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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43003/psn-pdf
    March 05, 2014 - Learning from every death. March 5, 2014 Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. https://psnet.ahrq.gov/issue/learning-every-death This commentary describes how design and implementation of an institutional mortality…
  2. 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…
  3. 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41261/psn-pdf
    May 04, 2012 - Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. May 4, 2012 Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s00268-012-1499-y. https://psnet.ahrq.gov/iss…
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73451/psn-pdf
    June 30, 2021 - National Patient Safety Syllabus. June 30, 2021 Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021. https://psnet.ahrq.gov/issue/national-patient-safety-syllabus Amending curricula to incorporate the increasing scholarship related to patient safety improvement is a challenge. This st…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41312/psn-pdf
    April 18, 2012 - Functional safety of health information technology. April 18, 2012 Chadwick L, Fallon EF, van der Putten WJ, et al. Functional safety of health information technology. Health Informatics J. 2012;18(1):36-49. doi:10.1177/1460458211432587. https://psnet.ahrq.gov/issue/functional-safety-health-information-technology …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36387/psn-pdf
    July 14, 2010 - Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. July 14, 2010 Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41682/psn-pdf
    September 19, 2012 - Impact of the unit-based patient safety officer. September 19, 2012 Nedved P, Chaudhry R, Pilipczuk D, et al. Impact of the unit-based patient safety officer. J Nurs Adm. 2012;42(9):431-434. doi:10.1097/NNA.0b013e318266810e. https://psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer A unit-based nurse p…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40517/psn-pdf
    June 08, 2011 - Learning safe prescribing during post-take ward rounds. June 8, 2011 Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x. https://psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34991/psn-pdf
    June 22, 2009 - Use of failure mode and effects analysis in improving the safety of i.v. drug administration. June 22, 2009 Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. https://psnet.ahrq.gov/issue/use-failure-mode-an…
  15. psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
    December 07, 2009 - of an ideal laboratory results management systems are shown in the Table .( 16,17 ) Additionally, implementing
  16. psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
    November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and
    July 11, 2007 - Study Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Citation Text: Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and prior…
  18. psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
    August 21, 2019 - Study Residents, responsibility, and error: how residents learn to navigate the intersection. Citation Text: Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000…
  19. psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
    July 19, 2019 - Review Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. Citation Text: Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…
  20. psnet.ahrq.gov/issue/safety-inpatient-health-care
    May 15, 2024 - Study The safety of inpatient health care. Citation Text: Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

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