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  1. psnet.ahrq.gov/issue/role-chief-executive-officers-quality-improvement-qualitative-study
    September 17, 2014 - Study The role of chief executive officers in a quality improvement: a qualitative study. Citation Text: Parand A, Dopson S, Vincent CA. The role of chief executive officers in a quality improvement : a qualitative study. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-001731. Copy Citat…
  2. psnet.ahrq.gov/issue/clinical-supervisors-are-they-key-making-care-safer
    June 26, 2019 - Commentary Clinical supervisors: are they the key to making care safer? Citation Text: Walton M, Barraclough B. Clinical supervisors: are they the key to making care safer? BMJ Qual Saf. 2013;22(8):609-12. doi:10.1136/bmjqs-2012-001637. Copy Citation Format: DOI Google Sc…
  3. psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
    November 29, 2023 - Commentary Impact of nurse peer review on a culture of safety. Citation Text: Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. Copy Citation Format: DOI Google Scholar PubMed …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72811/psn-pdf
    September 01, 2022 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors Originally published on March 3, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during- initial-treatment Summar…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33875/psn-pdf
    March 01, 2019 - In Conversation With… Susan Haas, MD, MSc March 1, 2019 In Conversation With… Susan Haas, MD, MSc. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc Editor's note: Dr. Haas is an obstetrician–gynecologist and co-Principal Investigator for Ariadne Labs' work focused on health…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866869/psn-pdf
    October 02, 2024 - Core Elements of Hospital Diagnostic Excellence (DxEx). October 2, 2024 Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex Diagnostic excellence is an expansion of the diagnostic error red…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838147/psn-pdf
    July 01, 2020 - Care Compare. July 1, 2020 Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/care-compare The Centers for Medicare & Medicaid Services (CMS) support transparency through the provision of publicly available information on the quality of health care service in the United States. This portal en…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60810/psn-pdf
    August 12, 2020 - Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. August 12, 2020 Philadelphia, PA: Pew Charitable Trusts; July 21, 2020. https://psnet.ahrq.gov/issue/hospitals-can-take-key-steps-improve-safe-use-digital-systems Tracking problems with health information technology (Health IT) is an important st…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38022/psn-pdf
    August 27, 2008 - Hospitals try to calm doctors' outbursts: medical road rage affecting patient safety, group says. August 27, 2008 Kowalczyk L. https://psnet.ahrq.gov/issue/hospitals-try-calm-doctors-outbursts-medical-road-rage-affecting-patient- safety-group-says This article describes how physician outbursts can affect patient …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39091/psn-pdf
    June 28, 2011 - Integration of prospective and retrospective methods for risk analysis in hospitals. June 28, 2011 Kessels-Habraken M, van der Schaaf TW, De Jonge J, et al. Integration of prospective and retrospective methods for risk analysis in hospitals. Int J Qual Health Care. 2009;21(6):427-32. doi:10.1093/intqhc/mzp043. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44415/psn-pdf
    October 28, 2015 - Medication discrepancies at pediatric hospital discharge. October 28, 2015 Gattari TB, Krieger LN, Hu HM, et al. Medication Discrepancies at Pediatric Hospital Discharge. Hosp Pediatr. 2015;5(8):439-45. doi:10.1542/hpeds.2014-0085. https://psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40407/psn-pdf
    October 04, 2011 - Insights into the climate of safety towards the prevention of falls among hospital staff. October 4, 2011 Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.1111/j.1365-2702.2010.03535.x. https:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39675/psn-pdf
    January 19, 2011 - A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. January 19, 2011 Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in- hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:10.1136/qshc.2008.031666. https:/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47466/psn-pdf
    October 17, 2018 - ASHP guidelines on preventing medication errors in hospitals. October 17, 2018 Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Pharm. 2018;75(19):1493-1517. doi:10.2146/ajhp170811. https://psnet.ahrq.gov/issue/ashp-guidelines-preven…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72781/psn-pdf
    February 24, 2021 - Reducing prescribing errors in hospitalized children on the ketogenic diet. February 24, 2021 Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. https://psnet.ahrq.gov/issue/red…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861776/psn-pdf
    January 31, 2024 - The Sunday story: when hospitals don't say sorry. January 31, 2024 Rascoe A, Gorenstein D. National Public Radio. January 21, 2024. https://psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry Openness about making mistakes is a challenge in health care due to fear of litigation and career damage. This …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60166/psn-pdf
    March 25, 2020 - For 4 days, the hospital thought he had just pneumonia. It was coronavirus. March 25, 2020 Goldstein J, Salcedo A. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. New York Times. 2020;March 10. https://psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40637/psn-pdf
    October 03, 2012 - Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. October 3, 2012 Hübner M, Diana M, Zanetti G, et al. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Arch Surg. 2011;146(11):1240-5. doi:10.1001/archsurg.2011.1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60356/psn-pdf
    May 20, 2020 - How the pandemic is reshaping hospital architecture and design. May 20, 2020 Booker C. PBSNewshour Weekend. May 10, 2020. https://psnet.ahrq.gov/issue/how-pandemic-reshaping-hospital-architecture-and-design Built environment characteristics can contribute to the spread of infection. This news segment discusses de…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60565/psn-pdf
    June 03, 2020 - The public has been forgiving. But hospitals got some things wrong. June 3, 2020 Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. https://psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong The complexity of the COVID-19 crisis cr…

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