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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74143/psn-pdf
    December 01, 2021 - Confronting Racism in Health Care: Moving from Proclamations to New Practices. December 1, 2021 Hostetter M, Klein S. New York, NY: Commonwealth Fund;  October 18, 2021 https://psnet.ahrq.gov/issue/confronting-racism-health-care-moving-proclamations-new-practices Structural racism affects the safety and equit…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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, …
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42000/psn-pdf
    March 06, 2013 - Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. March 6, 2013 Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Patient Saf. 2013;39(2):89-95. https://psnet…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73200/psn-pdf
    April 28, 2021 - Association in 2001), recurrent admissions related https://psnet.ahrq.gov//#5 https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49861/psn-pdf
    May 01, 2019 - use of standardized handoff tools has been shown to decrease adverse events and improve safety.(19) Implementing
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49388/psn-pdf
    February 01, 2003 - Implementing a red syringe color change for all Succinylcholine drug administration in Australia has
  12. psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
    August 01, 2005 - participating in the Institute for Healthcare Improvement's (IHI) campaign to save 100,000 lives a year by implementing
  13. psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
    February 26, 2025 - Within a year of analyzing cases and implementing corrective actions using this method, there was a huge
  14. psnet.ahrq.gov/web-mm/volume-too-low-and-out
    July 01, 2017 - All providers of care to children should be aware of these considerations and aided in implementing and
  15. psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
    March 01, 2004 - Situational Awareness and Patient Safety April 1, 2016 Implementing
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49777/psn-pdf
    December 01, 2016 - Suicide is one example of a comprehensive systems approach to mitigating suicide risk and involves implementing
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33702/psn-pdf
    November 01, 2010 - program and with the incentives for electronic health record adoption, more and more hospitals will be implementing
  18. psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
    March 15, 2023 - During a Time of Crisis March 15, 2023 Developing strategic recommendations for implementing
  19. psnet.ahrq.gov/web-mm/ecg-not-normal
    November 10, 2015 - Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing
  20. psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
    August 30, 2023 - Increasingly, health care institutions are implementing programs designed to provide emotional support

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