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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73097/psn-pdf
    March 31, 2011 - The Future of Nursing: Leading Change, Advancing Health. March 31, 2011 Institute of Medicine. Washington, DC: The National Academies Press: 2011. https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health The effective engagement of nursing is key to patient safety and care quality improvement. T…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851068/psn-pdf
    June 28, 2023 - Building a Culture of Safety in Health Care. June 28, 2023 Chicago, IL: American Hospital Association: May 2023. https://psnet.ahrq.gov/issue/building-culture-safety-health-care Healthcare-acquired infections (HAIs) are a common complication of hospital care. This report summarizes lessons learned at a series of i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73523/psn-pdf
    July 21, 2021 - TeamSTEPPS Video Toolkit. July 21, 2021 AHA Team Training and Project Firstline. Chicago, IL: American Hospital Association, Center for Disease Control and Prevention; July 2021. https://psnet.ahrq.gov/issue/teamstepps-video-toolkit Problems in communication are common contributors to patient care mistakes. This t…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47588/psn-pdf
    November 21, 2018 - 2 MSO programs show value of safety position. November 21, 2018 Wild D. Pharmacy Practice News. November 8, 2018. https://psnet.ahrq.gov/issue/2-mso-programs-show-value-safety-position Medication safety officers serve as organizational champions of medication management process improvement. This news article offer…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43371/psn-pdf
    June 19, 2019 - Medication Safety Officer's Handbook. June 19, 2019 Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. https://psnet.ahrq.gov/issue/medication-safety-officers-handbook This book provides information about medication errors and quality improvement to gui…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837808/psn-pdf
    August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. August 5, 2024 Washington, DC: Leapfrog Group; July 2024. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38890/psn-pdf
    December 30, 2014 - Intravenous infusion safety technology: return on investment. December 30, 2014 Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680. https://psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-invest…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49532/psn-pdf
    March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
  9. Spotlight (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
    May 01, 2018 - Spotlight Spotlight Out of Sight, Out of Mind: Out-of-Office Test Result Management 1 Source and Credits This presentation is based on the May 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Eric Poon, MD, MPH, Duke University School o…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33876/psn-pdf
    August 01, 2018 - Building a Safety Program in a Vast Health Care Network March 1, 2019 Phrampus P. Building a Safety Program in a Vast Health Care Network. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network Perspective Background As hospital-based health care in the United …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33698/psn-pdf
    August 01, 2010 - In Conversation with...Richard P. Shannon, MD August 1, 2010 In Conversation with..Richard P. Shannon, MD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md Editor's note: Richard P. Shannon, MD, is the Frank Wister Thomas Professor of Medicine at the University of Pe…
  12. psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
    December 15, 2024 - Medication Errors and Adverse Drug Events Citation Text: Medication Errors and Adverse Drug Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…
  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. 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…
  15. psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
    December 01, 2010 - In Conversation with...Geri Amori, PhD December 1, 2010  Also Read an Essay Citation Text: In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010.In Conversation with...Geri Amori, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
  16. psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
    July 01, 2006 - In Conversation with...Allan Frankel, MD July 1, 2006  Also Read an Essay Citation Text: In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006.In Conversation with...Allan Frankel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33608/psn-pdf
    February 01, 2024 - Maternal Safety January 31, 2024 Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/maternal-safety Originally published in 2018 by researchers at the University of California, San Francisco. Updated in February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73303/psn-pdf
    May 26, 2021 - Safety Culture in EMS May 26, 2021 Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/safety-culture-ems Defining a Just Culture A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an environmen…
  19. psnet.ahrq.gov/primer/reporting-patient-safety-events
    March 30, 2022 - Reporting Patient Safety Events Citation Text: Reporting Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33872/psn-pdf
    January 01, 2018 - Update: Patient Engagement in Safety January 1, 2018 Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/update-patient-engagement-safety Annual Perspective 2018 Background Patient engagement has become a cornerstone of patient safety. A Patient Saf…

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