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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47249/psn-pdf
    July 25, 2018 - Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. July 25, 2018 ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4. https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored- improve-safety Smart pump…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35497/psn-pdf
    June 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. June 30, 2011 Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16. https://psnet.ahr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837632/psn-pdf
    July 06, 2022 - Serious experience events: applying patient safety concepts to improve patient experience. July 6, 2022 Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102670. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848813/psn-pdf
    May 10, 2023 - Blood and blood products transfusion errors: what can we do to improve patient safety. May 10, 2023 Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326. https://psnet.ahrq.gov/issue/blood-and-blood-p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840149/psn-pdf
    November 16, 2022 - Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. November 16, 2022 Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intraven…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853242/psn-pdf
    September 06, 2023 - Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. September 6, 2023 Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46653/psn-pdf
    July 02, 2019 - Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. July 2, 2019 Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847. doi:10.1093/jamia/ocy026. h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45384/psn-pdf
    November 18, 2016 - Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. November 18, 2016 Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health Care. 2016;28(5):573-579. htt…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45692/psn-pdf
    January 01, 2020 - A patient reported approach to identify medical errors and improve patient safety in the emergency department. November 23, 2016 Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Patient Saf. 2020;16(3):211-215. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837508/psn-pdf
    June 22, 2022 - Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. June 22, 2022 Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. J Gen Intern Med. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865487/psn-pdf
    April 03, 2024 - Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. April 3, 2024 Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a sy…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47902/psn-pdf
    April 24, 2019 - Recommendations from a national panel on quality improvement in obstetrics. April 24, 2019 Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011. https://psnet.ahrq.gov/issue/r…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44117/psn-pdf
    December 04, 2016 - The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. December 4, 2016 Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33. doi:10.1007…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849121/psn-pdf
    May 17, 2023 - Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. May 17, 2023 Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi:10.1136/bmjoq-2022-002020. https://psne…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44350/psn-pdf
    July 29, 2015 - Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. July 29, 2015 Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborat…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47223/psn-pdf
    August 14, 2018 - Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. August 14, 2018 MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute, University of Washington. https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47368/psn-pdf
    September 12, 2018 - Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. September 12, 2018 Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851458/psn-pdf
    July 19, 2023 - Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. July 19, 2023 Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conceptual framework of key theories, syste…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844555/psn-pdf
    February 15, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. February 15, 2023 Rockville, MD: Agency for Healthcare Research and Quality; January 2023. AHRQ Pub. No.22(23)-0065-1. https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-h…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836710/psn-pdf
    March 09, 2022 - Implementation of an antibiotic stewardship program in long-term care facilities across the US. March 9, 2022 doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181. https://psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities- across-us Overuse of antibiotics has been co…

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