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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44547/psn-pdf
    November 25, 2015 - Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. November 25, 2015 Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. BMJ Open. 2015;5(9):e008128. doi:10.1136/bmjopen-2015-008…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60929/psn-pdf
    September 16, 2020 - Safer Together: A National Action Plan to Advance Patient Safety. September 16, 2020 Boston, MA: Institute for Healthcare Improvement: September 2020.   https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety This National Action Plan developed by the National Steering Committee for Pati…
  3. psnet.ahrq.gov/taxonomy/term/3504
    June 24, 2025 - Workaround From the perspective of frontline personnel trying to accomplish their work, the design of equipment or the policies governing work tasks can seem counterproductive. When frontline personnel adopt consistent patterns of work or ways of bypassing safety features of medical equipment, these patterns and acti…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43108/psn-pdf
    September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report. September 28, 2023 Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report This annual report summarizes never events in Maryland hospit…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45024/psn-pdf
    December 19, 2017 - Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. December 19, 2017 Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incorporates the Clinical and Educationa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836918/psn-pdf
    April 13, 2022 - How to scale up quality and safety program with the home care accreditation. April 13, 2022 Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698. https://psnet.ahrq.gov/issue/how-scale-qu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44218/psn-pdf
    July 01, 2016 - The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice. July 1, 2016 Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement, Research, Training, and Practice. Acad…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45570/psn-pdf
    December 07, 2016 - Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition. December 7, 2016 Oak Brook, IL; Joint Commission; 2016. ISBN: 9781599409412. https://psnet.ahrq.gov/issue/getting-board-board-what-your-board-needs-know-about-quality-and-safety- third-edition Engaging hospital lead…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37790/psn-pdf
    April 11, 2011 - Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. April 11, 2011 Cope JU, Morrison AE, Samuels-Reid J. Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administ…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49775/psn-pdf
    November 01, 2016 - Unexpected Drawbacks of Electronic Order Sets November 1, 2016 McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets The Case A 70-year-old man with stage 4 prostate cancer presented to the emergency department …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850678/psn-pdf
    June 14, 2023 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration June 14, 2023 https://psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults- risk-hospital Summary To address a well-documented hospital adverse outco…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47590/psn-pdf
    February 20, 2019 - Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. February 20, 2019 Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quality improvement intervention: …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866119/psn-pdf
    June 12, 2024 - Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. June 12, 2024 Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867656/psn-pdf
    February 26, 2025 - The federal government and many of its national initiatives, like the Center for Medicare and Medicaid
  15. psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets Citation Text: McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX …
  16. psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
    October 30, 2024 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 14, 2023 Innov…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44965/psn-pdf
    February 15, 2017 - Identification and Prioritization of Health IT Patient Safety Measures. February 15, 2017 Washington, DC: National Quality Forum; February 2016. https://psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures Health information technology (IT) has transformed health care and improv…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47516/psn-pdf
    December 19, 2018 - Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. December 19, 2018 Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, understood and followed up. Diagnosis…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39691/psn-pdf
    January 22, 2014 - Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. January 22, 2014 Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Chest. 2010;138(1):171-8. doi:10…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72752/psn-pdf
    February 17, 2021 - Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. February 17, 2021 O’Neill SM, Clyne B, Bell M, et al. Why do healthcare professionals fail to escalate as per the early warning system (…

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