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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  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/47354/psn-pdf
    November 21, 2018 - Improving Diagnosis in Medicine Change Package. November 21, 2018 Chicago, IL: Health Research & Educational Trust; 2018. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package Proactive identification of conditions that degrade the diagnostic process can drive improvement. This toolkit provides …
  11. 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…
  12. 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 …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46055/psn-pdf
    July 26, 2017 - Bridging the gap between work-as-imagined and work-as- done. July 26, 2017 Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done Understanding what is possible in the context of frontline practice is key when designing enhancements …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36746/psn-pdf
    August 02, 2011 - Patient safety event reporting in critical care: a study of three intensive care units. August 2, 2011 Harris CB, Krauss MJ, Coopersmith CM, et al. Patient safety event reporting in critical care: a study of three intensive care units. Crit Care Med. 2007;35(4):1068-76. https://psnet.ahrq.gov/issue/patient-safety-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73123/psn-pdf
    April 01, 2020 - Digital Healthcare Research. April 1, 2020 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/digital-healthcare-research An understanding of the impact that digital tools can have on clinical decision making, patient self-care, and health system improvement is still emerging. This website hi…
  16. 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…
  17. psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
    December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride Citation Text: Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Form…
  18. psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - Subsequently, the patient suffered multiple falls despite the nursing staff implementing “fall precautions
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33608/psn-pdf
    February 01, 2024 - Maternal Safety January 31, 2024 Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/maternal-safety Originally published in 2018 by researchers at the University of California, San Francisco. Updated in February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…
  20. psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
    March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety Sara J. Singer, MBA, PhD | March 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Singer SJ. Our Maturing Understanding of Safety C…

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