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  1. psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts
    March 28, 2018 - Book/Report Managing the Costs of Clinical Negligence in Trusts. Citation Text: Managing the Costs of Clinical Negligence in Trusts. Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN: 9781786041395. Copy Citation Save …
  2. psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
    July 07, 2021 - Book/Report Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Citation Text: Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49492/psn-pdf
    November 01, 2005 - Reconciling Doses November 1, 2005 Federico F. Reconciling Doses. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/reconciling-doses Case Objectives List the steps involved in medication reconciliation. Describe the role of each of the stakeholders in medication reconciliation. Discuss how medication reconc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49592/psn-pdf
    October 01, 2009 - Danger in Disruption October 1, 2009 Fontaine DK. Danger in Disruption. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/danger-disruption The Case A 23-month-old toddler was severely dehydrated after vomiting due to gastric outlet obstruction. She had metabolic alkalosis (pH = 7.58), and her last peripheral…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49788/psn-pdf
    March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention March 1, 2017 Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention The Case A 48-year…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46068/psn-pdf
    July 09, 2018 - A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. July 9, 2018 Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. J Am Med In…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41458/psn-pdf
    June 19, 2012 - What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. June 19, 2012 Shearer B, Marshall S, Buist MD, et al. What stops ho…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33829/psn-pdf
    March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety March 1, 2017 Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…
  9. psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Measurement of Patient Safety Citation Text: Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48058/psn-pdf
    June 19, 2019 - Organisational learning in hospitals: a concept analysis. June 19, 2019 Lyman B, Hammond EL, Cox JR. Organisational learning in hospitals: A concept analysis. J Nurs Manag. 2019;27(3):633-646. doi:10.1111/jonm.12722. https://psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis Organizations are …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858166/psn-pdf
    December 13, 2023 - Pay practices and safety organizing: evidence from hospital nursing units. December 13, 2023 Conroy SA, Vogus TJ. Pay practices and safety organizing: evidence from hospital nursing units. Health Care Manage Rev. 2023;49(1):68-73. doi:10.1097/hmr.0000000000000392. https://psnet.ahrq.gov/issue/pay-practices-and-saf…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44065/psn-pdf
    July 16, 2015 - Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. July 16, 2015 Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0193945915577430. https://psnet.ahrq…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43945/psn-pdf
    September 09, 2015 - Hospital and procedure incidence of pediatric retained surgical items. September 9, 2015 Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. https://psnet.ahrq.gov/issue/hospital-and-procedure-incid…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46449/psn-pdf
    September 27, 2017 - VA hospitals flooded with complaints about care. September 27, 2017 Estes A. Boston Globe. September 16, 2017. https://psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care Psychological safety can empower staff to communicate concerns that affect patient safety. This newspaper article reports on Veteran…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43568/psn-pdf
    April 25, 2016 - Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. April 25, 2016 Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentration Consistencies in Children's …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44712/psn-pdf
    December 09, 2015 - The effect of contact precautions on frequency of hospital adverse events. December 9, 2015 Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192. https://psnet.ahrq.gov/issue/effec…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47998/psn-pdf
    May 08, 2019 - An organization-specific and modifiable inpatient safety composite measure. May 8, 2019 Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. https://psnet.ahrq.gov/issue/organization-specific-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74115/psn-pdf
    November 24, 2021 - How low can they go? Rural hospitals weigh keeping obstetric units when births decline. November 24, 2021 Huff C. Kaiser Health News. November 12, 2021. https://psnet.ahrq.gov/issue/how-low-can-they-go-rural-hospitals-weigh-keeping-obstetric-units-when- births-decline This article discusses the challenge of provi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46148/psn-pdf
    May 31, 2017 - Implementation of a structured hospital-wide morbidity and mortality rounds model. May 31, 2017 Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-2016-005459. https://psnet.ahrq.gov/is…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44352/psn-pdf
    August 12, 2015 - Hospital checklists are meant to save lives—so why do they often fail? August 12, 2015 Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. https://psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fai…

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