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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43505/psn-pdf
    April 25, 2016 - Hospitals often ignore policies on using qualified medical interpreters. April 25, 2016 Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. https://psnet.ahrq.gov/issue/hospitals-often-ignore-polici…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44588/psn-pdf
    November 21, 2016 - Patient and family advisory councils. The Massachusetts experience. November 21, 2016 Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. https://psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience Patient and family advisory councils are considered valuable method to help hosp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46208/psn-pdf
    July 12, 2017 - Improving patient safety by practicing in a just culture. July 12, 2017 Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture The importance of just culture is widel…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42971/psn-pdf
    February 26, 2014 - Reducing central line–associated bloodstream infections in North Carolina NICUs. February 26, 2014 Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000. https://psnet.ahrq.gov/issue/red…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853251/psn-pdf
    July 19, 2024 - Annual Speak Up Data Reports. July 19, 2024 Stratford, London; The National Guardian. https://psnet.ahrq.gov/issue/annual-speak-data-reports Organizational efforts to collect and respond to the concerns of staff and patients are a cornerstone to patient safety improvement despite challenges to implement them. This…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38737/psn-pdf
    July 13, 2009 - Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. July 13, 2009 Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual. 2009;24(4):344-6. doi:10.1177/106286060…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43302/psn-pdf
    August 21, 2014 - A medication-based trigger tool to identify adverse events in pediatric anesthesiology. August 21, 2014 Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. https://psnet.ahrq.gov/issue/medication-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43611/psn-pdf
    December 19, 2014 - The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. December 19, 2014 Mellin-Olsen J, Staender S. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. Curr Opin Anaesthesiol. 2014;27(6):630-634. doi:10.1097/ACO.0000000000000131. https…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865933/psn-pdf
    May 22, 2024 - Utilizing pharmacogenomic testing can improve medication safety and prevent harm. May 22, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4. https://psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and- prevent-harm Pharmacogenomics (PGx) refers to the impact of gen…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50705/psn-pdf
    January 01, 2020 - Closing the loop with ambulatory staff on safety reports. December 4, 2019 Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-repor…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842769/psn-pdf
    January 18, 2023 - Production pressure and its relationship to safety: a systematic review and future directions. January 18, 2023 Hashemian SM, Triantis K. Production pressure and its relationship to safety: a systematic review and future directions. Safety Sci. 2023;159:106045. doi:10.1016/j.ssci.2022.106045. https://psnet.ahrq.go…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35501/psn-pdf
    June 15, 2011 - Ethical issues in patient safety. June 15, 2011 Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501. https://psnet.ahrq.gov/issue/ethical-issues-patient-safety This commentary, written by patient safety expert Lucian Leape, begins with a retrospective view on the birth of patient safety…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44273/psn-pdf
    July 01, 2015 - Current issues in patient safety in surgery: a review. July 1, 2015 Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4. https://psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review Universal strateg…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46221/psn-pdf
    July 02, 2017 - Tools and methods for quality improvement and patient safety in perinatal care. July 2, 2017 Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002. https://psnet.ahrq.gov/issue/tools-and-methods-q…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43022/psn-pdf
    May 29, 2014 - Using simulation to improve root cause analysis of adverse surgical outcomes. May 29, 2014 Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. https://psnet.ahrq.gov/issue/using-sim…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40002/psn-pdf
    January 19, 2011 - Considerations for the design of safe and effective consumer health IT applications in the home. January 19, 2011 Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41190/psn-pdf
    May 04, 2012 - Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. May 4, 2012 Mainthia R, Lockney T, Zotov A, et al. Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. Surgery.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35556/psn-pdf
    May 27, 2011 - Improving patient safety using interactive, evidence- based decision support tools. May 27, 2011 Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683. https://psnet.ahrq.gov/issue/improving-patient-safety-using-inter…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36335/psn-pdf
    February 01, 2011 - Rapid response teams—walk, don't run. February 1, 2011 Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645. https://psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run Rapid response teams (RRTs) have been widely advocated as a means of aver…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37056/psn-pdf
    February 24, 2011 - Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. February 24, 2011 O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of …

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