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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40317/psn-pdf
    November 21, 2016 - Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. November 21, 2016 Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care This whit…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865454/psn-pdf
    March 27, 2024 - Ensuring Patient and Workforce Safety Culture in Healthcare March 27, 2024 Murray J, Sorra J, Gale B, et al. Ensuring Patient and Workforce Safety Culture in Healthcare. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare Introduction In 2020, the I…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43388/psn-pdf
    July 30, 2014 - Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. July 30, 2014 Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med. 2014;29(8):1105-12. doi:10.1007/s1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42007/psn-pdf
    May 23, 2013 - Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. May 23, 2013 Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. B…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43400/psn-pdf
    August 13, 2014 - Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. August 13, 2014 Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46277/psn-pdf
    August 15, 2017 - Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. August 15, 2017 Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project. Med Care. 2017;55(8):797-805…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44471/psn-pdf
    September 27, 2016 - Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. September 27, 2016 Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in hospital units. Health Care …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46747/psn-pdf
    June 06, 2018 - Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. June 6, 2018 Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patien…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43049/psn-pdf
    October 31, 2014 - Vital signs: improving antibiotic use among hospitalized patients. October 31, 2014 Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospital…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - SPOTLIGHT CASE Dangerous Shift Citation Text: Patterson ES. Dangerous Shift. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
  16. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33583/psn-pdf
    March 01, 2023 - Simulation Training March 1, 2023 Edward JJ, Nichols A, Bakerjian D. Simulation Training. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/simulation-training Originally published in 2014 by researchers at the University of California, San Francisco. Updated in March 2023, by Jennifer J. Edwards, MS, RN, CHSE…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72689/psn-pdf
    January 29, 2021 - But See the Patient First January 29, 2021 Sinigayan VR. But See the Patient First. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/see-patient-first The Case   A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief complaint of fever. Five days previously, he …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33823/psn-pdf
    January 01, 2017 - Workplace Safety in Health Care January 1, 2017 Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/workplace-safety-health-care Perspective The patient safety movement has highlighted the risks that patients face when receiving health care. But, impo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009 In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent s…

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