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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40938/psn-pdf
    November 16, 2011 - Decreasing 30-day readmission rates. November 16, 2011 Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02. https://psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates Analyzing data from the Pennsylvania Patient Safety Authority Reporting Syste…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36587/psn-pdf
    January 14, 2011 - The value of inking breast cores to reduce specimen mix- up. January 14, 2011 Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. https://psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix The authors describe a tissue spec…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35246/psn-pdf
    July 11, 2007 - Treatment errors in healthcare: a safety climate approach. July 11, 2007 Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. . Manage Sci. 2005;51(6):948-960. doi:10.1287/mnsc.1050.0372. https://psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach The auth…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40317/psn-pdf
    November 21, 2016 - Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. November 21, 2016 Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care This whit…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38139/psn-pdf
    October 15, 2008 - Medication reconciliation at hospital discharge: evaluating discrepancies. October 15, 2008 Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. https://psnet.ahrq.gov/issue/medication-reconciliati…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35952/psn-pdf
    August 02, 2010 - Manage staff fatigue to improve patient safety. August 2, 2010 Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2. https://psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety The author discusses three steps for reducing staff fatigue. Part I of …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35390/psn-pdf
    September 10, 2009 - Teaching and medical errors: primary care preceptors' views. September 10, 2009 Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med Educ. 2005;39(10):982-90. https://psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views The authors inter…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36313/psn-pdf
    October 26, 2010 - Observational assessment of surgical teamwork: a feasibility study. October 26, 2010 Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83. https://psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study T…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39128/psn-pdf
    December 01, 2009 - Rapid response teams and continuous quality improvement. November 25, 2009 Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. https://psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement This study discusses how analysis of rapid response team calls id…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35787/psn-pdf
    July 01, 2009 - Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. July 1, 2009 Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration; 2006. https://psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce- entrapment This document provides ba…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35830/psn-pdf
    July 22, 2010 - EMS helicopter crashes: what influences fatal outcome? July 22, 2010 Baker SP, Grabowski JG, Dodd RS, et al. EMS helicopter crashes: what influences fatal outcome? Ann Emerg Med. 2006;47(4):351-356. https://psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome The authors studied data on emerge…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38978/psn-pdf
    January 04, 2010 - Unintended exposure in radiotherapy: identification of prominent causes. January 4, 2010 Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044. https://psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-i…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35527/psn-pdf
    June 29, 2011 - Patient-reported service quality on a medicine unit. June 29, 2011 Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101. https://psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit The investigators interviewed pati…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38074/psn-pdf
    June 04, 2018 - Questions and Answers on FDA's Adverse Event Reporting System (FAERS). October 3, 2017 Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018. https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers This FAQ provides information on and access to …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38520/psn-pdf
    September 19, 2016 - Inpatient suicide in a general hospital. September 19, 2016 Cheng I-C, Hu F-C, Tseng M-CM. Inpatient suicide in a general hospital. Gen Hosp Psychiatry. 2009;31(2):110-5. doi:10.1016/j.genhosppsych.2008.12.008. https://psnet.ahrq.gov/issue/inpatient-suicide-general-hospital Suicide attempts by hospitalized patient…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36408/psn-pdf
    December 22, 2010 - Development of a rating system for surgeons' non- technical skills. December 22, 2010 Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ. 2006;40(11):1098-104. https://psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills The…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36113/psn-pdf
    September 28, 2010 - "It's not our ass": medical resident sense-making regarding lawsuits. September 28, 2010 Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health Commun. 2006;20(1):81-9. https://psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits The inves…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38375/psn-pdf
    December 01, 2019 - ISMP QuarterWatch Reports. April 17, 2019 Horsham, PA: Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports This website provides quarterly reports that identify and analyze new risks related to medications and adverse drug events submitted to the Food and Drug Administra…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39743/psn-pdf
    October 13, 2010 - Anatomy and pathophysiology of errors occurring in clinical radiology practice. October 13, 2010 Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. doi:10.1148/rg.305105013. https://psnet…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37503/psn-pdf
    January 06, 2017 - Addressing postdischarge adverse events: a neglected area. January 6, 2017 Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97. https://psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area This review examined the literatur…
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