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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43322/psn-pdf
    January 28, 2015 - Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. January 28, 2015 Oakbrook, IL: Joint Commission Resources; January 2014. https://psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies This toolkit draws from experiences of the Joint …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47354/psn-pdf
    November 21, 2018 - Improving Diagnosis in Medicine Change Package. November 21, 2018 Chicago, IL: Health Research & Educational Trust; 2018. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package Proactive identification of conditions that degrade the diagnostic process can drive improvement. This toolkit provides …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860400/psn-pdf
    January 10, 2024 - AHA Patient Safety Initiative. January 10, 2024 American Hospital Association. https://psnet.ahrq.gov/issue/aha-patient-safety-initiative Leadership at the organization and system level is crucial to gaining improvement traction and sustainability. This initiative centers on safety culture, care inequities, and wo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41185/psn-pdf
    March 24, 2012 - Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. March 24, 2012 Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss- cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256. https://psnet.ahrq.gov/issue/lea…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42279/psn-pdf
    May 15, 2013 - Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. May 15, 2013 Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):113-23; quiz 124-5. doi:10.1097/JPN.0b013…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44503/psn-pdf
    November 18, 2024 - Certified Professional in Patient Safety Review Course. November 18, 2024 Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern). https://psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course This online class prepares individuals to apply for the Institute for Healthca…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44237/psn-pdf
    November 03, 2015 - Consistent with prior studies, the authors recommend enhancing communication among team members to augment
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38193/psn-pdf
    November 05, 2008 - hospital-finances-and-patient-safety-outcomes https://psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39745/psn-pdf
    September 09, 2010 - duty-hours-emergency-medicine-balancing-patient-safety-resident-wellness-and-resident https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47035/psn-pdf
    April 18, 2018 - should take to improve diagnosis in primary care, such as leading efforts to reduce diagnostic error, enhancing
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36804/psn-pdf
    August 26, 2011 - analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42619/psn-pdf
    January 23, 2019 - organizational safety and reliability from other industries, the authors identify three key domains critical to enhancing
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40364/psn-pdf
    July 01, 2011 - psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40859/psn-pdf
    October 19, 2011 - issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive- support-necessary By enhancing
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43764/psn-pdf
    July 03, 2016 - This commentary describes a rounding process that focuses on enhancing safety culture, engaging patients
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39197/psn-pdf
    January 06, 2010 - root-cause-analysis https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43027/psn-pdf
    July 23, 2014 - improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44513/psn-pdf
    September 23, 2015 - recommendations to improve diagnosis, including promoting teamwork among interdisciplinary health care teams, enhancing
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47516/psn-pdf
    December 19, 2018 - Diverse stakeholders in Australia established an agenda for enhancing test result management, which
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44819/psn-pdf
    June 21, 2016 - notes the lack of systems to ensure clinicians' awareness of patients' opioid overdoses and recommends enhancing

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