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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40600/psn-pdf
    September 09, 2011 - To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. September 9, 2011 Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(4):288-298. doi:10.1097/HMR.0b01…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41806/psn-pdf
    October 31, 2012 - Computer viruses are "rampant" on medical devices in hospitals. October 31, 2012 Talbot D. MIT Technology Review. October 17, 2012. https://psnet.ahrq.gov/issue/computer-viruses-are-rampant-medical-devices-hospitals This article highlights risks associated with malicious software on medical equipment and how it ca…
  3. psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
    August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD August 1, 2012  Also Read an Essay Citation Text: In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37372/psn-pdf
    August 06, 2008 - Hospitals look to improve informed consent process. August 6, 2008 O'Reilly KB. https://psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process This article discusses the impact of health literacy on patient care and describes initiatives to improve patients' comprehension of informed consent for proc…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39734/psn-pdf
    November 14, 2011 - Man falls off surgical table; St. Joseph's Hospital sued. November 14, 2011 Smith ML; Wolfe WA. https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued This newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death of a patient. https://psnet…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39507/psn-pdf
    April 28, 2010 - Hospital infections hard to gauge. April 28, 2010 https://psnet.ahrq.gov/issue/hospital-infections-hard-gauge This news piece details efforts to collect, analyze, and utilize state-wide reports on health care–associated infections in Pennsylvania. https://psnet.ahrq.gov/issue/hospital-infections-hard-gauge https:/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36298/psn-pdf
    September 27, 2006 - Hospital Reporting of Deaths Related to Restraint and Seclusion.  September 27, 2006 Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350 https://psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion This report presents findings from an investigatio…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34123/psn-pdf
    November 02, 2014 - Preventing Infections in the Hospital—What You As a Patient Can Do. November 2, 2014 National Patient Safety Foundation; NPSF https://psnet.ahrq.gov/issue/preventing-infections-hospital-what-you-patient-can-do Postoperative infections represent a common and often preventable event. This patient fact sheet outlines…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40468/psn-pdf
    May 26, 2011 - Hospitals overhaul ERs to reduce mistakes. May 26, 2011 Landro L. https://psnet.ahrq.gov/issue/hospitals-overhaul-ers-reduce-mistakes This newspaper article reports on efforts to reduce errors in emergency medicine, including improving physician–nurse communication, adopting timeouts before discharge, and using tr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40303/psn-pdf
    May 16, 2019 - Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. May 16, 2019 Raheja D. New York, NY: Productivity Press; 2019. ISBN: 9780367178482 https://psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation This publication provides various strategies to drive innovation in patient…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39066/psn-pdf
    October 28, 2021 - Hospital Performance Report. October 28, 2021 Trenton, NJ: New Jersey Department of Health and Senior Services. https://psnet.ahrq.gov/issue/hospital-performance-report Detailing results of an error reporting initiative in New Jersey, these reports explain how consumers can use this information and provides tips f…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37785/psn-pdf
    May 02, 2018 - Considering insulin pens for routine hospital use? Consider this... May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3. https://psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider This article describes common problems associated with insulin pen injectors and …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36421/psn-pdf
    August 05, 2008 - What pilots can teach hospitals about patient safety. August 5, 2008 Murphy K https://psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety This article discusses lessons the airline industry has learned about communication, teamwork, and error reporting and how they might be applicable to heal…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60268/psn-pdf
    April 29, 2020 - Complications of ECMO During Transport April 29, 2020 Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport The Case A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with acute on chro…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38793/psn-pdf
    August 12, 2016 - Pediatric Quality Indicators Overview. August 12, 2016 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/pediatric-quality-indicators-overview The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available ad…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37753/psn-pdf
    May 02, 2018 - Some red rules shouldn't rule in hospitals. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3. https://psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals This article provides a set of criteria for health care professionals to develop and implement red rules as an effecti…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37320/psn-pdf
    November 07, 2007 - Ambulance crew in Chicago got lost trying to find hospital. November 7, 2007 News Services. Washington Post. October 25, 2007 https://psnet.ahrq.gov/issue/ambulance-crew-chicago-got-lost-trying-find-hospital An emergency crew from a suburb failed to efficiently transport a marathon runner in cardiac arre…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41003/psn-pdf
    April 16, 2018 - Gap assessment of hospitals' adoption of the just culture principles. April 16, 2018 Barger DM; Marella W; Charney FJ. https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles This article reports that Pennsylvania health care organizations overestimated their adoption of just culture…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39630/psn-pdf
    June 23, 2010 - Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals. June 23, 2010 McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Trust; June 2010. https://psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals This publ…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37407/psn-pdf
    September 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. September 2, 2014 Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832. https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada This report describes a new metric used to an…

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