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Showing results for "establish".

401. 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…

402. "Never events" and the quest to reduce preventable harm. | PSNet
     psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
     June 01, 2016 - Commentary "Never events" and the quest to reduce preventable harm. Citation Text: Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43772/psn-pdf
     June 24, 2019 - Betsy Lehman Center for Patient Safety. June 24, 2019 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety The Betsy Lehman Center is a nonregulatory Massachusetts state agency named for Betsy Lehman, the Boston Globe columni…

404. 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 …

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36710/psn-pdf
     May 11, 2014 - Developing a medication patient safety program — infrastructure and strategy. May 11, 2014 Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149. https://psnet.ahrq.gov/issue/developing-medication-patient-safety-prog…

406. 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…

407. 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…

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34623/psn-pdf
     January 28, 2015 - Australian Commission on Safety and Quality in Health Care. January 28, 2015 Australian Commission for Safety and Quality in Health Care. https://psnet.ahrq.gov/issue/australian-commission-safety-and-quality-health-care Established in January 2006, the Commission leads and coordinates improvements in safety and qu…

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44573/psn-pdf
     October 21, 2015 - Getting the diagnosis wrong. October 21, 2015 Ofri D. New York Times. October 8, 2015. https://psnet.ahrq.gov/issue/getting-diagnosis-wrong This news article offers insights from a physician about the complexities around establishing a diagnosis in frontline practice and the recent IOM report recommendation to imp…

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37602/psn-pdf
     July 03, 2013 - The vanishing nonforensic autopsy. July 3, 2013 Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. https://psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy Autopsies are rarely performed, despite a wealth of literature demonstrating that diagnost…

411. Responding to Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/responding-patient-safety-events
     October 18, 2023 - Responding to Patient Safety Events Citation Text: Shaikh U. Responding to Patient Safety Events. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60718/psn-pdf
     July 22, 2020 - First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. July 22, 2020 Cumberlege J. London, England, Crown Copyright. July 8, 2020. https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety- review Implicit biases are known to affect…

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73093/psn-pdf
     March 31, 2021 - Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021 Whelehan DF, Algeo N, Brown DA. Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. BMJ Leader. 2021;5:108-112. doi:10.1136/leader-2020-000419. https://psnet.ahrq.gov/issue/lea…

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850927/psn-pdf
     June 21, 2023 - Room of horrors simulation in healthcare education: a systematic review. June 21, 2023 Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824. https://psnet.ahrq.gov/issue/room-horrors-simulation-he…

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837850/psn-pdf
     August 17, 2022 - Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. August 17, 2022 Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. BMC Health Serv Res. 2022;22(1):…

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849339/psn-pdf
     May 24, 2023 - Just a Cup of Tea – an Introduction to the SEIPS Framework. May 24, 2023 Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023. https://psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework The Systems Engineering Initiative for Patient Safety (SEIPS) framework …

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47019/psn-pdf
     July 11, 2018 - Center of Excellence for Improving Diagnosis. July 11, 2018 Patient Safety Authority. https://psnet.ahrq.gov/issue/center-excellence-improving-diagnosis Diagnostic error has gained recognition as an important patient safety concern. Established within the Pennsylvania Patient Safety Authority, this center will add…

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34622/psn-pdf
     March 17, 2011 - National Confidential Enquiry into Patient Outcome and Death. March 17, 2011 National Confidential Enquiry into Patient Outcome and Death; NCEPOD https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death Launched under the title National Confidential Enquiry into Perioperative Deaths (NC…

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41353/psn-pdf
     May 09, 2012 - Speaking up, being heard: registered nurses' perceptions of workplace communication. May 9, 2012 Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs Manag. 2012;20(3):361-71. doi:10.1111/j.1365-2834.2011.01296.x. https://psnet.ahrq.gov/issue/speaking-being-heard-reg…

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47887/psn-pdf
     August 07, 2019 - Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. August 7, 2019 Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972. doi:10.1177/0193945918815462. h…