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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838258/psn-pdf
    October 05, 2022 - Solutions from Professional Regulation and Beyond. October 5, 2022 Safer Care for All. London, England:  Professional Standards Authority for Health and Social Care; 2022. https://psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond Dedicated leadership is an important component to examine and ad…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74167/psn-pdf
    December 08, 2021 - National Patient Safety Board Advocacy Coalition. December 8, 2021 EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222. https://psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition Centralized reporting and analysis of adverse events in health care is a safety improvement model from the av…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45550/psn-pdf
    August 01, 2023 - Leape Ahead Award. August 1, 2023 American Association for Physician Leadership. https://psnet.ahrq.gov/issue/leape-ahead-award Efforts to incorporate respect and patient safety concepts into medical training have been inspired by the work and leadership of Dr. Lucian Leape, founding chairman of the Lucian Leape I…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72685/psn-pdf
    January 27, 2021 - Human Factors and Ergonomics in Healthcare. January 27, 2021 Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare Human factors approaches have been identified as one of the primary vehicles to create las…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845079/psn-pdf
    February 22, 2023 - Pump up the volume: how to prioritize events and analyze error data. February 22, 2023 ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. https://psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data Patient safety event reporting is an established component of a …
  6. psnet.ahrq.gov/issue/perceptions-pediatric-hospital-safety-culture-united-states-analysis-2016-hospital-survey
    January 19, 2022 - Study Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. Citation Text: Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of t…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35170/psn-pdf
    October 07, 2016 - Center for Patient Safety. October 7, 2016 Missouri State Medical Association; Missouri Hospital Association; Primaris https://psnet.ahrq.gov/issue/center-patient-safety The Missouri Center for Patient Safety is dedicated to improving patient safety in Missouri by applying evidence-based methods and best practices…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38086/psn-pdf
    May 05, 2018 - Don't underestimate the impact of change on risk potential. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3. https://psnet.ahrq.gov/issue/dont-underestimate-impact-change-risk-potential This article discusses a medication error associated with a new smart pump system and des…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36918/psn-pdf
    September 01, 2011 - Developing a culture of safety in ambulatory care settings. September 1, 2011 Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage. 2007;30(2):105-13. https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings The author discusses the issues involved in e…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33945/psn-pdf
    March 17, 2011 - Massachusetts Coalition for the Prevention of Medical Errors. March 17, 2011 Massachusetts Coalition for the Prevention of Medical Errors https://psnet.ahrq.gov/issue/massachusetts-coalition-prevention-medical-errors The Massachusetts Coalition for the Prevention of Medical Errors was established to improve patien…
  11. psnet.ahrq.gov/issue/visual-medication-schedule-improve-anticoagulation-control-randomized-controlled-trial
    October 21, 2010 - Study A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Citation Text: Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;…
  12. psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
    August 25, 2011 - Study Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Citation Text: Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…
  13. psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and
    November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847057/psn-pdf
    April 05, 2023 - Implement strategies to prevent persistent medication errors and hazards. April 5, 2023 ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards Medication mistakes are recognized contributors to p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845080/psn-pdf
    February 22, 2023 - A high-reliability organization mindset. February 22, 2023 Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086. https://psnet.ahrq.gov/issue/high-reliability-organization-mindset The goal for health care organiz…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848044/psn-pdf
    April 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47940/psn-pdf
    May 01, 2019 - Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. May 1, 2019 Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. https://psnet.ahrq.gov/issue/validation-pr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37552/psn-pdf
    April 01, 2010 - Hospital responses to the Leapfrog Group in local markets. April 1, 2010 Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499. https://psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets Th…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34002/psn-pdf
    March 17, 2011 - Utah DoH Patient Safety Initiatives. March 17, 2011 Center for Health Data, Utah Department of Health, PO Box 144004, Salt Lake City, UT 84114. https://psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38979/psn-pdf
    October 14, 2009 - Active learning: when is more better? The case of resident physicians' medical errors. October 14, 2009 Katz-Navon T; Naveh E; Stern Z. https://psnet.ahrq.gov/issue/active-learning-when-more-better-case-resident-physicians-medical-errors Establishing an active learning climate, in which resident physicians are enc…

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