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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44938/psn-pdf
    September 28, 2017 - Walking the tightrope: communicating overdiagnosis in modern healthcare. September 28, 2017 McCaffery KJ, Jansen J, Scherer LD, et al. Walking the tightrope: communicating overdiagnosis in modern healthcare. BMJ. 2016;352:i348. doi:10.1136/bmj.i348. https://psnet.ahrq.gov/issue/walking-tightrope-communicating-over…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34129/psn-pdf
    January 16, 2019 - WHO Patient Safety. January 16, 2019 World Health Organization. https://psnet.ahrq.gov/issue/who-patient-safety Reducing accidents and the risk of error requires a significant and sustained response at national and global levels. With this in mind, the World Health Organization and its partners launched the World …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50387/psn-pdf
    September 25, 2019 - Special Issue on Prescription Drug Misuse. September 25, 2019 Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056. https://psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse This special issue reviews research initiatives exploring persistent challenges associated with the …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34602/psn-pdf
    February 17, 2009 - Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). February 17, 2009 Chicago, IL; American Society of Healthcare Risk Management: 2003. https://psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part- 1-3 The change in t…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837979/psn-pdf
    August 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health.  August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40058/psn-pdf
    January 22, 2017 - Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections. January 22, 2017 Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73970/psn-pdf
    October 21, 2021 - The Good, The Bad, and The Ugly: Patient Experiences with CRPs. October 13, 2021 Collaborative for Accountability and Improvement. October 21, 2021.  https://psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps Communication-and-resolution program (CRP) initiatives are a valuable strategy for impro…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45386/psn-pdf
    November 23, 2016 - Balancing doctor egos and errors. November 23, 2016 Sweeney JF. Medical Economics. November 10, 2016. https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discus…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38459/psn-pdf
    October 03, 2012 - Identifying opportunities for quality improvement in surgical site infection prevention. October 3, 2012 Gagliardi AR, Eskicioglu C, McKenzie M, et al. Identifying opportunities for quality improvement in surgical site infection prevention. Am J Infect Control. 2009;37(5):398-402. doi:10.1016/j.ajic.2008.10.027. h…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46367/psn-pdf
    August 30, 2017 - Why are so many women being misdiagnosed? August 30, 2017 Mickle K. Glamour. August 11, 2017. https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed Implicit bias and differences in communication style can affect patient care. This magazine article reports on factors that contribute to misdiagnosis …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44359/psn-pdf
    January 06, 2016 - What happens when healthcare innovations collide? January 6, 2016 Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. https://psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide Innovat…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43316/psn-pdf
    July 02, 2014 - Optimizing transitions of care to reduce rehospitalizations. July 2, 2014 Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. https://psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations Care…
  13. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-3.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.3. Characteristics of LHC (All Hospitals) Previous Page   Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73359/psn-pdf
    June 02, 2020 - Patient Safety Movement Foundation. June 2, 2020 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org. https://psnet.ahrq.gov/issue/patient-safety-movement-foundation This organization shares best practices to align and optimize efforts toward eliminating patient harm by the …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43572/psn-pdf
    October 08, 2014 - Awareness of patient safety grows with increased outpatient surgeries. October 8, 2014 Aston G. Hosp Health Netw. September 9, 2014. https://psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries As outpatient surgery becomes more prevalent, attention around related safety concerns grow…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35339/psn-pdf
    April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46329/psn-pdf
    September 06, 2017 - Risk factors of missed colorectal lesions after colonoscopy. September 6, 2017 Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468. https://psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-af…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40242/psn-pdf
    February 23, 2011 - An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. February 23, 2011 Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Anesthesiol Clin. 201…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43234/psn-pdf
    June 04, 2014 - Independent double-checks for high-alert medications: essential practice. June 4, 2014 Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. https://psnet.ahrq.gov/issue/independent-double-checks-high…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38600/psn-pdf
    October 03, 2017 - Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. October 3, 2017 Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.1111/j.1365-2753.2008.01033.x. https…