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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41466/psn-pdf
    June 20, 2012 - Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. June 20, 2012 Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longit…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44465/psn-pdf
    November 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47057/psn-pdf
    July 14, 2018 - A framework for operationalizing risk: a practical approach to patient safety.  July 14, 2018 Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317. https://psnet.ahrq.gov/issue/frame…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44125/psn-pdf
    May 28, 2015 - AHRQ focuses on ambulatory patient safety. May 28, 2015 Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124. https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety AHRQ has generated funding and educational opportunities toward u…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46387/psn-pdf
    September 06, 2017 - A multicomponent fall prevention strategy reduces falls at an academic medical center. September 6, 2017 France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2017;43(9). doi:10.1016/j.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859353/psn-pdf
    December 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867085/psn-pdf
    November 06, 2024 - The medication kit conundrum: considerations to enhance safety and efficiency. November 6, 2024 Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233. https://psnet.ahrq.gov/issue/medi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72750/psn-pdf
    February 17, 2021 - Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. February 17, 2021 Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-140. doi:10.1097/pts.00000000000…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866809/psn-pdf
    September 25, 2024 - Stop the line: interventions to prevent retained surgical items. September 25, 2024 Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items Retained surgica…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48149/psn-pdf
    July 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. July 31, 2019 Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928. https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare Achieving zero preventable harms h…
  11. psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
    February 01, 2010 - In Conversation with…Thomas J. Nasca, MD February 1, 2010  Also Read an Essay Citation Text: In Conversation with…Thomas J. Nasca, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
  12. psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx Spotlight The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department Source and Credits • This presentation is based on the April 2023 AH…
  13. psnet.ahrq.gov/perspective/conversation-maureen-bisognano
    February 26, 2025 - In Conversation With… Maureen Bisognano June 1, 2015  Citation Text: In Conversation With… Maureen Bisognano. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: …
  14. psnet.ahrq.gov/perspective/equity-patient-safety
    September 24, 2024 - Annual Perspective Equity in Patient Safety Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD | March 27, 2024  View more articles from the same authors. Citation Text: Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …
  15. psnet.ahrq.gov/issue/safety-design
    March 11, 2009 - Special or Theme Issue Safety by Design. Citation Text: Safety by Design. Qual Saf Health Care. 2006 Dec;15(Suppl 1):i1-90. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy …
  16. psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
    December 24, 2008 - Audiovisual Presentation AHRQ Patient Safety YouTube Channel. Citation Text: AHRQ Patient Safety YouTube Channel. Rockville, MD: Agency for Healthcare Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Face…
  17. psnet.ahrq.gov/issue/quick-tips-when-getting-prescription
    December 24, 2008 - Government Resource Quick Tips—When Getting A Prescription. Citation Text: Quick Tips—When Getting A Prescription. Agency for Healthcare Research and Quality; AHRQ. Copy Citation Save Save to your library Print Download PDF Share Facebook …
  18. psnet.ahrq.gov/issue/hospitals-combat-errors-hand
    August 17, 2016 - Newspaper/Magazine Article Hospitals combat errors at the 'hand-off.' Citation Text: Hospitals combat errors at the 'hand-off.' Landro L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…
  19. psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit
    January 17, 2024 - Toolkit The Transforming Care at the Bedside (TCAB) Toolkit. Citation Text: The Transforming Care at the Bedside (TCAB) Toolkit. Princeton, NJ: Robert Wood Johnson Foundation; 2008. Copy Citation Save Save to your library Print Download PDF …
  20. psnet.ahrq.gov/issue/ahrq-2010-annual-conference
    December 24, 2008 - Government Resource AHRQ 2010 Annual Conference. Citation Text: AHRQ 2010 Annual Conference. Agency for Healthcare Research and Quality; AHRQ. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

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