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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38606/psn-pdf
    January 02, 2017 - Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group. January 2, 2017 Stock R, Scott J, Gurtel S. Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group. Jt Comm J Qual Patient Saf. 2009;…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35660/psn-pdf
    June 25, 2010 - Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. June 25, 2010 Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. In…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47533/psn-pdf
    June 19, 2019 - Patient Safety: A Health Affairs Briefing. June 19, 2019 Project Hope. https://psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43100/psn-pdf
    April 02, 2014 - Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. April 2, 2014 Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.  https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections This special issue explores a national initiativ…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41081/psn-pdf
    February 01, 2012 - Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system. February 1, 2012 Yang Z, Ng B-Y, Kankanhalli A, et al. Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system. International Journal of Human-Computer Studi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35913/psn-pdf
    February 16, 2011 - Improving oversight of the graduate medical education enterprise: one institution's strategies and tools. February 16, 2011 Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medicine. 2006;81(5). doi:10.1097/01.…
  7. psnet.ahrq.gov/web-mm/right-patient-wrong-sample
    June 01, 2004 - Major software enhancements Implementing computerized physician order entry for lab testing.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - Leaders at institutions considering implementing remote telemetry monitoring must incorporate perspectives
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49774/psn-pdf
    November 01, 2016 - They also serve as a valuable rallying point to create a culture of safety on maternity units by implementing
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848384/psn-pdf
    May 03, 2023 - Roadmap to Health Care Safety for Massachusetts. May 3, 2023 Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023. https://psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts Collective engagement and focus are required to attain large sys…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34659/psn-pdf
    April 07, 2010 - Leading change: why transformation efforts fail. April 7, 2010 Kotter JP. Harvard Bus Rev  1995;73(2);59-67. https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail Kotter, a professor at Harvard Business School, outlines the eight stages of a successful change process, as well a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844792/psn-pdf
    January 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836999/psn-pdf
    April 27, 2022 - Toolkit for Preventing CLABSI and CAUTI in ICUs. April 27, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 2022. https://psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus Healthcare-associated infections can result in significant morbidity and mortality. Developed by AHRQ, this cu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44053/psn-pdf
    November 16, 2015 - ANA CAUTI Prevention Tool. November 16, 2015 Silver Spring, MD: American Nurses Association; 2015. https://psnet.ahrq.gov/issue/ana-cauti-prevention-tool Nurses play an important role in reducing catheter–associated urinary tract infections (CAUTIs). This toolkit, developed as a Partnership for Patients strategy, …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34701/psn-pdf
    January 04, 2017 - Making the business case for patient safety. January 4, 2017 Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. https://psnet.ahrq.gov/issue/making-business-case-patient-safety While the costs of medical error to patients are well appreciated, the direct costs…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41969/psn-pdf
    July 02, 2014 - The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. July 2, 2014 Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medicine. 2012;88(2). doi:10.1097/acm.0b013e3…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46767/psn-pdf
    January 17, 2018 - What this computer needs is a physician: humanism and artificial intelligence. January 17, 2018 Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. https://psnet.ahrq.gov/issue/what-computer-needs-p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45003/psn-pdf
    July 18, 2016 - Effect of surgical safety checklists on pediatric surgical complications in Ontario. July 18, 2016 O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. https://psnet.ahrq.gov/issue/effect…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43569/psn-pdf
    April 25, 2016 - The safe day call: reducing silos in health care through frontline risk assessment. April 25, 2016 Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. https://psnet.ahrq.gov/issue/safe-day-call-r…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42955/psn-pdf
    May 11, 2016 - National Patient Safety Alerting System. May 11, 2016 National Health Service England https://psnet.ahrq.gov/issue/national-patient-safety-alerting-system In response to the Francis report, this three-stage reporting system was launched to help National Health Service organizations learn from incidents and incorpo…

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