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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36510/psn-pdf
    June 13, 2011 - Using clinical decision support to improve medication reconciliation. June 13, 2011 Moore G. Patient Saf Qual Healthc. November / December 2006. https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation The author provides strategies to enhance the value of medication reconcili…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35074/psn-pdf
    March 07, 2016 - Library-hospital pairing empowers patients, improves safety. March 7, 2016 https://psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety This article describes the Partnering for Patient Empowerment Through Community Awareness program, a model for utilizing libraries to educate consumers …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35123/psn-pdf
    July 03, 2015 - Patient Safety Tools: Improving Safety at the Point of Care. July 3, 2015 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care The Agency for Healthcare Research and Quality (AHRQ) awarded more than $8 million to 15 Partnerships in Implementing …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43441/psn-pdf
    July 12, 2018 - Fixing Healthcare Delivery. July 12, 2018 University of Florida, Institute for Healthcare Improvement, Coursera. https://psnet.ahrq.gov/issue/fixing-healthcare-delivery This online course presents teamwork, systems design, leadership, and change management as strategies to improve health care safety. The course in…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42689/psn-pdf
    October 23, 2013 - Solving the puzzle: improving safety outcomes. October 23, 2013 Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448. https://psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes This article illustrates the importance of recognizing complexity when working to create high reliability in health care. htt…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33939/psn-pdf
    January 17, 2012 - VHA National Patient Safety Improvement Handbook. January 17, 2012 https://psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook A handbook developed by the VA and the National Center for Patient Safety that provides guidance on how to limit opportunities that adversely impact patient safety and car…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49492/psn-pdf
    November 01, 2005 - Reconciling Doses November 1, 2005 Federico F. Reconciling Doses. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/reconciling-doses Case Objectives List the steps involved in medication reconciliation. Describe the role of each of the stakeholders in medication reconciliation. Discuss how medication reconc…
  8. 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…
  9. 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…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36836/psn-pdf
    January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. January 29, 2015 Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002. https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40271/psn-pdf
    May 25, 2011 - Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. May 25, 2011 Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidem…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844996/psn-pdf
    February 22, 2023 - In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. February 22, 2023 Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitudinally identify and track late…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60176/psn-pdf
    April 01, 2020 - Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. April 1, 2020 Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40910/psn-pdf
    November 09, 2011 - The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. November 9, 2011 Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. J Nurs Adm. 2011;41(11):466-72. doi:10.1097/NNA.0b013e…
  16. 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:…
  17. 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…
  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/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…
  20. 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…

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