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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39286/psn-pdf
    February 10, 2010 - Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. February 10, 2010 Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48075/psn-pdf
    June 19, 2019 - A mismatch made in America. June 19, 2019 Butcher L. Managed Care. June 2019;28:37-39. https://psnet.ahrq.gov/issue/mismatch-made-america Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient errors. This magazine article reports on the complex nature of addressing …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45752/psn-pdf
    January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. January 11, 2017 Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06. https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47662/psn-pdf
    February 21, 2024 - Lucian Leape Patient Safety Fellowship Award. February 21, 2024 International Society for Quality in Health Care https://psnet.ahrq.gov/issue/lucian-leape-patient-safety-fellowship-award Inspired by the work and leadership of Dr. Lucian Leape, this award is a mentoring program to develop physicians and leaders see…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43596/psn-pdf
    December 19, 2014 - The role of the anesthesiologist in perioperative patient safety. December 19, 2014 Wacker J, Staender S. The role of the anesthesiologist in perioperative patient safety. Curr Opin Anaesthesiol. 2014;27(6):649-656. doi:10.1097/ACO.0000000000000124. https://psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46138/psn-pdf
    May 31, 2017 - An innovative collaborative model of care for undiagnosed complex medical conditions. May 31, 2017 Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.1542/peds.2016-3373. https://psnet.ahrq.gov…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836856/psn-pdf
    April 06, 2022 - To what extent are patients involved in researching safety in acute mental healthcare? April 6, 2022 Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x. https://psnet.ahr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46973/psn-pdf
    June 25, 2018 - Balancing innovation and safety when integrating digital tools into health care. June 25, 2018 Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. https://psnet.ahrq.gov/issue/balancing-inno…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46650/psn-pdf
    July 12, 2018 - Towards a more patient-centered approach to medication safety. July 12, 2018 Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532. https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44365/psn-pdf
    November 20, 2015 - A prospective study of suicide screening tools and their association with near-term adverse events in the ED. November 20, 2015 Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED. Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j.ajem.2015.08.013. https://psn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39517/psn-pdf
    May 25, 2010 - A prospective controlled trial of the effect of a multi- faceted intervention on early recognition and intervention in deteriorating hospital patients. May 25, 2010 Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and inter…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45094/psn-pdf
    May 04, 2016 - Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. May 4, 2016 Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16- 328. https://psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care This analysis found that s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867049/psn-pdf
    October 30, 2024 - National Review of Maternity Services in England 2022 to 2024. October 30, 2024 National Review Of Maternity Services In England 2022 To 2024. Newcastle Upon Tyne, UK: Care Quality Commission; September 2024. https://psnet.ahrq.gov/issue/national-review-maternity-services-england-2022-2024 Maternal safety is a gl…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41087/psn-pdf
    November 26, 2014 - Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. November 26, 2014 Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2012;27(3):287-91. doi:10.1007/s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44352/psn-pdf
    August 12, 2015 - Hospital checklists are meant to save lives—so why do they often fail? August 12, 2015 Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. https://psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fai…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60034/psn-pdf
    March 11, 2020 - Responding to unprofessional behavior by trainees - a "just culture" framework. March 11, 2020 Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591. https://psnet.ahrq.gov/issue/resp…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862613/psn-pdf
    February 14, 2024 - Standardizing medication reconciliation in a pediatric emergency department. February 14, 2024 Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. https://psnet.ahrq.gov/issue/st…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40308/psn-pdf
    April 22, 2011 - Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. April 22, 2011 Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient- safety specialists, workforce staff and managers. BMJ Qual Saf. 2011;20(5):424-31. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38663/psn-pdf
    May 27, 2009 - Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. May 27, 2009 Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. Surgery. 2009;145(5):527-35. doi:10.1016…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851194/psn-pdf
    July 05, 2023 - The additional cost of perioperative medication errors July 5, 2023 Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. https://psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors Prev…