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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37430/psn-pdf
    February 01, 2011 - Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. February 1, 2011 Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.23.2782. https://psnet.ahrq.gov/issue/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43783/psn-pdf
    January 14, 2015 - Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base. January 14, 2015 Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Intern Med. 2014;25(10):874-87. doi:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44922/psn-pdf
    March 01, 2017 - Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. March 1, 2017 Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887. https://psnet.ahrq.gov/issue/mobilising-team-who-sur…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38332/psn-pdf
    January 14, 2009 - Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. January 14, 2009 Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health Care. 2008;17(6):454-8. doi:10.11…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46643/psn-pdf
    January 10, 2018 - The role of checklists and human factors for improved patient safety in plastic surgery. January 10, 2018 Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892. https://psnet…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846151/psn-pdf
    March 15, 2023 - Managing safety in perioperative settings: strategies of meso-level nurse leaders. March 15, 2023 Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.0000000000000364. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866698/psn-pdf
    September 11, 2024 - Can we ensure medication safety with the use of speech recognition software? September 11, 2024 Can we ensure medication safety with the use of speech recognition software? ISMP Medication Safety Alert! Acute Care. August 22, 2024;29(17):1-3. https://psnet.ahrq.gov/issue/can-we-ensure-medication-safety-use-speech-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46070/psn-pdf
    May 10, 2017 - Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. May 10, 2017 Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Review. J Prev Med Public Health. 2017…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47797/psn-pdf
    June 14, 2019 - The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. June 14, 2019 Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head Neck Surg. 2019;160(6):1003-1008. d…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46270/psn-pdf
    April 16, 2018 - Impact of a restraint management bundle on restraint use in an intensive care unit. April 16, 2018 Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.0000000000000273. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47002/psn-pdf
    April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). April 25, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750. https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care- facilities-r18 Research …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46777/psn-pdf
    January 24, 2018 - Safety analysis over time: seven major changes to adverse event investigation. January 24, 2018 Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-4. https://psnet.ahrq.gov/issue/safe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38988/psn-pdf
    October 07, 2009 - Resident duty-hour reform associated with increased morbidity following hip fracture. October 7, 2009 Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJS.H.01240. https://psnet.ahrq.gov/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39264/psn-pdf
    February 03, 2010 - Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. February 3, 2010 Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. Crit Care Med. 2010;38(2):445…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849135/psn-pdf
    May 17, 2023 - Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update. May 17, 2023 Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update. Pract Radiat Oncol. 2023;13(3):203-216. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41606/psn-pdf
    February 01, 2019 - Safe use of opioids in hospitals. December 23, 2016 Sentinel Event Alert. 2012;49:1-5. https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals Opioid pain medications are considered high-risk medications due to the potential for respiratory depression and other adverse effects. Because these medications are freque…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44877/psn-pdf
    April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. April 27, 2016 Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16- 158. https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and- pre…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35418/psn-pdf
    June 14, 2011 - Anatomic pathology databases and patient safety. June 14, 2011 Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol Lab Med. 2005;129(10):1246-1251. https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety This AHRQ-funded project describes the de…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73388/psn-pdf
    June 16, 2021 - Reducing surgical specimen errors through multidisciplinary quality improvement. June 16, 2021 Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003. https://psnet.ahrq.gov/issue/reduci…

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