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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46190/psn-pdf
    August 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. August 17, 2017 Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:10.1097/CCM.0000000000002556. ht…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837668/psn-pdf
    July 13, 2022 - Factors associated with malpractice claim payout: an analysis of closed emergency department claims. July 13, 2022 Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. Jt Comm J Qual Patient Saf. 2022;48(9):492-496. doi:1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852797/psn-pdf
    August 23, 2023 - Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. August 23, 2023 Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Anaesth. 2023;131(2):397-406. doi:10…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36552/psn-pdf
    January 12, 2011 - Toward learning from patient safety reporting systems. January 12, 2011 Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems This study reports the initia…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837664/psn-pdf
    July 13, 2022 - Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022 Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision- making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284. https://psn…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46879/psn-pdf
    September 24, 2018 - Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. September 24, 2018 Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf. 2018;44(10):599-604. doi:10.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74844/psn-pdf
    February 16, 2022 - Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. February 16, 2022 Peat G, Olaniyan JO, Fylan B, et al. Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Res Social Adm Pharm. 2022;18(9)…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50589/psn-pdf
    October 30, 2019 - Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. October 30, 2019 Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecific Diagnoses of Headache or Back …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60583/psn-pdf
    June 10, 2020 - Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. June 10, 2020 Wee LE, Fua T?P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. Acad Emerg Med. 2020;27(5):379…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46996/psn-pdf
    May 23, 2018 - How to incorporate quality improvement and patient safety projects in your training. May 23, 2018 Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044. https://psnet…
  11. Checkpoint-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/checkpoint-tool.docx
    June 01, 2021 - Directions: This tool is intended to help facilities with formulate and execute local antibiotic stewardship interventions. When initiating an intervention, complete this form to the extent possible, and update it to document progress during the intervention. Checkpoint Tool – Long-Term Care AHRQ Safety Program for Imp…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44450/psn-pdf
    November 23, 2016 - The wisdom of patients and families: ignore it at our peril. November 23, 2016 Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603- 604. doi:10.1136/bmjqs-2015-004573. https://psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril Narrative elemen…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47989/psn-pdf
    August 14, 2019 - Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. August 14, 2019 Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010. https://psnet.ahrq.gov/issue/ambula…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72683/psn-pdf
    January 27, 2021 - Analysis of patient safety risk management call data during the COVID?19 pandemic. January 27, 2021 Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19 pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457. https://psnet.ahrq.gov/issue/analysis-patien…
  16. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-3.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Developing Your Charter Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Buildi…
  17. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.18. Major Factors that Facilitate Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Ca…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45528/psn-pdf
    October 26, 2016 - Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. October 26, 2016 Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. doi:10.1136/bmjopen-2016-011708. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848043/psn-pdf
    April 26, 2023 - Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. April 26, 2023 Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open Med. 2023;11:205031212311642. doi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47298/psn-pdf
    September 24, 2018 - Physician engagement in malpractice risk reduction: a UPHS case study. September 24, 2018 Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009. https://psnet.ahrq.gov/issue/…