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  1. 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…
  2. 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 …
  3. 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…
  4. psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
    January 01, 2023 - Subsequently, the patient suffered multiple falls despite the nursing staff implementing “fall precautions
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50928/psn-pdf
    February 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential…
  6. psnet.ahrq.gov/web-mm/right-left-neither
    November 16, 2022 - SPOTLIGHT CASE Right? Left? Neither! Citation Text: Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…
  7. psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  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/39625/psn-pdf
    June 23, 2010 - Cultural and associated enablers of, and barriers to, adverse incident reporting. June 23, 2010 Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to, adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.1136/qshc.2008.030213. https://psnet.ah…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35357/psn-pdf
    February 03, 2011 - Effects of work hour reduction on residents' lives: a systematic review. February 3, 2011 Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. https://psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-syst…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42904/psn-pdf
    February 11, 2025 - Safety Assurance Factors for EHR Resilience: SAFER Guides. February 11, 2025 Washington, DC: Assistant Secretary for Technology Policy. https://psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides Health information technologies are seen to both contribute to and detract from health care safet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36241/psn-pdf
    October 21, 2010 - 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. October 21, 2010 Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005- 2006. Int J Infect Dis. 2006;10(6):419-24. https://psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39701/psn-pdf
    April 14, 2011 - Medication errors with electronic prescribing (eP): two views of the same picture. April 14, 2011 Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-135. https://psnet.ahrq.gov/issue/me…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37887/psn-pdf
    July 02, 2008 - Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors. July 2, 2008 Smith S. https://psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital- errors Massachusetts government and state insurers have outlined policies whereby they will not r…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43322/psn-pdf
    January 28, 2015 - Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. January 28, 2015 Oakbrook, IL: Joint Commission Resources; January 2014. https://psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies This toolkit draws from experiences of the Joint …

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