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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40258/psn-pdfMarch 02, 2011 - Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. March 2, 2011 Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45642/psn-pdfNovember 09, 2016 - Rethinking medical ward quality. November 9, 2016 Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. https://psnet.ahrq.gov/issue/rethinking-medical-ward-quality Patient safety research and commentary often focus on specialized care processes rathe… -
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-11.htmlNovember 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.11. Lean Tools for Horizon Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Centr…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838031/psn-pdfSeptember 13, 2022 - Addressing the Loss of Trust in Safety Culture. September 7, 2022 Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022. https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture Trust in patient safety processes encourages reporting of concerns, learning from error, and develop… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34570/psn-pdfMarch 07, 2005 - Measuring the Success of the Regional Medication Safety Program for Hospitals. March 7, 2005 Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005. https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals The Regional Medication Safety Prog… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45619/psn-pdfAugust 16, 2017 - Checking the lists: a systematic review of electronic checklist use in health care. August 16, 2017 Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. https://psnet.ahrq.gov/issue/checking-lists-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48132/psn-pdfMarch 18, 2025 - World Patient Safety Day. March 18, 2025 World Health Organization. September 17, 2025. https://psnet.ahrq.gov/issue/world-patient-safety-day Patients, families, and providers around the world are affected by medical error. This annual event and its associated materials seek to raise awareness, motivate collaborat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40219/psn-pdfDecember 29, 2014 - Cardiac surgery errors: results from the UK National Reporting and Learning System. December 29, 2014 Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/intqhc/mzq084. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45525/psn-pdfNovember 18, 2016 - In support of the medical apology: the nonlegal arguments. November 18, 2016 Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048. https://psnet.ahrq.gov/issue/support-medical-apology-nonlegal-argu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47100/psn-pdfJuly 11, 2018 - Human Factors and Technology in the ICU. July 11, 2018 Wung SF, ed. Crit Care Nurs Clin North Am. 2018;30:179-310. https://psnet.ahrq.gov/issue/human-factors-and-technology-icu Care teams rely on a variety of technologies to support safe practice. This special issue focuses on critical care nursing practice and ho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45052/psn-pdfJune 08, 2016 - Mean girls of the ER: the alarming nurse culture of bullying and hazing. June 8, 2016 Robbins A. Good Housekeeping. May 20, 2016. https://psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing Disruptive behaviors are receiving increased attention as a cultural factor that contributes to med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74763/psn-pdfJune 25, 2021 - FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. June 25, 2021 Silver Springs, MD: US Food and Drug Administration: June 25, 2021. https://psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated- recommendations-reprocessing Incomplete reproce… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43022/psn-pdfMay 29, 2014 - Using simulation to improve root cause analysis of adverse surgical outcomes. May 29, 2014 Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. https://psnet.ahrq.gov/issue/using-sim… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45198/psn-pdfJanuary 23, 2017 - Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. January 23, 2017 Frasier LL, Quamme SRP, Becker A, et al. Investigating Teamwork in the Operating Room: Engaging Stakeholders and Setting the Agenda. JAMA Surg. 2017;152(1):109-111. doi:10.1001/jamasurg.2016.3110. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866118/psn-pdfJune 12, 2024 - Factors Affecting the Delivery of Safe Care in Midwifery Units. June 12, 2024 Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. https://psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units Safe maternal care is a challenge world… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42175/psn-pdfApril 10, 2013 - Advanced practice nursing students' identification of patient safety issues in ambulatory care. April 10, 2013 Schnall R, Larson EL, Stone PW, et al. Advanced practice nursing students' identification of patient safety issues in ambulatory care. J Nurs Care Qual. 2013;28(2):169-75. doi:10.1097/NCQ.0b013e31827c6a22.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44327/psn-pdfAugust 26, 2015 - Safely Home: What Happens When People Leave Hospital Care Settings? August 26, 2015 London, UK: Healthwatch England; July 2015. https://psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings Discharges are vulnerable periods for patients, often due to miscommunication, delays, and l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73925/psn-pdfJanuary 01, 2022 - Patient safety and mental health-a growing quality gap in Canada. October 6, 2021 Waddell AE, Gratzer D. Patient safety and mental health-a growing quality gap in Canada. Can J Psychiatry. 2022;67(4):246-249. doi:10.1177/07067437211036596. https://psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quali… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43512/psn-pdfSeptember 29, 2017 - Interruptions and multi-tasking: moving the research agenda in new directions. September 29, 2017 Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372. https://psnet.ahrq.gov/issue/interruptions-and-multi-tasking… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45832/psn-pdfApril 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…
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