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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43974/psn-pdf
    April 26, 2015 - 2014 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. April 26, 2015 Joint Commission. https://psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced The Eisenberg Award honors individuals and organizations who have made vital accomplishments in im…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36658/psn-pdf
    May 27, 2011 - Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. May 27, 2011 Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphorus repletion in hospitalized patient…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838191/psn-pdf
    September 28, 2022 - Improved Diagnostic Accuracy Through Probability- Based Diagnosis. September 28, 2022 Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22- 0026-3-EF. https://psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis Correct consideration o…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40944/psn-pdf
    March 06, 2012 - Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. March 6, 2012 Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing quality improvement. J Nurs Care Qual. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839814/psn-pdf
    January 01, 2023 - Influencing a culture of quality and safety through huddles. November 9, 2022 McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. https://psnet.ahrq.gov/issue/influencing-culture-quality-a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838083/psn-pdf
    September 14, 2022 - A pause in pediatrics: implementation of a pediatric diagnostic time-out. September 14, 2022 Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010. https://psnet.ahrq.gov/issue/pause-pediatrics-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46586/psn-pdf
    January 01, 2020 - Adverse event reporting: harnessing residents to improve patient safety. November 8, 2017 Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. https://psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-sa…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36520/psn-pdf
    June 14, 2011 - Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. June 14, 2011 Braithwaite J, Westbrook MT, Mallock NA, et al. Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. Qual Saf Health…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42456/psn-pdf
    September 09, 2013 - A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). September 9, 2013 Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medication reconciliation: multi-center medicat…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74048/psn-pdf
    November 10, 2021 - Causes of use errors in ventilation devices--systematic review. November 10, 2021 Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. https://psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-s…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42965/psn-pdf
    April 20, 2014 - Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication. April 20, 2014 Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communicat…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73189/psn-pdf
    April 28, 2021 - Time out! Rethinking surgical safety: more than just a checklist. April 28, 2021 Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600. https://psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist Check…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39920/psn-pdf
    October 13, 2010 - Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. October 13, 2010 Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47842/psn-pdf
    April 10, 2019 - Learning From Invited Reviews. April 10, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/learning-invited-reviews Physical demands and technical complexities can affect surgical safety. This resource is designed to capture frontline perceptions of surgeons in the United Ki…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40085/psn-pdf
    December 15, 2010 - Medication reconciliation in the emergency department: opportunities for workflow redesign. December 15, 2010 Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.1136/qshc.2009.035121. https://psnet.ah…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44660/psn-pdf
    December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5 years post release. December 2, 2015 Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116. https://psnet.ahrq.gov/issue/squire-guidel…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45581/psn-pdf
    October 19, 2016 - Reducing diagnostic errors. October 19, 2016 Gittlen S. HealthLeaders Media. October 1, 2016. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-0 The recent recognition of diagnostic error as a blind spot in health care has driven the need to enhance diagnosis. This news article reports how health systems, a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836790/psn-pdf
    March 23, 2022 - Human Factors In Healthcare. March 23, 2022 Keebler JR, Salas E, Rosen MA, et al. eds. Hum Factors. 2022;64(1):5-258. https://psnet.ahrq.gov/issue/human-factors-healthcare Human factors concepts are central to improvement in high-risk industries and efforts are emerging to enfold them into health care organization…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45324/psn-pdf
    August 31, 2016 - The problem with medication reconciliation. August 31, 2016 Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. https://psnet.ahrq.gov/issue/problem-medication-reconciliation Medication reconciliation has demonstrated safet…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838320/psn-pdf
    May 12, 2010 - Regional variations in diagnostic practices. May 12, 2010 Song Y, Skinner J, Bynum JPW, et al. Regional variations in diagnostic practices. N Engl J Med. 2010;363(1):45-53. doi:10.1056/nejmsa0910881. https://psnet.ahrq.gov/issue/regional-variations-diagnostic-practices Improving diagnostic safety is a national pri…

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