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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37247/psn-pdf
    December 15, 2011 - Perinatal clinical decision support system: a documentation tool for patient safety. December 15, 2011 Provost C, Gray M. Perinatal clinical decision support system: a documentation tool for patient safety. Nurs Womens Health. 2007;11(4):407-10. https://psnet.ahrq.gov/issue/perinatal-clinical-decision-support-syst…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34718/psn-pdf
    August 05, 2008 - How can we save the next victim? August 5, 2008 Belkin L https://psnet.ahrq.gov/issue/how-can-we-save-next-victim In this article, Belkin examines how the medical field has recently shifted away from blaming individuals for medical error toward a model that searches for systems problems and solutions for preventio…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34622/psn-pdf
    March 17, 2011 - National Confidential Enquiry into Patient Outcome and Death. March 17, 2011 National Confidential Enquiry into Patient Outcome and Death; NCEPOD https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death Launched under the title National Confidential Enquiry into Perioperative Deaths (NC…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38726/psn-pdf
    July 13, 2009 - Physician Quality Officer: a new model for engaging physicians in quality improvement. July 13, 2009 Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/1062860609336219. https://psnet.ahrq.gov/issue…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35119/psn-pdf
    November 03, 2015 - Patient safety and health information technology conference: A newsmaker interview with Carolyn M. Clancy, MD. November 3, 2015 Barclay L. https://psnet.ahrq.gov/issue/patient-safety-and-health-information-technology-conference-newsmaker- interview-carolyn-m In this interview, Agency for Healthcare Research and …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39811/psn-pdf
    September 13, 2010 - Disclosure of medical errors: the right thing to do. September 13, 2010 Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9. https://psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do This article discusses medical error disclosure, provides evidence of…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38024/psn-pdf
    August 27, 2008 - Promoting patient safety using an early warning scoring system. August 27, 2008 Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. https://psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system Imp…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45583/psn-pdf
    January 18, 2017 - ASHP IV Adult Continuous Infusions. January 18, 2017 Bethesda, MD: American Society of Health-System Pharmacists; 2016. https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first phase of a standards deve…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36456/psn-pdf
    May 27, 2011 - Evaluation and certification of computerized physician order entry systems. May 27, 2011 Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. https://psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37951/psn-pdf
    May 26, 2011 - The Leapfrog Group's CPOE standard and evaluation tool. May 26, 2011 Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25. https://psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool This article describes an evaluation tool designed for…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40138/psn-pdf
    July 21, 2011 - Decision support and patient safety: the time has come. July 21, 2011 Hasley SK. Decision support and patient safety: the time has come. Am J Obstet Gynecol. 2011;204(6):461-5. doi:10.1016/j.ajog.2010.10.901. https://psnet.ahrq.gov/issue/decision-support-and-patient-safety-time-has-come This review reveals how dec…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36971/psn-pdf
    September 12, 2011 - Hospital patient safety: characteristics of best-performing hospitals. September 12, 2011 Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5. https://psnet.ahrq.gov/issue/hospital-patient-safety-characterist…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36939/psn-pdf
    September 09, 2011 - Internal reporting system to improve a pharmacy's medication distribution process. September 9, 2011 Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. https://psnet.ahrq.gov/issue/internal…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47315/psn-pdf
    August 01, 2018 - Agent of change. August 1, 2018 Gale SF. Chief Learning Officer. July/August 2018;17:22-25. https://psnet.ahrq.gov/issue/agent-change Organizational learning is an essential element of safety culture. This article reports how one hospital leader drew from the success of aviation strategies to design and implement …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43534/psn-pdf
    January 22, 2016 - Creating a fellowship curriculum in patient safety and quality. January 22, 2016 Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012. https://psnet.ahrq.gov/issue/creating-fellowship-curriculum-pati…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35354/psn-pdf
    September 28, 2005 - Crew resource management training--clinicians' reactions and attitudes. September 28, 2005 France DJ, Stiles RA, Gaffney FA, et al. Crew resource management training-Clinicians' reactions and attitudes. AORN J. 2006;82(2):213-224. doi:10.1016/s0001-2092(06)60313-x. https://psnet.ahrq.gov/issue/crew-resource-manage…

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