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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42634/psn-pdf
    October 09, 2013 - Why hospitals want patients to ask doctors, 'Have you washed your hands?' October 9, 2013 Landro L. Wall Street Journal. September 30, 2013. https://psnet.ahrq.gov/issue/why-hospitals-want-patients-ask-doctors-have-you-washed-your-hands Highlighting insufficient hand hygiene in health care, this newspaper article …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34897/psn-pdf
    November 23, 2016 - Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation. November 23, 2016 Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation. Psychiatr Q. 2005;76(1):85-9…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39829/psn-pdf
    January 09, 2025 - Hospital Reporting Program: Annual Summary. January 9, 2025 Portland, OR: Oregon Patient Safety Commission. https://psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary This site provides data and analysis from two Oregon Patient Safety Commission patient safety initiatives: the Patient Safety Reporting …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35482/psn-pdf
    May 27, 2011 - The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. May 27, 2011 Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pediatrics. 2005;116(5):e634-42. https:/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848828/psn-pdf
    May 10, 2023 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023. May 10, 2023 118th Cong (2023-2024). https://psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023 Nurse staffing and patient care outcomes are linked, yet variation exists in nursing covera…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39014/psn-pdf
    October 14, 2009 - Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital. October 14, 2009 Chan EW, Taylor SE, Marriott JL, et al. Bringing patients' own medications into an emergency department by ambulance: effect on prescribing acc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44565/psn-pdf
    October 14, 2015 - How to use online clinician rating systems. October 14, 2015 Razmaria AA, Livingston EH. JAMA PATIENT PAGE. How to Use Online Clinician Rating Systems. JAMA. 2015;314(13):1418. doi:10.1001/jama.2015.11957. https://psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems Clinician rating sites may not always pr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865881/psn-pdf
    May 15, 2024 - Stranded in the ER, seniors await hospital care and suffer avoidable harm. May 15, 2024 Graham J. KFF Health News. May 6, 2024. https://psnet.ahrq.gov/issue/stranded-er-seniors-await-hospital-care-and-suffer-avoidable-harm The boarding of patients that present with emergent needs reduces safety and access to care …
  9. psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity
    May 11, 2019 - Commentary Making polypharmacy safer for children with medical complexity. Citation Text: Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012. Copy Citation Format: DOI Google Schol…
  10. psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
    October 04, 2006 - Study Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Citation Text: Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Vaughn T, Koepke M, Kroch E, et al. J Patient Saf…
  11. psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
    April 28, 2010 - Study An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. Citation Text: Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…
  12. psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
    September 18, 2019 - Review Correlates of the third victim phenomenon. Citation Text: Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  13. psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
    March 09, 2022 - Commentary High reliability leadership: a conceptual framework. Citation Text: Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187. Copy Citation Format: DOI Google Scholar …
  14. psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…
  15. psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
    October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  16. psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead-she-became-statistic
    July 22, 2020 - Newspaper/Magazine Article She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. Citation Text: She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. Chuck E, Assefa H. N…
  17. psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
    June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
  18. psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
    September 21, 2008 - Study Pediatric antidepressant medication errors in a national error reporting database. Citation Text: Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…
  19. psnet.ahrq.gov/issue/interventions-reduce-medication-errors-pediatric-intensive-care
    March 12, 2014 - Review Interventions to reduce medication errors in pediatric intensive care. Citation Text: Manias E, Kinney S, Cranswick N, et al. Interventions to reduce medication errors in pediatric intensive care. Ann Pharmacother. 2014;48(10):1313-31. doi:10.1177/1060028014543795. Copy Citation…
  20. psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
    September 29, 2017 - Commentary Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. Citation Text: Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…

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