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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848044/psn-pdf
    April 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33604/psn-pdf
    December 15, 2024 - Pharmacist's Role in Medication Safety December 15, 2024 The Pharmacist's Role in Medication Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…
  3. psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-estimated-122300-lives
    August 07, 2024 - Press Release/Announcement Classic IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives. Save Save to your library Print Download PDF Share Facebook Twitter Linkedi…
  4. psnet.ahrq.gov/issue/what-correct-site-surgery
    October 15, 2018 - Fact Sheet/FAQs What is Correct-Site Surgery? Citation Text: What is Correct-Site Surgery? American College of Surgeons. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43112/psn-pdf
    July 03, 2016 - A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes. July 3, 2016 Ahmed N, Devitt KS, Keshet I, et al. A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009 In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent s…
  7. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40944/psn-pdf
    March 06, 2012 - Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. March 6, 2012 Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing quality improvement. J Nurs Care Qual. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40085/psn-pdf
    December 15, 2010 - Medication reconciliation in the emergency department: opportunities for workflow redesign. December 15, 2010 Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.1136/qshc.2009.035121. https://psnet.ah…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42456/psn-pdf
    September 09, 2013 - A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). September 9, 2013 Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medication reconciliation: multi-center medicat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43974/psn-pdf
    April 26, 2015 - 2014 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. April 26, 2015 Joint Commission. https://psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced The Eisenberg Award honors individuals and organizations who have made vital accomplishments in im…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46586/psn-pdf
    January 01, 2020 - Adverse event reporting: harnessing residents to improve patient safety. November 8, 2017 Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. https://psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-sa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44660/psn-pdf
    December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5 years post release. December 2, 2015 Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116. https://psnet.ahrq.gov/issue/squire-guidel…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838194/psn-pdf
    September 28, 2022 - Measure Dx: implementing pathways to discover and learn from diagnostic errors. September 28, 2022 Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068. https://psnet.ahrq.gov/issue/meas…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36658/psn-pdf
    May 27, 2011 - Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. May 27, 2011 Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphorus repletion in hospitalized patient…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36520/psn-pdf
    June 14, 2011 - Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. June 14, 2011 Braithwaite J, Westbrook MT, Mallock NA, et al. Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. Qual Saf Health…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39920/psn-pdf
    October 13, 2010 - Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. October 13, 2010 Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74048/psn-pdf
    November 10, 2021 - Causes of use errors in ventilation devices--systematic review. November 10, 2021 Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. https://psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47842/psn-pdf
    April 10, 2019 - Learning From Invited Reviews. April 10, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/learning-invited-reviews Physical demands and technical complexities can affect surgical safety. This resource is designed to capture frontline perceptions of surgeons in the United Ki…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47827/psn-pdf
    February 27, 2019 - Improving Usability, Safety and Patient Outcomes With Health Information Technology. February 27, 2019 Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN: 9781614999508. https://psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technol…

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