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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45093/psn-pdf
    September 04, 2016 - Radically redesigning patient safety. September 4, 2016 Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45134/psn-pdf
    August 10, 2016 - Patient Safety: Exploring Quality of Care in the US. August 10, 2016 ProPublica, Inc. New York, NY. 2012-2016. https://psnet.ahrq.gov/issue/patient-safety-exploring-quality-care-us This website provides resources exploring patient safety challenges from various perspectives, including feature length articles and m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44526/psn-pdf
    October 07, 2015 - The evolution of a safety culture. October 7, 2015 Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. https://psnet.ahrq.gov/issue/evolution-safety-culture This commentary describes how an air transport unit at one hospital developed a safety cultu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38252/psn-pdf
    November 26, 2008 - Hospital ethical climate and teamwork in acute care: the moderating role of leaders. November 26, 2008 Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.75018.8d. https://psnet.ahrq.go…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45512/psn-pdf
    October 05, 2016 - When doctors get the wrong patient. October 5, 2016 Whitman E. Mod Healthc. September 25, 2016. https://psnet.ahrq.gov/issue/when-doctors-get-wrong-patient Misidentification of patients can result in problems such as medication administration delays, blood transfusion mismatches, and wrong-patient surgery. This ma…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44337/psn-pdf
    July 22, 2015 - Patient Safety Supplement. July 22, 2015 Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20. https://psnet.ahrq.gov/issue/patient-safety-supplement Drawing from presentations at an annual conference in the United Kingdom, articles in this supplement discuss barcode technologies, the Sign u…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41645/psn-pdf
    September 12, 2012 - A safety culture transformation: its effects at a children's hospital. September 12, 2012 Peterson TH, Teman SF, Connors RH. A safety culture transformation: its effects at a children's hospital. J Patient Saf. 2012;8(3):125-30. doi:10.1097/PTS.0b013e31824bd744. https://psnet.ahrq.gov/issue/safety-culture-transfor…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46971/psn-pdf
    July 18, 2018 - The Future of NHS Patient Safety Investigation. July 18, 2018 NHS Improvement. London, UK: National Health Service; 2018. https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation Organizational processes to investigate adverse care incidents play an important part in generating the learning needed for …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73078/psn-pdf
    September 19, 2024 - Risky Business: Creating Connections. July 17, 2024 Joseph B. Martin Conference Center, Boston, MA; September 19, 2024. https://psnet.ahrq.gov/issue/risky-business-creating-connections A core tenant of the patient safety improvement drawing from the experiences of various high-risk industries to address system saf…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45027/psn-pdf
    April 06, 2016 - Patient Safety 2030. April 6, 2016 Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/patient-safety-2030 Examining emerging trends in patient safety improvement work, this report recommends strategies and tools…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45677/psn-pdf
    March 08, 2017 - The War on Error: Common Diagnostic Errors. March 8, 2017 Medscape. 2016–2017. https://psnet.ahrq.gov/issue/war-error-common-diagnostic-errors Improving diagnosis has recently been recognized as a primary focus for patient safety. This collection highlights particular clinical areas of concern such as neurology an…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836867/psn-pdf
    April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. April 6, 2022 Houston TX;  Baylor College of Medicine: 2022. https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence Assessment can identify the current state of a process or program to reveal ar…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43356/psn-pdf
    July 16, 2014 - Introducing the safety score audit for staff member and patient safety. July 16, 2014 Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. https://psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-membe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36815/psn-pdf
    March 28, 2011 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. March 28, 2011 Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 2007;16(2):90-4. https://psnet.ahrq.g…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43941/psn-pdf
    February 25, 2015 - How to make surgery safer. February 25, 2015 https://psnet.ahrq.gov/issue/how-make-surgery-safer This newspaper article reports on various ways hospitals are working to make surgical care safer and reduce readmissions due to surgical complications, including checklists, teamwork training courses for surgeons, preo…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42160/psn-pdf
    April 03, 2013 - The perianesthesia nurse's role in the prevention of opioid-related sentinel events. April 3, 2013 Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46055/psn-pdf
    July 26, 2017 - Bridging the gap between work-as-imagined and work-as- done. July 26, 2017 Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done Understanding what is possible in the context of frontline practice is key when designing enhancements …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73123/psn-pdf
    April 01, 2020 - Digital Healthcare Research. April 1, 2020 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/digital-healthcare-research An understanding of the impact that digital tools can have on clinical decision making, patient self-care, and health system improvement is still emerging. This website hi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850935/psn-pdf
    June 21, 2023 - Non–operating room anesthesia challenges. June 21, 2023 Smith MJ. Anesthesiology News. June 6, 2023. https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges The use of office-based anesthesia presents both care improvements and risks for patients and clinical teams. This article summarizes frontline …
  20. psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
    July 10, 2024 - In Conversation With… Paul McGann, MD March 1, 2016  Citation Text: In Conversation With… Paul McGann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: …

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