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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38278/psn-pdf
    January 15, 2009 - The impact of introducing medical emergency team system on the documentations of vital signs. January 15, 2009 Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/j.resuscitation.2008.10.009. http…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42139/psn-pdf
    March 27, 2013 - Personalised performance feedback reduces narcotic prescription errors in a NICU. March 27, 2013 Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089. https://psnet.ahrq.gov/issue/personal…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837076/psn-pdf
    May 11, 2022 - AHRQ Challenge on Innovative Solutions To Update or Re-Create TeamSTEPPS Videos. May 11, 2022 Rockville, MD; Agency for Healthcare Research and Quality: April 2022. https://psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos TeamSTEPPS promotes effective teamwork, collabo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45006/psn-pdf
    April 06, 2016 - Quality and Patient Safety. April 6, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/quality-and-patient-safety The Agency for Healthcare Research and Quality has provided access to patient safety research, information, and tools for nearly two decades. This website offers a wide rang…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42631/psn-pdf
    November 08, 2013 - "That was a close call": endorsing a broad definition of near misses in health care. November 8, 2013 Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. https://psnet.ahrq.gov/issue/was-close-call…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46210/psn-pdf
    July 12, 2017 - Could emotional intelligence make patients safer? July 12, 2017 Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db. https://psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer Nontechnical skill development i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37675/psn-pdf
    April 09, 2008 - Hospital progress in reducing error: the impact of external interventions. April 9, 2008 Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20. https://psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interv…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839328/psn-pdf
    November 02, 2022 - Quality and Safety. November 2, 2022 Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272. https://psnet.ahrq.gov/issue/quality-and-safety-1 Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to lower-income countries around the world support safe pedia…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35345/psn-pdf
    July 20, 2009 - Fixing healthcare from the inside, today. July 20, 2009 Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. https://psnet.ahrq.gov/issue/fixing-healthcare-inside-today This commentary provides a broad overview of the issues facing health care systems in their efforts to promot…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47533/psn-pdf
    June 19, 2019 - Patient Safety: A Health Affairs Briefing. June 19, 2019 Project Hope. https://psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42500/psn-pdf
    August 14, 2013 - When should students learn about ethics, professionalism and patient safety? August 14, 2013 Walton M, Jeffery H, Van Staalduinen S, et al. When should students learn about ethics, professionalism and patient safety? Clin Teach. 2013;10(4):224-9. doi:10.1111/tct.12029. https://psnet.ahrq.gov/issue/when-should-stud…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44387/psn-pdf
    August 19, 2015 - Simulation in Surgical Training and Practice. August 19, 2015 Brown KM, Paige JT, eds. Surg Clin North Am. 2015;95:695-918. https://psnet.ahrq.gov/issue/simulation-surgical-training-and-practice Simulation training is being used more broadly as an educational approach in health care. Articles in this special issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38561/psn-pdf
    April 15, 2009 - Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections. April 15, 2009 Subcommittee on Health Care, Committee on Finance, US Senate, Government Accountability Office, GAO-09-516T (March 18, 2009) https://psnet.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37793/psn-pdf
    February 15, 2011 - Educating seniors to be patient safety self-advocates in primary care. February 15, 2011 Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806. https://psnet.ahrq.gov/issue/educating-seniors-be-patien…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42327/psn-pdf
    June 05, 2013 - Development and testing of tools to detect ambulatory surgical adverse events. June 5, 2013 Mull HJ, Borzecki A, Hickson K, et al. Development and testing of tools to detect ambulatory surgical adverse events. J Patient Saf. 2013;9(2):96-102. doi:10.1097/PTS.0b013e31827d1a88. https://psnet.ahrq.gov/issue/developme…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60719/psn-pdf
    July 22, 2020 - How real-time data can change the patient safety game. July 22, 2020 Diesing G. How real-time data can change the patient safety game. J AHIMA. 2020;July 1. https://psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game Use of data can improve the response of clinicians to patient concerns and deter…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46385/psn-pdf
    October 23, 2018 - The key to reducing doctors' misdiagnoses. October 23, 2018 Landro L. Wall Street Journal. September 12, 2017. https://psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and i…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73098/psn-pdf
    September 07, 2021 - Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. September 7, 2021 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2021. https://psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascula…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836870/psn-pdf
    April 26, 2022 - A Conversation Among Stakeholders on Medical Malpractice. April 6, 2022 Collaborative for Accountability and Improvement. April 26, 2022. https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice Communication and resolution programs (CRP) can improve response to patients and families a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837001/psn-pdf
    April 27, 2022 - Final Report of the Ockenden Review. April 27, 2022 London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294. https://psnet.ahrq.gov/issue/final-report-ockenden-review Maternal and baby harm in healthcare is a sentinel event manifested by systemic failure. This report serves as the final conclusions of an i…

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