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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867143/psn-pdf
    November 13, 2024 - A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. November 13, 2024 Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. JAMA Netw Open.…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  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/33799/psn-pdf
    January 01, 2015 - Burnout Among Health Professionals and Its Effect on Patient Safety January 1, 2015 Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety Annual Perspective 2015 Bur…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33616/psn-pdf
    August 01, 2005 - The Unfinished Patient Safety Agenda August 1, 2005 Aiken LH. The Unfinished Patient Safety Agenda. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda Perspective The goal set by the Institute of Medicine (IOM) in 1999 to reduce medical errors by half within 5 years has no…
  11. psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
    August 01, 2007 - The PeaceHealth Governance Journey in Support of Quality and Safety John L. Haughom, MD | August 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Haughom JL. The PeaceHealth Governance Journey in Support of Quality and …
  12. psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
    December 01, 2014 - In Conversation With… Edward Kelley, PhD December 1, 2014  Also Read an Essay Citation Text: In Conversation With… Edward Kelley, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
  13. psnet.ahrq.gov/perspective/safety-and-medical-education
    December 01, 2013 - Annual Perspective Safety and Medical Education Sumant Ranji, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Ranji SR. Safety and Medical Education. PSNet [internet]. Rockville (MD): Agency for Healt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33584/psn-pdf
    March 15, 2025 - Communication Between Clinicians March 15, 2025 Communication Between Clinicians. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/communication-between-clinicians PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42061/psn-pdf
    October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. October 5, 2015 Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF. https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46576/psn-pdf
    October 25, 2017 - Curing our diagnostic disorder. October 25, 2017 Laposata M. The Pathologist. September 2017;(34):18-27. https://psnet.ahrq.gov/issue/curing-our-diagnostic-disorder Diagnostic improvement is gaining recognition as an important goal in health care. This magazine article reports on one pathologist's efforts to devel…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39693/psn-pdf
    July 21, 2010 - Learning accountability for patient outcomes. July 21, 2010 Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979. https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes This commentary discusses efforts to reduce central line blood stream infe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39417/psn-pdf
    August 06, 2016 - Safety Culture: Theory, Method and Improvement. August 6, 2016 Antonsen S. Burlington, VT: Ashgate; 2009. ISBN: 9780754676959. https://psnet.ahrq.gov/issue/safety-culture-theory-method-and-improvement This book describes the fundamentals of safety culture in the context of well-known incidents in high-risk industr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38423/psn-pdf
    September 08, 2010 - Heparin: improving treatment and reducing risk of harm. September 8, 2010 Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25. https://psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm This article explains safety challenges commonly associated w…
  20. psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
    May 19, 2018 - Study An electronic health record–based real-time analytics program for patient safety surveillance and improvement. Citation Text: Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …

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