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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42906/psn-pdf
    February 27, 2014 - From heroism to safe design: leveraging technology. February 27, 2014 Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. https://psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology This commentar…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40906/psn-pdf
    November 16, 2011 - What is the value and impact of quality and safety teams? A scoping review. November 16, 2011 White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97. https://psnet.ahrq.gov/issue/what-value-and-impact-q…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38171/psn-pdf
    June 29, 2009 - An educational and audit tool to reduce prescribing error in intensive care. June 29, 2009 Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. https://psnet.ahrq.gov/issue/educationa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38967/psn-pdf
    June 09, 2011 - Eight rights of safe electronic health record use. June 9, 2011 Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3. doi:10.1001/jama.2009.1311. https://psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use Incorporating human factors engineering models, t…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35452/psn-pdf
    January 05, 2017 - Deploying Six Sigma in a health care system as a work in progress. January 5, 2017 Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. https://psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-wor…
  6. psnet.ahrq.gov/training-catalog/capture-falls-collaboration-and-proactive-teamwork-used-reduce-falls-program
    August 11, 2025 - CAPTURE Falls (Collaboration And Proactive Teamwork Used to Reduce Falls) Program Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization University of Nebraska College of…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837808/psn-pdf
    August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. August 5, 2024 Washington, DC: Leapfrog Group; July 2024. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38117/psn-pdf
    September 29, 2017 - Advances in Patient Safety: New Directions and Alternative Approaches. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1- 4). https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches The 115 articles freel…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38890/psn-pdf
    December 30, 2014 - Intravenous infusion safety technology: return on investment. December 30, 2014 Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680. https://psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-invest…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35980/psn-pdf
    January 01, 2019 - The development of the National Reporting and Learning System in England and Wales, 2001-2005. December 23, 2012 Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:10.5694/j.1326-5377.2006.tb00366.x. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853629/psn-pdf
    September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety. September 20, 2023 World Health Organization. https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety The sharing of best practices is a key component of enabling successful strategy implementation in support of patient safety plans and go…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36754/psn-pdf
    August 09, 2011 - Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. August 9, 2011 Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63. https://psnet.ahrq.gov/issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48052/psn-pdf
    June 12, 2019 - How organisations contribute to improving the quality of healthcare. June 12, 2019 Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773. https://psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare Quality a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73897/psn-pdf
    September 29, 2021 - Peer Support Toolkit. September 29, 2021 Betsy Lehman Center for Patient Safety. September 2021. https://psnet.ahrq.gov/issue/peer-support-toolkit Clinicians involved in adverse events that harm patients can struggle to come to terms with error. This toolkit is designed to assist organizations in the development o…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37115/psn-pdf
    October 04, 2011 - Evaluation of an anonymous system to report medical errors in pediatric inpatients. October 4, 2011 Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33. https://psnet.ahrq.gov/issue/evaluation-anonymous-system-re…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45311/psn-pdf
    May 20, 2019 - The Joint Commission Big Book of Checklists. 2nd Edition. May 20, 2019 Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598. https://psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition Checklists are a widely accepted strategy to improve communication and standardize processes to su…
  17. 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-…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50874/psn-pdf
    February 05, 2020 - Checking In on the Checklist. February 5, 2020 Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020. https://psnet.ahrq.gov/issue/checking-checklist Checklists are integrated into error reduction strategies and healthcare team communication efforts worldwide but implementation and impact of the tool varies …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35311/psn-pdf
    January 02, 2017 - Medication dosing errors for patients with renal insufficiency in ambulatory care. January 2, 2017 Yap C, Dunham D, Thompson JA, et al. Medication Dosing Errors for Patients with Renal Insufficiency in Ambulatory Care. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(0…

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