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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43121/psn-pdf
    April 16, 2014 - Implementing the Safety Thermometer tool in one NHS trust. April 16, 2014 Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. https://psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust This commentary details a National…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47708/psn-pdf
    February 13, 2019 - The role of purple pens in learning to prescribe. February 13, 2019 Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe Interventions utilizing color as visual c…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39695/psn-pdf
    July 21, 2010 - The impact of the 80-hour work week on appropriate resident case coverage. July 21, 2010 Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003. https://psnet.ahrq.gov/issue/impact-80-hour…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43043/psn-pdf
    September 19, 2016 - "Second victim" casualties and how physician leaders can help. September 19, 2016 MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8- 12. https://psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help Second victims are clinicians who …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851452/psn-pdf
    July 19, 2023 - Factors influencing in-hospital prescribing errors: a systematic review. July 19, 2023 Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in?hospital prescribing errors: a systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694. https://psnet.ahrq.gov/issue/factors-in…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34946/psn-pdf
    February 03, 2011 - Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. February 3, 2011 Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. https://psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therap…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43302/psn-pdf
    August 21, 2014 - A medication-based trigger tool to identify adverse events in pediatric anesthesiology. August 21, 2014 Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. https://psnet.ahrq.gov/issue/medication-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73615/psn-pdf
    August 18, 2021 - Ripped apart: medical misdiagnosis and malpractice. August 18, 2021 Kast S, Gerr M, Black D, et al. “On the Record.” WYPR. August 3, 2021 https://psnet.ahrq.gov/issue/ripped-apart-medical-misdiagnosis-and-malpractice Misdiagnosis is a persistent challenge for patients and families to navigate. This audio news …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44224/psn-pdf
    June 10, 2015 - To be sued less, doctors should consider talking to patients more. June 10, 2015 Carroll AE. https://psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more Reporting on trends associated with medical malpractice, how the same physicians tend to get sued, and reasons patients file claims, …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45832/psn-pdf
    April 05, 2017 - Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. April 5, 2017 Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017. https://psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety This report summarizes a wide…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45881/psn-pdf
    March 15, 2017 - CE: nursing's evolving role in patient safety. March 15, 2017 Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48. doi:10.1097/01.NAJ.0000512274.79629.3c. https://psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety Nursing is a key component of patient care…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37734/psn-pdf
    April 30, 2008 - Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. April 30, 2008 Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33830/psn-pdf
    March 22, 2016 - Measuring and Responding to Deaths From Medical Errors March 22, 2016 Ranji SR. Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors Annual Perspective 2016 The Prevalence of Deaths Due to Preventable Adve…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - intraorganizational learning is to let people know if you are making system changes based on their experiences
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852700/psn-pdf
    August 30, 2023 - We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … We have an implementation workgroup that is providing real-time feedback on their experiences.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49757/psn-pdf
    April 01, 2016 - Situational Awareness and Patient Safety April 1, 2016 Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety The Case A 40-year-old woman with a history of cirrhosis and known esophageal varices was admitted to the hospit…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837785/psn-pdf
    August 05, 2022 - Emergence of Application-based Healthcare August 5, 2022 Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/emergence-application-based-healthcare Introduction The demand for digital healthcare, including both telemedicine and hea…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49395/psn-pdf
    April 01, 2003 - Medication Overdose April 1, 2003 Kaushal R. Medication Overdose. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/medication-overdose The Case A 15-year-old boy with end-stage AIDS was admitted to the pediatric ICU with mental status changes. He was diagnosed with status epilepticus and started on a loading…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33766/psn-pdf
    May 01, 2014 - In Conversation With… Didier Pittet, MD, MS May 1, 2014 In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms Editor's note: Didier Pittet, MD, MS, is Professor of Medicine and Director of the Infection Control Programme and WHO Co…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867749/psn-pdf
    March 12, 2025 - How unprofessional behaviours between healthcare staff threaten patient care and safety. March 12, 2025 Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan 30. doi:10.1080/14737167.2025.2460518…

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