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  1. psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
    September 23, 2020 - Study Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. Citation Text: Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal…
  2. psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
    November 16, 2022 - Study I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. Citation Text: Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43268/psn-pdf
    June 11, 2014 - Medication Safety Program. June 11, 2014 Atlanta, GA: Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/medication-safety-program This Web site provides information for providers and patients to reduce risks related to adverse drug events, including links to fact sheets, research, and govern…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36780/psn-pdf
    April 29, 2018 - If safety is your yardstick, measuring culture from the top down must be a priority. April 29, 2018 ISMP Medication Safety Alert! Acute care edition. March 22, 2007. https://psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority This article discusses the importance of a safety c…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39980/psn-pdf
    January 13, 2014 - Common formats for patient safety data collection and event reporting. January 13, 2014 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-0 Use of common formats allows for comparison between facilities. This website provides …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35432/psn-pdf
    September 11, 2009 - Improving patient safety: moving beyond the "hype" of medical errors. September 11, 2009 Forster AJ, Shojania KG, van Walraven C. Improving patient safety: moving beyond the "hype" of medical errors. CMAJ. 2005;173(8):893-4. https://psnet.ahrq.gov/issue/improving-patient-safety-moving-beyond-hype-medical-errors T…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40001/psn-pdf
    November 17, 2010 - Contributions from Ergonomics and Human Factors. November 17, 2010 Qual Saf Health Care. 2010;19(suppl 3):i1-i79.   https://psnet.ahrq.gov/issue/contributions-ergonomics-and-human-factors This special issue contains articles discussing human factors and ergonomics in health care simulation, information techno…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37591/psn-pdf
    November 10, 2011 - Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. November 10, 2011 National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, New Zealand; Quality Improvement Committee; 2008. https://psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-distr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41308/psn-pdf
    April 18, 2012 - Health Care–Associated Infections (HAI) Portal. April 18, 2012 Joint Commission. https://psnet.ahrq.gov/issue/health-care-associated-infections-hai-portal This Web site provides resources on infection prevention and control, including standards, strategies, educational tools, and setting-based information. https:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33998/psn-pdf
    March 17, 2011 - Minnesota Alliance for Patient Safety (MAPS). March 17, 2011 Minnesota Hospital and Healthcare Partnership.  https://psnet.ahrq.gov/issue/minnesota-alliance-patient-safety-maps The Minnesota Alliance for Patient Safety (MAPS) is a partnership among the Minnesota Hospital Association, Minnesota Medical Associa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38990/psn-pdf
    September 30, 2009 - Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training. September 30, 2009 Kneebone RL. https://psnet.ahrq.gov/issue/practice-rehearsal-and-performance-approach-simulation-based-surgical-and- procedure-training Understanding how musical expertise is developed could …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42499/psn-pdf
    August 14, 2013 - A considerative checklist to ensure safe daily patient review. August 14, 2013 Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach. 2013;10(4):209-13. doi:10.1111/tct.12023. https://psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review This commen…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37239/psn-pdf
    September 27, 2016 - Communication patterns in a UK emergency department. September 27, 2016 Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann Emerg Med. 2007;50(4):407-13. https://psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department This study observed emergency room cha…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36996/psn-pdf
    September 24, 2016 - Interruptions in a level one trauma center: a case study. September 24, 2016 Brixey J, Tang Z, Robinson DJ, et al. Interruptions in a level one trauma center: a case study. Int J Med Inform. 2008;77(4):235-41. https://psnet.ahrq.gov/issue/interruptions-level-one-trauma-center-case-study The investigators shadowed …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35728/psn-pdf
    February 22, 2006 - Safety climate in health care organizations: a multidimensional approach. February 22, 2006 Katz-Navon T; Naveh E; Stern Z. Academy of Management Journal. 2005;48(6):1075-1089. https://psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach The authors explored four elements of safe…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36827/psn-pdf
    April 25, 2007 - Adverse Drug Events in US Hospitals, 2004. April 25, 2007 Elixhauser A, Owens P. HCUP Statistical Brief #29. Rockville, MD: Agency for Healthcare Research and Quality; April 2007. https://psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2004 This report presents data on adverse drug events from the Healthcare…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41865/psn-pdf
    November 21, 2012 - 'Inattentional blindness': what captures your attention? November 21, 2012 Grissinger M. 'Inattentional blindness': what captures your attention? P.T. 2012;37(10):542-555. https://psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention-0 This commentary discusses inattentional blindness, how the b…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37353/psn-pdf
    March 28, 2012 - Medication Use: A Systems Approach to Reducing Errors, Second Edition. March 28, 2012 Porche? RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976. https://psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition Co-authored by a host of medication safety expert…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37573/psn-pdf
    December 23, 2016 - Preventing accidents and injuries in the MRI suite. December 23, 2016 Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3. https://psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite This alert provides risk reduction strategies and recommendations to minimize oppo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38003/psn-pdf
    September 19, 2016 - Suicide in the medical setting. September 19, 2016 Ballard ED, Pao M, Henderson D, et al. Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481. https://psnet.ahrq.gov/issue/suicide-medical-setting This review sought to differentiate suicides in hospitalized medical patients from suicides …

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