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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39781/psn-pdf
    November 23, 2016 - Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. November 23, 2016 Oakbrook Terrace, IL: The Joint Commission; 2010. https://psnet.ahrq.gov/issue/advancing-effective-communication-cultural-competence-and-patient-and- family-centered-care This…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48183/psn-pdf
    August 07, 2019 - Get the Medications Right Institute. August 7, 2019 8230 Old Courthouse Road, Suite 420, Tysons Corner, VA. https://psnet.ahrq.gov/issue/get-medications-right-institute A comprehensive systems-focused approach must be employed in the hospital and at home to ensure reliable medication use. This institute supports m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45226/psn-pdf
    January 04, 2017 - AHRQ Research Summit on Improving Diagnosis in Health Care. January 4, 2017 Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016. https://psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care Research is increasingly focusing on diagnostic errors and strategies to reduc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39609/psn-pdf
    June 27, 2010 - Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. June 27, 2010 Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.   https://psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit This supplem…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50715/psn-pdf
    December 04, 2019 - Quality and Safety of Healthcare in Switzerland. December 4, 2019 Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public Health; 2019. https://psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland Patient safety is a goal for countries worldwide. This report …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865819/psn-pdf
    May 08, 2024 - Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). May 8, 2024 National Quality Forum. https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring Strong incident reporting systems are a foundational component for understanding preventable health care error. Th…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42330/psn-pdf
    June 12, 2013 - Creating a culture of safety in the emergency department: the value of teamwork training. June 12, 2013 Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Adm. 2013;43(4):194-200. doi:10.1097/NNA.0b013e31828958cd. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39324/psn-pdf
    April 07, 2010 - Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. April 7, 2010 McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Patient Saf. 2010;36(3):117-125. https://psn…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38452/psn-pdf
    December 30, 2014 - The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference. December 30, 2014 Sanborn M, Gabay M, Moody ML. Hosp Pharm. 2009;44:159-164. https://psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999- consensus-develo…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42521/psn-pdf
    August 21, 2013 - Why your TeamSTEPPS program may not be working. August 21, 2013 Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007. https://psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working This commentary explores barriers to implementi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42765/psn-pdf
    November 30, 2016 - Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). November 30, 2016 Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. https://psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use- research-r18 This funding program will suppo…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39384/psn-pdf
    March 24, 2010 - Keeping safety a priority in home care and hospice: one agency's journey. March 24, 2010 Mullin LV. Keeping safety a priority in home care and hospice: one agency's journey. Home Healthc Nurse. 2010;28(2):63-70. doi:10.1097/NHH.0b013e3181cb5939. https://psnet.ahrq.gov/issue/keeping-safety-priority-home-care-and-ho…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73099/psn-pdf
    March 31, 2021 - Supporting nurses as essential partners in diagnosis. March 31, 2021 Carr S. ImproveDx. March 2021:8(2)  https://psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis Effective diagnosis is enhanced through multidisciplinary team-based efforts. This newsletter article outlines opportunities inhe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72863/psn-pdf
    March 17, 2021 - 7 ways to prevent medical errors. March 17, 2021 Caceres V. US News World Report. March 1, 2021. https://psnet.ahrq.gov/issue/7-ways-prevent-medical-errors Patients and families have an important role in reducing potential for error and harm. This article highlights a set of tactics for patients to enhan…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44720/psn-pdf
    December 16, 2015 - The persistent problem of diagnostic error. December 16, 2015 Lundberg GD. Medscape. December 1, 2015. https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error Spotlighting the author's experience with autopsies to provide context regarding diagnostic errors as a patient safety problem, this commentary out…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46708/psn-pdf
    February 08, 2023 - FDA/ISMP Safe Medication Management Fellowship Program. February 8, 2023 Food and Drug Administration, Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program This fellowship program provides clinicians with learning opportunities at the Institute…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43920/psn-pdf
    July 10, 2018 - Master of Science in Medical and Healthcare Simulation. July 10, 2018 Drexel University College of Medicine. https://psnet.ahrq.gov/issue/master-science-medical-and-healthcare-simulation Simulation training enables learning from mistakes without the potential for patient harm. This multidisciplinary degree program…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42256/psn-pdf
    May 10, 2013 - Rapid response systems: should we still question their implementation? May 10, 2013 Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050. https://psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41992/psn-pdf
    May 23, 2013 - Errors as allies: error management training in health professions education. May 23, 2013 King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. https://psnet.ahrq.gov/issue/errors-allies-error-managem…
  20. www.ahrq.gov/cpi/about/impact/index.html
    April 01, 2017 - AHRQ Works: Building Bridges Between Research and Practice   Accelerating learning and innovation in health care delivery is what AHRQ does—every day. AHRQ tools take the "what" and translate it into the “how” by providing research-backed, practical tools that doctors and nurses can use to improve care. Thi…