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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35395/psn-pdf
    September 10, 2009 - Toward a theoretical approach to medical error reporting system research and design. September 10, 2009 Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon. 2006;37(3):283-95. https://psnet.ahrq.gov/issue/toward-theoretical-approa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37558/psn-pdf
    July 05, 2013 - Patient safety and quality improvement. July 5, 2013 Agency for Healthcare Research and Quality. Fed Register. February 12, 2008;73(29):8112-8183. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement These proposed rules seek to support the implementation of portions of the Patient Safety and Quality…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41728/psn-pdf
    January 18, 2013 - Who's covering our loved ones: surprising barriers in the sign-out process. January 18, 2013 Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign- out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. https://psnet.ahrq.gov/issue/whos-co…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39344/psn-pdf
    March 03, 2010 - Mistake-proofing healthcare: why stopping processes may be a good start. March 3, 2010 Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50771/psn-pdf
    May 29, 2024 - AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. May 29, 2024 Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. https://psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition The AHRQ Health Literacy Un…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41075/psn-pdf
    January 18, 2012 - Wide heart monitor use tied to missed alarms. January 18, 2012 Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use of the Latest Standards for Electrocardiography trial. J…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42826/psn-pdf
    December 18, 2013 - Improvement of medication event interventions through use of an electronic database. December 18, 2013 Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajhp130021. https://psnet.ahrq.gov…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43891/psn-pdf
    September 29, 2017 - AHRQ announces interest in research on health IT safety. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016. Publication No. NOT-HS-16-009. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety This announcement highlights A…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45084/psn-pdf
    April 27, 2016 - Nurses say stress interferes with caring for their patients. April 27, 2016 Yu A. Health Shots. National Public Radio. April 15, 2016. https://psnet.ahrq.gov/issue/nurses-say-stress-interferes-caring-their-patients Many health care professionals exhibit symptoms of burnout, which may impair their ability to maintai…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50715/psn-pdf
    December 04, 2019 - Quality and Safety of Healthcare in Switzerland. December 4, 2019 Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public Health; 2019. https://psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland Patient safety is a goal for countries worldwide. This report …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37844/psn-pdf
    June 18, 2008 - Effect of ACGME duty hours on attending physician teaching and satisfaction. June 18, 2008 Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226. https://psnet.ahrq.gov/issue/effect-acgme-duty-hours-a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36542/psn-pdf
    August 06, 2008 - Pediatric rapid response teams in the academic medical center. August 6, 2008 Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010. https://psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35125/psn-pdf
    June 29, 2005 - 2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation. June 29, 2005 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/2005-annual-patient-safety-and-health-information-technology-conference- making-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36636/psn-pdf
    January 14, 2011 - Nursing home administrators' opinions of the resident safety culture in nursing homes. January 14, 2011 Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76. https://psnet.ahrq.gov/issue/nursing-home-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43216/psn-pdf
    June 25, 2014 - Banning the handshake from the health care setting. June 25, 2014 Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8. https://psnet.ahrq.gov/issue/banning-handshake-health-care-setting Hand hygiene is an important practice that prevents transmissi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47280/psn-pdf
    October 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39175/psn-pdf
    December 16, 2009 - Impact of a standard medication chart on prescribing errors: a before-and-after audit. December 16, 2009 Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.1136/qshc.2007.025296. https://psn…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37788/psn-pdf
    May 28, 2008 - Durable improvements in efficiency, safety, and satisfaction in the operating room. May 28, 2008 Heslin MJ, Doster BE, Daily SL, et al. Durable improvements in efficiency, safety, and satisfaction in the operating room. J Am Coll Surg. 2008;206(5):1083-9; discussion 1089-90. doi:10.1016/j.jamcollsurg.2008.02.006. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43233/psn-pdf
    June 17, 2014 - Quality and safety education for nurses: a nursing leadership skills exercise. June 17, 2014 Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40500/psn-pdf
    June 01, 2011 - Meaningful use and certification of health information technology: what about safety? June 1, 2011 Hoffman S, Podgurski A. Meaningful use and certification of health information technology: what about safety? J Law Med Ethics. 2011;39(suppl 1):77-80. doi:10.1111/j.1748-720X.2011.00572.x. https://psnet.ahrq.gov/iss…

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