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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60357/psn-pdf
    May 20, 2020 - Preventing medication errors at small and rural hospitals. May 20, 2020 McCook A. Preventing medication errors at small and rural hospitals.  Pharmacy Practice News. May 6, 2020. https://psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals Small and rural facilities experience similar m…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35006/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. October 25, 2013 Health Grades, Inc; 2005. https://psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals- study The first version of this now annual report on the safety of hospitalized …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44227/psn-pdf
    November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47708/psn-pdf
    February 13, 2019 - The role of purple pens in learning to prescribe. February 13, 2019 Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe Interventions utilizing color as visual c…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47131/psn-pdf
    July 18, 2018 - Good Catch Campaign: improving the perioperative culture of safety. July 18, 2018 Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148. https://psnet.ahrq.gov/issue/good-catch-campaign-improving-peri…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45397/psn-pdf
    August 10, 2016 - Many well-known hospitals fail to score high in Medicare rankings. August 10, 2016 Rau J. National Public Radio. July 27, 2016. https://psnet.ahrq.gov/issue/many-well-known-hospitals-fail-score-high-medicare-rankings Although quality rating systems have yet to receive approval across the health care industry, they…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74103/psn-pdf
    November 24, 2021 - SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. November 24, 2021 Flowerdew L, Tipping M. SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. Emerg Med J. 2021;38(10):769-775. doi:10.1136/emermed-2019-208965. https://psnet.ahrq.gov/iss…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47332/psn-pdf
    November 02, 2018 - Interventions for postsurgical opioid prescribing: a systematic review. November 2, 2018 Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. https://psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46080/psn-pdf
    August 28, 2017 - A growth mindset approach to preparing trainees for medical error. August 28, 2017 Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865598/psn-pdf
    April 17, 2024 - Guardians of grafts: reducing medication errors in transplant recipients. April 17, 2024 ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients Safe medication therapy for transplant patients is complex and h…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38555/psn-pdf
    April 15, 2009 - Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. April 15, 2009 Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 2009;21(2):121-6. doi:10.1080/10401330…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37398/psn-pdf
    March 28, 2012 - A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. March 28, 2012 Oken A, Rasmussen MD, Slagle JM, et al. A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Anesth…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39875/psn-pdf
    January 22, 2017 - Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. January 22, 2017 Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals. Jt Comm J Qual Patient Saf. 20…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47416/psn-pdf
    January 09, 2019 - Supervision, autonomy, and medical error in the teaching clinic. January 9, 2019 Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. https://psnet.ahrq.gov/issue/supervision-autonomy-and-medical-err…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44660/psn-pdf
    December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5 years post release. December 2, 2015 Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116. https://psnet.ahrq.gov/issue/squire-guidel…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837042/psn-pdf
    April 04, 2022 - Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. April 4, 2022 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management Crisis management skills are valuable at both the organizational and clinical …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41873/psn-pdf
    November 28, 2012 - A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. November 28, 2012 Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff (Millwood). 2012;31(11):2485-2492. do…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854634/psn-pdf
    January 01, 2024 - Elopement: evidence-based mitigation and management. October 18, 2023 Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence?based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. https://psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36122/psn-pdf
    January 05, 2017 - Using an MET service to manage hemorrhage post- percutaneous liver biopsy. January 5, 2017 Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417. https://psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43302/psn-pdf
    August 21, 2014 - A medication-based trigger tool to identify adverse events in pediatric anesthesiology. August 21, 2014 Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. https://psnet.ahrq.gov/issue/medication-…
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