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  1. Patient Safety in the United Kingdom: Evolution and Progress | PSNet

    psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
    May 01, 2007 - Patient Safety in the United Kingdom: Evolution and Progress Susan Burnett and Charles Vincent, PhD | May 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Burnett S, Vincent CA. Patient Safety in the United Kingdom: Evol…

  2. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - Spotlight Spotlight Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Comm…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836878/psn-pdf
    April 27, 2022 - The Media’s Role in Patient Safety April 27, 2022 Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/medias-role-patient-safety Brief History of the Media Influencing Patient Safety Despite studies raising questions about avoidable ha…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33755/psn-pdf
    September 01, 2013 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety September 1, 2013 Singer SJ. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/what-weve-learned-ab…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33781/psn-pdf
    March 01, 2015 - In Conversation With… Brian Jarman, PhD March 1, 2015 In Conversation With… Brian Jarman, PhD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-brian-jarman-phd Editor's note: Sir Brian Jarman is an emeritus professor at Imperial College School of Medicine and a past president of the Britis…

  6. Triggers and Trigger Tools | PSNet

    psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 15, 2024 - Triggers and Trigger Tools Citation Text: Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72836/psn-pdf
    January 26, 2021 - Meaningful Measurement in Patient and Family Engagement March 10, 2021 Hoy L, Hoy S, Fitall E, et al. Meaningful Measurement in Patient and Family Engagement. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement Defining Patient and Family Engagement Pat…

  8. Culture of Safety | PSNet

    psnet.ahrq.gov/primer/culture-safety
    September 15, 2024 - Culture of Safety Citation Text: Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852699/psn-pdf
    August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 Van CM, Mossburg S, McGaffigan P. Beyond the Pandemic: Creating Total Systems Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety The COVID-19 pandemic necessitated a shift in operations …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33691/psn-pdf
    December 01, 2009 - How to Identify and Manage Problem Behaviors December 1, 2009 Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors Perspective The 1999 Institute of Medicine report highlighted the need for heal…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39716/psn-pdf
    August 09, 2013 - Patient handovers within the hospital: translating knowledge from motor racing to healthcare. August 9, 2013 Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Qual Saf Health Care. 2010;19(4):318-22. doi:10.1136/qshc.2009.026542. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50865/psn-pdf
    February 05, 2020 - Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. February 5, 2020 Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44970/psn-pdf
    May 09, 2017 - Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. May 9, 2017 Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.2015.7786. https://psnet.ahrq.gov/issue…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837200/psn-pdf
    May 25, 2022 - Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. May 25, 2022 Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause ana…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865968/psn-pdf
    May 29, 2024 - A strategic solution to preventing the harm associated with ambulance handover delays. May 29, 2024 Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. https://psnet.ahrq.gov/issue/strategic-solu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858162/psn-pdf
    January 01, 2024 - Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. December 13, 2023 Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic, and health resource utilizatio…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73181/psn-pdf
    April 28, 2021 - Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. April 28, 2021 Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5- year retrospective assessment for healthcare improvement. Dimens Crit Care …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854630/psn-pdf
    October 18, 2023 - Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. October 18, 2023 Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45148/psn-pdf
    April 24, 2018 - Safety of overlapping surgery at a high-volume referral center. April 24, 2018 Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume…
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