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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38644/psn-pdf
    May 20, 2009 - A quality initiative to decrease pathology specimen- labeling errors using radiofrequency identification in a high-volume endoscopy center. May 20, 2009 Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume en…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38081/psn-pdf
    September 24, 2008 - Making patients safer: nurses' responses to patient safety alerts. September 24, 2008 Lankshear A, Lowson K, Harden J, et al. Making patients safer: nurses’ responses to patient safety alerts. J Adv Nurs. 2008;63(6). doi:10.1111/j.1365-2648.2008.04741.x. https://psnet.ahrq.gov/issue/making-patients-safer-nurses-re…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37415/psn-pdf
    March 03, 2011 - Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. March 3, 2011 Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ. 2007;335(7631)…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43012/psn-pdf
    January 07, 2016 - Uptake of quality-related event standards of practice by community pharmacies. January 7, 2016 Boyle TA, Bishop A, Overmars C, et al. Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. J Pharm Pract. 2015;28(5):442-9. doi:10.1177/0897190014522066. https://psnet.ahrq.gov/issue/uptake-qua…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50734/psn-pdf
    December 11, 2019 - The evolution of patient safety procedures in an oral surgery department December 11, 2019 Graham C, Reid S, Lord TC, et al. The evolution of patient safety procedures in an oral surgery department. Br Dent J. 2019;226(1):32-38. doi:10.1038/sj.bdj.2019.5. https://psnet.ahrq.gov/issue/evolution-patient-safety-proce…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34661/psn-pdf
    March 07, 2005 - Teaching smart people how to learn. March 7, 2005 Argyris C. Harvard Business Review. 1991:69(May-June):99+. https://psnet.ahrq.gov/issue/teaching-smart-people-learn Argyris, a Harvard Business School professor, theorizes that companies and organizations must learn in order to continually improve and succeed, but …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47142/psn-pdf
    June 13, 2018 - Managing health IT risks: reflections and recommendations. June 13, 2018 Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. https://psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations Health information t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44733/psn-pdf
    December 07, 2018 - Patient Safety in Ambulatory Settings: Technical Brief. December 7, 2018 Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19, 2016. https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief The primary focus on patient safety research has been…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44339/psn-pdf
    July 29, 2015 - Rapid response systems: a systematic review and meta- analysis. July 29, 2015 Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. https://psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37074/psn-pdf
    October 03, 2011 - Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross- organizational, interventional study. October 3, 2011 Zohar E, Noga Y, Davidson E, et al. Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interven…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39963/psn-pdf
    December 06, 2010 - Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? December 6, 2010 Frey B, Schwappach DLB. Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? Curr Opin Crit Care. 2010;16(6):649-53. doi:10.1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40716/psn-pdf
    March 22, 2017 - Promoting Safety and Quality Through Human Resource Practices: Executive Summary. March 22, 2017 McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0080-EF. https://psnet.ahrq.gov/issue/promoting-safety-and-quality-th…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48049/psn-pdf
    May 29, 2019 - How one health system overcame resistance to a surgical checklist. May 29, 2019 Hilton K, Anderson A. Harv Bus Rev. May 20, 2019. https://psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist This commentary describes how one health system worked to combat resistance to change associate…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39943/psn-pdf
    October 27, 2010 - Development of a training program for bar-code–assisted medication administration in inpatient pharmacy. October 27, 2010 Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration in inpatient pharmacy. Am J Health Syst Pharm. 2010;67(19):1592-4. doi:10.2146/ajhp090189…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836789/psn-pdf
    March 23, 2022 - COVID-19 Focused Inspection Initiative in Healthcare. March 23, 2022 Occupational Safety and Health Administration. March 2, 2022. https://psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare The impact of nursing home inspections to ensure the quality and safety of the service environment is…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45875/psn-pdf
    May 10, 2017 - An improvement approach to integrate teaching teams in the reporting of safety events. May 10, 2017 Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807. https://psnet.ahrq.gov/issue/improvemen…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45496/psn-pdf
    May 09, 2017 - The application of the Global Trigger Tool: a systematic review. May 9, 2017 Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. https://psnet.ahrq.gov/issue/application-global-trigger-tool-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40956/psn-pdf
    January 01, 2016 - Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. January 31, 2005 Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal Patient Safety in Michigan. Jt C…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867601/psn-pdf
    January 22, 2025 - AI: promise or peril for patient safety. January 22, 2025 Ullem BD, Hatlie MJ, Lounsbury O. AI: promise or peril for patient safety. J Patient Saf. 2025;21(1):34-37. doi:10.1097/pts.0000000000001301. https://psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety Patients for Patient Safety US (PFPS-US) is a patie…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60990/psn-pdf
    October 07, 2020 - Tiered daily huddles: the power of teamwork in managing large healthcare organisations. October 7, 2020 Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575. https://psnet.ahrq.gov/issue/tiered-daily…

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