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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43062/psn-pdf
    September 04, 2016 - The relationship between patient safety culture and patient outcomes: a systematic review. September 4, 2016 DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058. https://psnet.ahrq.gov/issue/relat…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46192/psn-pdf
    June 07, 2017 - Investigating the causes of adverse events. June 7, 2017 Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Investigating the Causes of Adverse Events. Ann Thorac Surg. 2017;103(6):1693-1699. doi:10.1016/j.athoracsur.2017.04.001. https://psnet.ahrq.gov/issue/investigating-causes-adverse-events Incident analysis enab…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46810/psn-pdf
    April 18, 2018 - Unintended doses in radiotherapy—over, under and outside? April 18, 2018 Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863. https://psnet.ahrq.gov/issue/unintended-doses-radiotherapy-over-under-and-outside…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44090/psn-pdf
    November 21, 2016 - Insensible losses: when the medical community forgets the family. November 21, 2016 Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. https://psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-fami…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40670/psn-pdf
    August 03, 2011 - ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. August 3, 2011 ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. ED management : the monthly update on emergency department management. 2011;23(7):78-80. https://psnet.ahrq.gov/issu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43778/psn-pdf
    April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph, but call him Joe. April 22, 2015 Sun LH. https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe This newspaper article reports on a pilot program which involved redesigning intensive care unit processes to enhance staff knowled…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47003/psn-pdf
    July 18, 2018 - Impact of an antiretroviral stewardship strategy on medication error rates. July 18, 2018 Shea KM, Hobbs AL, Shumake JD, et al. Impact of an antiretroviral stewardship strategy on medication error rates. Am J Health Syst Pharm. 2018;75(12):876-885. doi:10.2146/ajhp170420. https://psnet.ahrq.gov/issue/impact-antire…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41771/psn-pdf
    March 20, 2018 - Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. March 20, 2018 Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 12- 0041. https://psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-prof…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43961/psn-pdf
    August 02, 2015 - Reducing inappropriate polypharmacy: the process of deprescribing. August 2, 2015 Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. https://psnet.ahrq.gov/issue/reducing-inappropriate-pol…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44332/psn-pdf
    July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36884/psn-pdf
    May 27, 2011 - Evaluation of outpatient computerized physician medication order entry systems: a systematic review. May 27, 2011 Eslami S, Abu-Hanna A, de Keizer NF. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. J Am Med Inform Assoc. 2007;14(4):400-6. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39374/psn-pdf
    March 17, 2010 - Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. March 17, 2010 Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. J Am Med Inform Assoc. 2010;1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38644/psn-pdf
    May 20, 2009 - A quality initiative to decrease pathology specimen- labeling errors using radiofrequency identification in a high-volume endoscopy center. May 20, 2009 Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume en…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44270/psn-pdf
    July 01, 2015 - Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. July 1, 2015 Chicago, IL: Health Research & Educational Trust; June 2015. https://psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication- teamstepps This guide draws from the experience of organizati…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46414/psn-pdf
    January 10, 2018 - Leveraging the electronic health record to improve quality and safety in rheumatology. January 10, 2018 Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. https://psnet.ahrq.gov/issue/lev…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44200/psn-pdf
    February 18, 2019 - Structured handover in general surgery: an audit of current practice. February 18, 2019 Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. https://psnet.ahrq.gov/issue/structured-handover-general-…
  17. 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
  18. 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
  19. 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
  20. 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

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