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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Conclusion Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in …
  2. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Conclusion Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44675/psn-pdf
    July 05, 2016 - Why July matters. July 5, 2016 Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. https://psnet.ahrq.gov/issue/why-july-matters Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient mortality increa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43980/psn-pdf
    March 18, 2015 - Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. March 18, 2015 Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/NHH.0000000000000195. https://psnet.ahr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44650/psn-pdf
    November 11, 2015 - 'Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients' perception of safety in the intensive care unit. November 11, 2015 Wassenaar A, van den Boogaard M, van der Hooft T, et al. 'Providing good and comfortable care by building a bond of trust': nurses vie…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42899/psn-pdf
    January 29, 2014 - Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. January 29, 2014 Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Health Aff (Millwood)…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60648/psn-pdf
    July 01, 2020 - Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. July 1, 2020 Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Foreign Affairs. 2020;99:4. https://psnet.ahrq.gov/issue/chronicle-pan…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48102/psn-pdf
    August 07, 2019 - The unmeasured quality metric: burn out and the second victim syndrome in healthcare. August 7, 2019 Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.04.011. https://psnet.ahrq.gov/issue/u…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44118/psn-pdf
    May 19, 2018 - Inadequate preoperative team briefings lead to more intraoperative adverse events. May 19, 2018 Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. https://psnet.ahrq.gov/issue/inadequate-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73596/psn-pdf
    August 11, 2021 - Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. August 11, 2021 Rimondini M, Busch IM, eds. Int J Environ Res Public Health. 2021;18. https://psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high- quality-care-and…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43585/psn-pdf
    July 16, 2015 - At risk care plans: a way to reduce readmissions and adverse events. July 16, 2015 Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45378/psn-pdf
    January 23, 2017 - Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. January 23, 2017 Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46786/psn-pdf
    May 30, 2018 - Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. May 30, 2018 Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals acros…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44676/psn-pdf
    January 22, 2016 - Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. January 22, 2016 Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. doi:10.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42598/psn-pdf
    September 18, 2013 - Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? September 18, 2013 Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52. doi:10.1097/MCC.0b013e328364d53…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866809/psn-pdf
    September 25, 2024 - Stop the line: interventions to prevent retained surgical items. September 25, 2024 Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items Retained surgica…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45716/psn-pdf
    September 29, 2017 - Microanalysis of video from the operating room: an underused approach to patient safety research. September 29, 2017 Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-587. doi:10.1136/bmjqs-2016-00…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46808/psn-pdf
    February 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521. https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been a le…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42002/psn-pdf
    May 10, 2013 - National efforts to improve health information system safety in Canada, the United States of America and England. May 10, 2013 Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and England. Int J Med Inform. 2013;82(5):…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46952/psn-pdf
    January 01, 2019 - Perspectives on patient and family engagement with reduction in harm: the forgotten voice. December 21, 2018 Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1097/NCQ.0000000000000333. htt…