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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35371/psn-pdf
    June 17, 2014 - 2005 Quest for Quality Prize. June 17, 2014 Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66. https://psnet.ahrq.gov/issue/2005-quest-quality-prize This article highlights successful practices of the 2005 …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40813/psn-pdf
    July 19, 2017 - How to develop an effective obstetric checklist. July 19, 2017 Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003. https://psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist This commentary di…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38344/psn-pdf
    January 21, 2009 - The error of omission: a simple checklist approach for improving operating room safety. January 21, 2009 Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0b013e318193472f. https://psnet.ahrq.go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35124/psn-pdf
    June 29, 2005 - JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. June 29, 2005 ECRI. Risk Management Reporter. June 2005. https://psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare- settings This commentary provides a definition of patient-cent…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41620/psn-pdf
    August 22, 2012 - Improving care transitions: optimizing medication reconciliation. August 22, 2012 Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527. https://psnet.ahrq.gov/issue/improvin…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38021/psn-pdf
    August 27, 2008 - A review of the current evidence base for significant event analysis. August 27, 2008 Bowie P, Pope L, Lough M. A review of the current evidence base for significant event analysis. J Eval Clin Pract. 2008;14(4):520-36. doi:10.1111/j.1365-2753.2007.00908.x. https://psnet.ahrq.gov/issue/review-current-evidence-base…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33852/psn-pdf
    January 01, 2017 - Patient Engagement in Safety January 1, 2017 Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/patient-engagement-safety Annual Perspective 2017 Background In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37931/psn-pdf
    September 25, 2008 - Can a structured checklist prevent problems with laparoscopic equipment? September 25, 2008 Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3. https://psnet.ahrq.gov/issue/can-st…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34138/psn-pdf
    January 20, 2016 - National Quality Forum. January 20, 2016 1099 14th Street NW, Suite 500, Washington DC 20005. https://psnet.ahrq.gov/issue/national-quality-forum The National Quality Forum (NQF) is a private, not-for-profit membership organization created to develop and implement a national strategy for quality and safety measure…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40829/psn-pdf
    January 05, 2014 - Guide to Reducing Unintended Consequences of Electronic Health Records. January 5, 2014 Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38677/psn-pdf
    August 18, 2010 - Impact of a computerized physician order-entry system. August 18, 2010 Stone WM, Smith BE, Shaft JD, et al. Impact of a computerized physician order-entry system. J Am Coll Surg. 2009;208(5):960-7; discussion 967-9. doi:10.1016/j.jamcollsurg.2009.01.042. https://psnet.ahrq.gov/issue/impact-computerized-physician-or…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47556/psn-pdf
    November 28, 2018 - Improving Diagnosis. November 28, 2018 Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70. https://psnet.ahrq.gov/issue/improving-diagnosis This special issue raises awareness of challenges to reducing diagnostic error. Articles discuss insights from experts about how to improve diagnosis, t…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41411/psn-pdf
    October 19, 2012 - Minnesota Hospital Association Statewide Project: SAFE from FALLS. October 19, 2012 Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b. https://psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50633/psn-pdf
    November 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in assessment to ensure their safety. This re…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35373/psn-pdf
    July 20, 2009 - Medical groups' adoption of electronic health records and information systems. July 20, 2009 Gans DN, Kralewski J, Hammons T, et al. Medical Groups’ Adoption Of Electronic Health Records And Information Systems. Health Aff. 2005;24(5):1323-1333. doi:10.1377/hlthaff.24.5.1323. https://psnet.ahrq.gov/issue/medical-g…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41972/psn-pdf
    January 23, 2013 - Impact of a pharmacotherapy alerting system on medication errors. January 23, 2013 Natali BJ, Varkey AC, Garey KW, et al. Impact of a pharmacotherapy alerting system on medication errors. American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126. https://psnet.ahrq.gov/issue/impact-pharmacothe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42714/psn-pdf
    August 19, 2017 - SWITCH for safety: perioperative hand-off tools. August 19, 2017 Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. https://psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools This commentary desc…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35085/psn-pdf
    July 24, 2018 - Working Knowledge: How Organizations Manage What They Know. July 24, 2018 Davenport TH, Prusak L. Boston MA: Harvard Business School Press; 1998. ISBN: 0875846556. https://psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know Two innovators in management consulting introduce core concepts …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33902/psn-pdf
    December 22, 2014 - National Quality Measures Clearinghouse (NQMC). December 22, 2014 Agency for Healthcare Research and Quality. 1998-2018. https://psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc This web-accessible database provided access to evidence-based quality measures and measure sets. The mission of the Nat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35618/psn-pdf
    June 24, 2010 - Using a computerized sign-out system to improve physician–nurse communication. June 24, 2010 Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. https://psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve…

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