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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40298/psn-pdf
    May 13, 2019 - Improving patient safety in radiation oncology. May 13, 2019 Hendee WR, Herman MG. Improving patient safety in radiation oncology. https://psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology This commentary discusses radiation safety issues and describes recommendations developed at a conference to re…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37711/psn-pdf
    October 29, 2009 - Researching Implementation and Change while Improving Quality (R18). October 29, 2009 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/researching-implementation-and-change-while-improving-quality-r18 This Agency for Healthcare Research and Quality (AHRQ) funding opportunity seeks to …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35107/psn-pdf
    April 06, 2011 - Fewer but better auditory alarms will improve patient safety. April 6, 2011 Edworthy J. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care. 2005;14(3):212-215. doi:10.1136/qshc.2004.013052. https://psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety The au…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38872/psn-pdf
    August 19, 2009 - Improving measurement in clinical handover. August 19, 2009 Jeffcott SA, Evans SM, Cameron PA, et al. Improving measurement in clinical handover. Qual Saf Health Care. 2009;18(4):272-7. doi:10.1136/qshc.2007.024570. https://psnet.ahrq.gov/issue/improving-measurement-clinical-handover This article describes a frame…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40437/psn-pdf
    May 18, 2011 - Health Policy Brief: Improving Quality and Safety. May 18, 2011 Bethesda, MD: Health Affairs. April 15, 2011:1-7.   https://psnet.ahrq.gov/issue/health-policy-brief-improving-quality-and-safety This publication explores health care quality and identifies the primary challenges affecting US quality and safety …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36802/psn-pdf
    April 11, 2007 - Beth Israel cited for improving obstetrics care. April 11, 2007 Kowalczyk L. https://psnet.ahrq.gov/issue/beth-israel-cited-improving-obstetrics-care This article reports on an award recognizing Beth Israel Deaconess Hospital for its approach to improving patient safety in response to the death of an infant in 200…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33803/psn-pdf
    January 01, 2015 - In Conversation With… Richard Kronick, PhD February 1, 2014 In Conversation With… Richard Kronick, PhD. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-richard-kronick-phd Editor's note: Dr. Kronick has served as director of the Agency for Healthcare Research and Quality since August 2013 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860394/psn-pdf
    January 10, 2024 - Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes. January 10, 2024 Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable Maternal Healthcare Delivery and Outc…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44246/psn-pdf
    November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72799/psn-pdf
    March 03, 2021 - Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. March 3, 2021 Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic Error and Clinician Burnout. J…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60660/psn-pdf
    July 09, 2020 - Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. July 9, 2020 Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090. https:/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848036/psn-pdf
    April 26, 2023 - Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023 Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone- position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.1097/pts.0000000000001108. https:/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44216/psn-pdf
    April 25, 2016 - Improving medication safety during hospital-based transitions of care. April 25, 2016 Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. https://psnet.ahrq.gov/issue/improving-medication-safety-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839319/psn-pdf
    November 02, 2022 - Improving safety in the operating room: medication icon labels increase visibility and discrimination. November 2, 2022 Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:103831. doi:10.1016/j.apergo.2022…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73666/psn-pdf
    September 01, 2021 - Implementation of participatory organizational change in long term care to improve safety. September 1, 2021 Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr.2021.05.002. https://psnet.ah…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47440/psn-pdf
    April 07, 2019 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. April 7, 2019 Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39. https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process- obtaining-himss-sta…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39462/psn-pdf
    April 21, 2010 - Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. April 21, 2010 Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146. doi:10.1097/HMR.0b0…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46506/psn-pdf
    October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35404/psn-pdf
    March 11, 2011 - Improving patient safety by identifying side effects from introducing bar coding in medication administration. March 11, 2011 Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-53. htt…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73171/psn-pdf
    April 21, 2021 - Patient safety and quality improvement adaptation during the COVID-19 pandemic. April 21, 2021 Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8. https://psnet.ahrq.gov/issu…

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