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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43354/psn-pdf
    July 16, 2014 - Weaving a healthcare tapestry of safety and communication. July 16, 2014 Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d. https://psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication Th…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42537/psn-pdf
    October 02, 2013 - The use of a checklist in a pediatric oncology clinic. October 2, 2013 McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic An Institute o…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41931/psn-pdf
    December 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year journey. December 19, 2012 Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey Discussing a 5-year effort to report, analyze, and red…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836867/psn-pdf
    April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. April 6, 2022 Houston TX;  Baylor College of Medicine: 2022. https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence Assessment can identify the current state of a process or program to reveal ar…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73123/psn-pdf
    April 01, 2020 - Digital Healthcare Research. April 1, 2020 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/digital-healthcare-research An understanding of the impact that digital tools can have on clinical decision making, patient self-care, and health system improvement is still emerging. This website hi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44610/psn-pdf
    May 03, 2017 - International Prize in Resilient Health Care. May 3, 2017 The Australian Institute of Health Innovation. https://psnet.ahrq.gov/issue/international-prize-resilient-health-care Innovations in patient safety can drive improvement efforts. This award program seeks to recognize feasible and widely implementable strate…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37919/psn-pdf
    July 16, 2008 - Adverse event protocol for interventional pain medicine: the importance of an organized response. July 16, 2008 Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2008.00446.x. https://psnet.ahrq.gov/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37887/psn-pdf
    July 02, 2008 - Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors. July 2, 2008 Smith S. https://psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital- errors Massachusetts government and state insurers have outlined policies whereby they will not r…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41713/psn-pdf
    September 26, 2012 - Why patients need leaders: introducing a ward safety checklist. September 26, 2012 Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098. https://psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867648/psn-pdf
    January 01, 2023 - Opioid Taskforce Playbook. January 1, 2023 College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook. https://psnet.ahrq.gov/issue/opioid-taskforce-playbook Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids. This Opioid Playbo…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37119/psn-pdf
    March 24, 2011 - Patient safety: helping medical students understand error in healthcare. March 24, 2011 Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in healthcare. Qual Saf Health Care. 2007;16(4):256-9. https://psnet.ahrq.gov/issue/patient-safety-helping-medical-students-under…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36863/psn-pdf
    August 29, 2011 - Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. August 29, 2011 Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607. https://psnet.ahrq.gov/issue/embedding-qual…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44155/psn-pdf
    June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42460/psn-pdf
    July 31, 2013 - Effectiveness of the surgical safety checklist in a high standard care environment. July 31, 2013 Lübbeke A, Hovaguimian F, Wickboldt N, et al. Effectiveness of the surgical safety checklist in a high standard care environment. Med Care. 2013;51(5):425-9. doi:10.1097/MLR.0b013e31828d1489. https://psnet.ahrq.gov/is…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42563/psn-pdf
    October 09, 2013 - Quick Response codes for surgical safety: a prospective pilot study. October 9, 2013 Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036. https://psnet.ahrq.gov/issue/quick-response-code…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867699/psn-pdf
    June 01, 2023 - Toolkit for Improving Surgical Care and Recovery. June 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023. https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery Improving patient experience fosters better communication, trust, and col…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865348/psn-pdf
    January 01, 2023 - Learning Health Systems January 1, 2023 Agency for Health Research and Quality. https://psnet.ahrq.gov/issue/learning-health-systems The learning health system model centers on the purposeful, systematic use of internal data and knowledge with external evidence to improve the safety and quality of care. This websi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43864/psn-pdf
    January 28, 2015 - Starter Kit for Alarm Fatigue. January 28, 2015 National Association of Clinical Nurse Specialists; NACNS. https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit provides checklists, resources, and implemen…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38395/psn-pdf
    January 02, 2017 - Reducing medication errors and improving systems reliability using an electronic medication reconciliation system. January 2, 2017 Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commission Journal on Quality and Patient…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41856/psn-pdf
    November 21, 2012 - Electronic health records and National Patient-Safety Goals. November 21, 2012 Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of Medicine. 2012;367(19). doi:10.1056/nejmsb1205420. https://psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safet…

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