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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39077/psn-pdf
    February 08, 2011 - Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals. February 8, 2011 Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665. https://psnet.ahrq.gov/issue/enhancing-patient-care-practical-guide-improving-quality-and-safety-hospitals Authors from an Australian …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42417/psn-pdf
    July 17, 2013 - Checklists to Improve Patient Safety. July 17, 2013 Chicago, IL: Health Research & Educational Trust; June 2013.    https://psnet.ahrq.gov/issue/checklists-improve-patient-safety This guide includes 10 checklists that integrate best practices into care processes to prevent variations in patient safet…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39325/psn-pdf
    February 24, 2010 - Connectivity to improve patient safety. February 24, 2010 Whitehead SF, Goldman JM. Patient Saf Qual Healthc. January/February 2010;7:26-30. https://psnet.ahrq.gov/issue/connectivity-improve-patient-safety This article discusses how adopting open standards for medical device interoperability can help advance patie…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42647/psn-pdf
    October 09, 2013 - Improving Patient Safety in Laboratory Medicine. October 9, 2013 Randell E, Schneider W, eds. Clin Biochem. 2013;46:1159-1194.   https://psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine Articles in this special issue explore patient safety in laboratory medicine, including quality measurement …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34626/psn-pdf
    August 13, 2018 - National Patient Safety Agency (NPSA). August 13, 2018 National Patient Safety Agency. https://psnet.ahrq.gov/issue/national-patient-safety-agency-npsa The National Patient Safety Agency was created in 2001 to coordinate efforts across the United Kingdom in reporting and learning from mistakes and problems. In Apr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50897/psn-pdf
    February 12, 2020 - Improving Safety and Security for Veterans Act of 2020. February 12, 2020 HB 5616, 116th Congress: 2020. https://psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020 This legislation aims to strengthen the US Veterans Health System by requiring reports on the quality of care and patient safety…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37523/psn-pdf
    May 02, 2018 - ADC survey shows some improvements, but unnecessary risks still exist. May 2, 2018 ISMP Medication Safety Alert! Acute care edition. January 17, 2008. https://psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist This article reports the results of a survey on use of automated dispe…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36741/psn-pdf
    August 15, 2007 - Prescription for Improving Patient Safety: Addressing Medication Errors. August 15, 2007 The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.   https://psnet.ahrq.gov/issue/prescription-improving-patient-safety-addressing-medication-errors This report shares findings from an exper…
  9. psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx Spotlight When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Source and Credits • This presentation is based on the September 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psne…
  10. psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
    February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 26, 2025 Innovation Contact …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43919/psn-pdf
    May 01, 2015 - Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. May 1, 2015 Osborne NH, Nicholas LH, Ryan AM, et al. Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare ben…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37707/psn-pdf
    March 02, 2011 - Bar-coding surgical sponges to improve safety: a randomized controlled trial.   March 2, 2011 Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5. https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38563/psn-pdf
    March 23, 2011 - Market-based control mechanisms for patient safety. March 23, 2011 Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care. 2009;18(2):99-103. doi:10.1136/qshc.2007.025833. https://psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety Efforts to improve patie…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44972/psn-pdf
    February 15, 2017 - The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. February 15, 2017 Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX) Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991. doi:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37514/psn-pdf
    February 04, 2015 - Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. February 4, 2015 Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Adverse Event Costs, the Medical Liability System, and Incentives for P…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44750/psn-pdf
    January 06, 2016 - Simulation in the executive suite: lessons learned for building patient safety leadership. January 6, 2016 Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. https://psnet.ahrq.gov/issue/simulation-exe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39294/psn-pdf
    January 03, 2017 - Patient handoffs: standardized and reliable measurement tools remain elusive. January 3, 2017 Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61. https://psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-m…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39392/psn-pdf
    September 20, 2011 - Effect of point-of-care computer reminders on physician behaviour: a systematic review. September 20, 2011 Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578. https://psnet.ahrq.gov/iss…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42917/psn-pdf
    February 05, 2014 - The PROMISES Project. February 5, 2014 Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health Care for All; Massachusetts Medical Society; Massachusetts Departme…

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