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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47077/psn-pdf
    May 23, 2018 - World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018 Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards fo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45452/psn-pdf
    August 24, 2016 - What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. August 24, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3. https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46446/psn-pdf
    September 27, 2017 - Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. September 27, 2017 Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to Improve Quality of Care and …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840479/psn-pdf
    January 01, 2023 - A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022 Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient Saf. 2023;49(1):3-13. doi:10.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46182/psn-pdf
    June 28, 2017 - What we know about designing an effective improvement intervention (but too often fail to put into practice). June 28, 2017 Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. February 5, 2014 Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Health Aff (M…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74008/psn-pdf
    October 27, 2021 - Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021 Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(12):783-792. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47001/psn-pdf
    August 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73311/psn-pdf
    January 01, 2022 - Key considerations in ensuring a safe regional telehealth care model: a systematic review. May 26, 2021 Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.0580. https://psnet.ahrq.gov/issue/key…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853063/psn-pdf
    August 30, 2023 - Exploring medication safety structures and processes in nursing homes: a cross-sectional study. August 30, 2023 Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471. doi:10.1007/s11096-023-01625-6.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859343/psn-pdf
    December 20, 2023 - Reducing retained foreign objects in the operating room: a quality improvement initiative. December 20, 2023 Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847. https…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47143/psn-pdf
    January 30, 2019 - E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. January 30, 2019 Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Int J Health Care Qual. 2019;31(8):639-646. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860722/psn-pdf
    January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? January 17, 2024 Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. https://psnet.ahrq.gov/issue/ten-y…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43141/psn-pdf
    April 30, 2014 - Engaging residents and fellows to improve institution- wide quality: the first six years of a novel financial incentive program. April 30, 2014 Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72666/psn-pdf
    January 20, 2021 - Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. January 20, 2021 Rovers JJE, van de Linde LS, Kenters N, et al. Why psychiatry is different - challenges and difficulties in managing a nosocomial outbreak of coronavirus d…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45760/psn-pdf
    February 08, 2017 - Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. February 8, 2017 Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review, Recommendations, and Novel Model for Health IT Collaboration. Appl C…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44507/psn-pdf
    July 18, 2016 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. July 18, 2016 Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60707/psn-pdf
    July 22, 2020 - The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. July 22, 2020 Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to an…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36721/psn-pdf
    May 05, 2010 - Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. May 5, 2010 Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Int…

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