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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60755/psn-pdf
    August 05, 2020 - Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. August 5, 2020 Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. J Nurs Manag…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46749/psn-pdf
    April 04, 2018 - Toolkit for Improving Perinatal Safety. April 4, 2018 Rockville, MD: Agency for Healthcare Research and Quality. June 2017. https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safe…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851918/psn-pdf
    August 02, 2023 - Racism in health services for adolescents: a scoping review. August 2, 2023 Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560. https://psnet.ahrq.gov/issue/racism-health…
  4. digital.ahrq.gov/sites/default/files/docs/page/7_StakeholderMeetingChecklist_1.pdf
    June 16, 2021 - 7_StakeholderMeetingChecklist Tool 7. Stakeholder Meeting Checklist Tool 7. Stakeholder Meeting Checklist Supplies Laptop Extra batteries Tape recorder Debriefing form Tapes (90 min) Watch or clock Microphone Speaker phone Table tents Conference line Magic markers White board and marker…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866967/psn-pdf
    October 16, 2024 - Placing patient safety at the heart of value-based healthcare. October 16, 2024 La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087. https://psnet.ahrq.gov/issue/placing-patient-safety-heart-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47167/psn-pdf
    May 30, 2018 - AHRQ Health Information Technology Division's 2017 Annual Report. May 30, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028- EF. https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report Health care has worked to enhance use…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45298/psn-pdf
    April 22, 2017 - The problem with root cause analysis. April 22, 2017 Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417- 422. doi:10.1136/bmjqs-2016-005511. https://psnet.ahrq.gov/issue/problem-root-cause-analysis Root cause analysis (RCA) is a strategy to investigate incident…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44821/psn-pdf
    December 05, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. December 5, 2022 Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication No. 23-0011. https://psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture Im…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45016/psn-pdf
    April 27, 2016 - Medication safety systems and the important role of pharmacists. April 27, 2016 Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. https://psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists Preventin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37924/psn-pdf
    December 23, 2016 - Behaviors that undermine a culture of safety. December 23, 2016 Behaviors that undermine a culture of safety. Sentinel event alert. 2008;(40):1-3. https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844059/psn-pdf
    February 08, 2023 - Misdiagnosis in the emergency department: time for a system solution. February 8, 2023 Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. https://psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838927/psn-pdf
    October 26, 2022 - Survey results from pharmacists provide support to enhance the organizational response to codes. October 26, 2022 ISMP Medication Safety Alert! Acute care edition. October 6, 2022;27(20):1-5. https://psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response- codes Patient res…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47737/psn-pdf
    March 06, 2019 - Quality improvement and safety in pediatric emergency medicine. March 6, 2019 Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44172/psn-pdf
    September 28, 2016 - Preventing high-alert medication errors in hospital patients. September 28, 2016 Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23. https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients High-alert medications have the potential to cause serious patient harm. This article fo…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73481/psn-pdf
    July 07, 2021 - Leadership To Improve Diagnosis: A Call to Action. July 7, 2021 Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF. https://psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action The mindset on diagnostic error…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41020/psn-pdf
    January 04, 2012 - A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? January 4, 2012 Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000297. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865681/psn-pdf
    April 24, 2024 - DOD Should Improve Its Process for Clinical Adverse Actions against Providers. April 24, 2024 Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24- 106107. https://psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers Health care o…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44250/psn-pdf
    November 09, 2015 - An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens? November 9, 2015 Birnbach DJ, Rosen LF, Fitzpatrick M, et al. An evaluation of hand hygiene in an intensive care unit: Are visitors a potential vector for pathogens? J Infect Public Health. 2015;8(6):570-4. doi:…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47878/psn-pdf
    June 05, 2019 - Nursing practice with hospitalised older people: safety and harm. June 5, 2019 Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220. https://psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856633/psn-pdf
    January 01, 2024 - Digital health intervention on patient safety for children and parents: a scoping review. November 29, 2023 Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954. https://psnet.ahrq.gov/issue/digita…