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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42147/psn-pdf
    March 27, 2013 - The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. March 27, 2013 Perea-Pérez B, Labajo-González E, Bratos-Murillo M, et al. The clinical safety of disabled patients: proposal for a methodology for analysis of health care ri…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837001/psn-pdf
    April 27, 2022 - Final Report of the Ockenden Review. April 27, 2022 London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294. https://psnet.ahrq.gov/issue/final-report-ockenden-review Maternal and baby harm in healthcare is a sentinel event manifested by systemic failure. This report serves as the final conclusions of an i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41583/psn-pdf
    August 08, 2012 - Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. August 8, 2012 Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-2834.2012.01400.x. https://psnet.ahrq.go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836870/psn-pdf
    April 26, 2022 - A Conversation Among Stakeholders on Medical Malpractice. April 6, 2022 Collaborative for Accountability and Improvement. April 26, 2022. https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice Communication and resolution programs (CRP) can improve response to patients and families a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37726/psn-pdf
    April 30, 2008 - Patient Safety and Quality: An Evidence-Based Handbook for Nurses. April 30, 2008 Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.   https://psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses This handbook prepared by the Age…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47364/psn-pdf
    October 31, 2018 - AI can't replace doctors. But it can make them better. October 31, 2018 Parikh R. MIT Technol Rev. October 23, 2018. https://psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making in health ca…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42327/psn-pdf
    June 05, 2013 - Development and testing of tools to detect ambulatory surgical adverse events. June 5, 2013 Mull HJ, Borzecki A, Hickson K, et al. Development and testing of tools to detect ambulatory surgical adverse events. J Patient Saf. 2013;9(2):96-102. doi:10.1097/PTS.0b013e31827d1a88. https://psnet.ahrq.gov/issue/developme…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854984/psn-pdf
    November 01, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. November 1, 2023 Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042. https://psnet.ahrq.gov/issue/pridx…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764408/psn-pdf
    March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849338/psn-pdf
    May 24, 2023 - The impact of language barriers on patient care: a pharmacy perspective. May 24, 2023 Patel J. PM Healthcare Journal. Spring 2023(4):5-18. https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective Language discordance is known to degrade medication safety. The article discusses an exa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40486/psn-pdf
    June 01, 2011 - Process changes to increase compliance with the Universal Protocol for bedside procedures. June 1, 2011 Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.1001/archinternmed.2011.202. https://ps…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42139/psn-pdf
    March 27, 2013 - Personalised performance feedback reduces narcotic prescription errors in a NICU. March 27, 2013 Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089. https://psnet.ahrq.gov/issue/personal…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73098/psn-pdf
    September 07, 2021 - Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. September 7, 2021 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2021. https://psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascula…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42500/psn-pdf
    August 14, 2013 - When should students learn about ethics, professionalism and patient safety? August 14, 2013 Walton M, Jeffery H, Van Staalduinen S, et al. When should students learn about ethics, professionalism and patient safety? Clin Teach. 2013;10(4):224-9. doi:10.1111/tct.12029. https://psnet.ahrq.gov/issue/when-should-stud…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38190/psn-pdf
    May 14, 2009 - Oncology medication safety: a 3D status report 2008. May 14, 2009 Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634. https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008 This survey di…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44576/psn-pdf
    January 23, 2018 - Healthcare Quality and Patient Safety Award. January 23, 2018 Iowa Healthcare Collaborative. https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award This award seeks to recognize health care organizations and professionals that have exhibited leadership and innovation in improving patient safety i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45661/psn-pdf
    November 09, 2016 - Center for Diagnostic Excellence. November 9, 2016 Armstrong Institute for Patient Safety and Quality https://psnet.ahrq.gov/issue/center-diagnostic-excellence Diagnostic error has recently been recognized as a serious patient safety concern. Established within the Armstrong Center for Patient Safety and Quality, …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45229/psn-pdf
    July 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38278/psn-pdf
    January 15, 2009 - The impact of introducing medical emergency team system on the documentations of vital signs. January 15, 2009 Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/j.resuscitation.2008.10.009. http…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46210/psn-pdf
    July 12, 2017 - Could emotional intelligence make patients safer? July 12, 2017 Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db. https://psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer Nontechnical skill development i…

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