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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38102/psn-pdf
    April 15, 2019 - Epidemiology of adverse events in air medical transport. April 15, 2019 MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. https://psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transpo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39982/psn-pdf
    January 17, 2012 - Hand-off Communications. January 17, 2012 DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. https://psnet.ahrq.gov/issue/hand-communications The Joint Commission Center for Transforming Hea…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41914/psn-pdf
    January 18, 2013 - High-fidelity simulation and safety: an integrative review. January 18, 2013 Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45. doi:10.3928/01484834-20121121-01. https://psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review This thematic revi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35441/psn-pdf
    September 18, 2009 - Bridging the communication gap in the operating room with medical team training. September 18, 2009 Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4. https://psnet.ahrq.gov/issue/bridging-communication-gap-operating-r…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46003/psn-pdf
    May 10, 2017 - National Healthcare Safety Network. May 10, 2017 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/national-healthcare-safety-network-0 Health care–associated infection are a persistent patient safety problem. This website provides resources related to a national health care–associated infec…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35318/psn-pdf
    September 20, 2024 - AHRQ Quality Indicators. September 20, 2024 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/ahrq-quality-indicators The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available administrative data to inform…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33881/psn-pdf
    August 01, 2019 - In Conversation With… Erik Hollnagel, PhD June 1, 2019 In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd Editor's note: Dr. Hollnagel is Senior Professor of Patient Safety at the University of Jönköping (Sweden) as well as Visiting…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33816/psn-pdf
    October 01, 2016 - In Conversation With… Richard Platt, MD, MSc October 1, 2016 In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc Editor's note: Dr. Platt is Professor and Chair of the Harvard Medical School Department of Population Medicine. He…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841567/psn-pdf
    December 14, 2022 - Measuring Patient Safety December 14, 2022 Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/measuring-patient-safety Following the landmark report To Err is Human: Building a Safer Health System, developed by the Institute of Medicine in 1999, pa…
  10. psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
    December 20, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable Citation Text: Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…
  11. psnet.ahrq.gov/web-mm/workaround-error
    October 30, 2024 - Workaround Error Citation Text: Pape T. Workaround Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  12. psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - How to Identify and Manage Problem Behaviors Alan H. Rosenstein, MD, MBA; Michelle O'Daniel, MSG, MHA | December 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Rosenstein AH, O'Daniel M. How to Identify and Manage Prob…
  13. psnet.ahrq.gov/perspective/risk-management-and-patient-safety
    December 01, 2010 - Risk Management and Patient Safety Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47966/psn-pdf
    May 29, 2019 - Patient Safety Essentials Toolkit. May 29, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit This toolkit provides access to nine key tools to help organizations improve teamwork, incident analysis, and communication as well as templates to …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47280/psn-pdf
    October 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866322/psn-pdf
    July 17, 2024 - UCSF Coordinating Center for Diagnostic Excellence (CoDEx). July 17, 2024 University of California, San Francisco. https://psnet.ahrq.gov/issue/ucsf-coordinating-center-diagnostic-excellence-codex Diagnostic excellence is an emergent field of study that aligns with diagnostic error reduction efforts. This center …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34743/psn-pdf
    March 28, 2005 - Juran's Quality Handbook. 5th ed. March 28, 2005 Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396. https://psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed This reference on quality engineering and management practices provides a wealth of background and scholarship on the elemen…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41114/psn-pdf
    February 01, 2012 - Rapid response systems: identification and management of the "prearrest state." February 1, 2012 McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state". Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012. https://psnet.ahrq.gov/issue/rapid-respons…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863762/psn-pdf
    March 14, 2024 - Diagnostic Excellence: a Patient Safety Awareness Week Webinar. March 6, 2024 Institute for Healthcare Improvement. March 14, 2024. https://psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar Diagnostic safety is core to care without harm. This webinar aligned with the 2024 Patient Saf…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50667/psn-pdf
    November 13, 2019 - Proactive prevention of maternal death from maternal hemorrhage. November 13, 2019 Quick Safety. October 29, 2019;(51):1-3. https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage The reduction of postpartum hemorrhage and the overall improvement of maternal safety is a patient safety …

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