses' (AORN) patient safety initiative targeting the needs of perioperative …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50664/psn-pdf
    November 13, 2019 - Drug Shortages: Root Causes and Potential Solutions. November 13, 2019 Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020. https://psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions Drug shortages result from a variety of systemic failures. This report identifies…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36041/psn-pdf
    June 21, 2006 - Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. June 21, 2006 Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG. https://psnet.ahrq.gov/issue/intraoperative-adverse-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36158/psn-pdf
    September 29, 2010 - Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare. September 29, 2010 Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality and safety in medicare. Am J Med Qual. 2006;21(4):276-9. https://psnet.ahrq.gov/issue/medicatio…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34573/psn-pdf
    August 16, 2017 - Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents. August 16, 2017 Halbach JL; Sullivan L; New York Medical College https://psnet.ahrq.gov/issue/medical-errors-and-patient-safety-curriculum-guide-teaching-medical-students- and-family This curriculum…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40004/psn-pdf
    February 01, 2011 - Application of failure mode and effect analysis in a radiology department. February 1, 2011 Thornton E, Brook OR, Mendiratta-Lala M, et al. Application of Failure Mode and Effect Analysis in a Radiology Department. RadioGraphics. 2010;31(1):281-293. doi:10.1148/rg.311105018. https://psnet.ahrq.gov/issue/applicatio…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46281/psn-pdf
    January 01, 2021 - Classifying adverse events in the dental office. September 6, 2017 Kalenderian E, Obadan-Udoh E, Maramaldi P, et al. Classifying Adverse Events in the Dental Office. J Patient Saf. 2021;17(6):e540-e356. doi:10.1097/PTS.0000000000000407. https://psnet.ahrq.gov/issue/classifying-adverse-events-dental-office In this …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42927/psn-pdf
    February 05, 2014 - Staff Care: How to Engage Staff in the NHS and Why It Matters. February 5, 2014 London, UK: Point of Care Foundation; January 2014. https://psnet.ahrq.gov/issue/staff-care-how-engage-staff-nhs-and-why-it-matters The well-being of clinical staff is crucial to ensuring safe care delivery. This report provides result…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41484/psn-pdf
    September 26, 2012 - An institution-wide handoff task force to standardise and improve physician handoffs. September 26, 2012 Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71. https://psnet.ahrq.gov/issue/institution-wide-ha…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35083/psn-pdf
    March 29, 2007 - Patient Safety: Achieving a New Standard for Care. March 29, 2007 Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC: National Academies Press; 2004. ISBN 0309090776. https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care This report details findings…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46284/psn-pdf
    January 01, 2021 - The consequences of whistle-blowing: an integrative review. July 26, 2017 Lim CR, Zhang MWB, Hussain SF, et al. The Consequences of Whistle-blowing: An Integrative Review. J Patient Saf. 2021;17(6):e497-e502. doi:10.1097/PTS.0000000000000396. https://psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-re…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43864/psn-pdf
    January 28, 2015 - Starter Kit for Alarm Fatigue. January 28, 2015 National Association of Clinical Nurse Specialists; NACNS. https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit provides checklists, resources, and implemen…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38701/psn-pdf
    June 28, 2011 - Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'  June 28, 2011 Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement f…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35113/psn-pdf
    April 06, 2011 - Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. April 6, 2011 Cousins DH, Sabatier B, Begue D, et al. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. Qual Saf Health Car…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42184/psn-pdf
    December 18, 2013 - Why don't we know whether care is safe? December 18, 2013 Pham JC, Frick KD, Pronovost P. Why don't we know whether care is safe? Am J Med Qual. 2013;28(6):457-63. doi:10.1177/1062860613479397. https://psnet.ahrq.gov/issue/why-dont-we-know-whether-care-safe This commentary discusses barriers to understanding and m…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853075/psn-pdf
    August 30, 2023 - Striving for diagnostic excellence. August 30, 2023 Centor RM, Dhaliwal G. Annals On Call. July 2023. https://psnet.ahrq.gov/issue/striving-diagnostic-excellence Diagnostic accuracy requires both cognitive and team-focused skill development. This podcast interview shares problem-solving tactics that support diagno…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42695/psn-pdf
    August 02, 2015 - Composite measures for profiling hospitals on bariatric surgery performance. August 2, 2015 Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. https://psnet.ahrq.gov/issue/composite-meas…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44678/psn-pdf
    July 05, 2017 - Patient Safety Risk Management Playbook. July 5, 2017 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/patient-safety-risk-management-playbook Proactive risk management is an important component to improving the safety of care. Exploring principles of high reliabilit…

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