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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37341/psn-pdf
    January 20, 2010 - Patient-Centered Care: What Does It Take? January 20, 2010 Shaller D. The Commonwealth Fund. October 2007. https://psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take By sharing the insights of health care leaders, this report identifies important factors for integrating patient- centered care into organi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36869/psn-pdf
    August 31, 2011 - An extra dose of safety. August 31, 2011 An extra dose of safety. Installation of a bar-coding system drives an entire workflow redesign at a non- profit hospital and healthcare network. Health management technology. 2007;28(4):30-2, 34. https://psnet.ahrq.gov/issue/extra-dose-safety This article describes a healt…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36757/psn-pdf
    August 09, 2011 - Medication bar coding: to scan or not to scan? August 9, 2011 Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92. https://psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan The authors describe the implementation of a bedside medicati…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41365/psn-pdf
    May 09, 2012 - Patient safety: break the silence. May 9, 2012 Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002. https://psnet.ahrq.gov/issue/patient-safety-break-silence This commentary describes the development, implementation, and impact of a team-based safety …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37356/psn-pdf
    December 13, 2017 - Transforming Hospitals: Designing for Safety and Quality. December 13, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality This video uses the experiences of three US hospitals to demonstrate how the quality …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37404/psn-pdf
    June 13, 2011 - Answers to improved medication reconciliation lie with pharmacists. June 13, 2011 Barbella M. Drug Topics. November 19, 2007. https://psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists A survey of hospital pharmacists underscores problems inherent in implementing medication reconciliat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38447/psn-pdf
    March 04, 2010 - Never Events--Framework 2010-11. March 4, 2010 National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2010. https://psnet.ahrq.gov/issue/never-events-framework-200910 This report from the United Kingdom is intended to guide Primary Care Trusts in implementing never events policies for…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39538/psn-pdf
    May 19, 2010 - CPOE: strategies for success. May 19, 2010 Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f. https://psnet.ahrq.gov/issue/cpoe-strategies-success This commentary reviews tactics to engage nurses in computerized provider order entry (CPOE) implementatio…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40276/psn-pdf
    June 15, 2011 - The need for systems integration in health care. June 15, 2011 Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237. https://psnet.ahrq.gov/issue/need-systems-integration-health-care This commentary suggests a systems approach for implementing…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39815/psn-pdf
    March 18, 2011 - Introducing new technology safely. March 18, 2011 Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care. 2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554. https://psnet.ahrq.gov/issue/introducing-new-technology-safely This report describes the distinction between techn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40139/psn-pdf
    January 22, 2017 - Standardizing hospital discharge planning at the Mayo Clinic. January 22, 2017 Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36. https://psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic Implementation of a s…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36206/psn-pdf
    September 30, 2010 - Reducing medication errors by using applied technology. September 30, 2010 Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux). 2006;36(8):24-25. https://psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology The authors describe their experience in imp…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35190/psn-pdf
    June 17, 2014 - The quality connection. June 17, 2014 Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2. https://psnet.ahrq.gov/issue/quality-connection This article reports on the results of Hospitals & Health Networks' 2005 Most Wired Survey and Benchmarking Study. Results …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35517/psn-pdf
    November 17, 2016 - Joint Commission Journal on Quality and Patient Safety. November 17, 2016 Baker D, ed. Oakbrook Terrace, IL: Joint Commission. ISSN: 1553-7250. https://psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safety This monthly, peer-reviewed journal provides both empirical studies and practical instructi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39041/psn-pdf
    October 21, 2009 - The OR and a "just culture." October 21, 2009 Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. https://psnet.ahrq.gov/issue/or-and-just-culture To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving the WHO Sa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42411/psn-pdf
    July 24, 2013 - Surgical checklists: the human factor. July 24, 2013 O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14. https://psnet.ahrq.gov/issue/surgical-checklists-human-factor This qualitative study identified several barriers to the …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36067/psn-pdf
    September 28, 2010 - Operating room briefings. September 28, 2010 Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357. https://psnet.ahrq.gov/issue/operating-room-briefings The authors describe a postoperative debriefing tool used by surgical teams at Johns Hopkin…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42766/psn-pdf
    November 27, 2013 - The biggest mistake doctors make. November 27, 2013 Landro L. Wall Street Journal. November 17, 2013. https://psnet.ahrq.gov/issue/biggest-mistake-doctors-make This newspaper article describes efforts to prevent diagnostic errors, including improving follow-up of abnormal test results and implementing decision sup…
  20. psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
    September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH September 28, 2022  Also Read the Essay Citation Text: In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022.In Conversation With... Freya Spielberg, MD, MPH. PSNet [internet]. Rockville (MD): Agen…

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