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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40851/psn-pdf
    October 12, 2011 - Improving Patient Safety Through Simulation Research: Funded Projects. October 12, 2011 Agency for Healthcare Quality and Research; AHRQ. https://psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research-funded-projects This AHRQ announcement lists projects funded in 2011 to evaluate how simulation…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40419/psn-pdf
    October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals. October 21, 2011 Horsham, PA: Institute for Safe Medication Practices; April 2011. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35179/psn-pdf
    June 06, 2016 - Patient safety in cataract surgery. June 6, 2016 Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82. https://psnet.ahrq.gov/issue/patient-safety-cataract-surgery The authors evaluate patient safety issues involved with cataract surgery and provide several recommendations for sa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39137/psn-pdf
    June 07, 2016 - The rise of patient safety organizations. June 7, 2016 Ivill DS, Kearbey AH. New York Law J. November 2, 2009. https://psnet.ahrq.gov/issue/rise-patient-safety-organizations This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection and evaluation, work product designa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35952/psn-pdf
    August 02, 2010 - Manage staff fatigue to improve patient safety. August 2, 2010 Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2. https://psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety The author discusses three steps for reducing staff fatigue. Part I of …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42241/psn-pdf
    May 01, 2013 - Special Issue on Teamwork. May 1, 2013 Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.   https://psnet.ahrq.gov/issue/special-issue-teamwork Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork in health care. https://psnet.ahrq.gov/issue/special-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38074/psn-pdf
    June 04, 2018 - Questions and Answers on FDA's Adverse Event Reporting System (FAERS). October 3, 2017 Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018. https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers This FAQ provides information on and access to …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42244/psn-pdf
    June 27, 2018 - Medical simulation: a holistic approach to highly reliable healthcare. June 27, 2018 Fanning RM. https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare This magazine article describes various ways simulation can be used to augment safety in health care, including evaluating w…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44652/psn-pdf
    November 11, 2015 - Developing a principle-based approach to safe medication practices. November 11, 2015 Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47. https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices This commentary describes the development, implementation, and evaluation of n…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42650/psn-pdf
    October 16, 2013 - The cost of disruptive and unprofessional behaviors in health care. October 16, 2013 Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009. https://psnet.ahrq.gov/issue/cost-disruptive-and-unprofessi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38393/psn-pdf
    October 03, 2017 - Adverse Health Care Events Reporting System: What Have We Learned? October 3, 2017 St. Paul, MN: Minnesota Department of Health; January 2009. https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned Through a qualitative evaluation of the Minnesota statewide reporting initiati…
  12. psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
    November 15, 2023 - January 29, 2020 Why Current Breast Pathology Practices Must Be Evaluated.
  13. psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
    September 22, 2021 - March 23, 2012 Why Current Breast Pathology Practices Must Be Evaluated.
  14. psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - October 4, 2011 Why Current Breast Pathology Practices Must Be Evaluated.
  15. psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
    November 03, 2015 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
  16. psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
    January 19, 2012 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  17. psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
    May 01, 2013 - December 27, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  18. psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
  19. psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
    May 05, 2010 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  20. psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
    October 04, 2011 - June 18, 2013 Why Current Breast Pathology Practices Must Be Evaluated.

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