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  1. psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
    November 25, 2009 - Study Classic Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Text: Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…
  2. psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
    October 27, 2021 - Study Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. Citation Text: Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…
  3. psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments
    June 22, 2017 - Study A comprehensive obstetric patient safety program reduces liability claims and payments. Citation Text: Pettker CM, Thung SF, Lipkind HS, et al. A comprehensive obstetric patient safety program reduces liability claims and payments. Am J Obstet Gynecol. 2014;211(4):319-25. doi:10.10…
  4. psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
    August 14, 2018 - Study Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. Citation Text: Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076. Copy Cit…
  5. psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
    July 13, 2022 - Study Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support. Citation Text: Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involveme…
  6. psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
    February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
  7. psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
    November 14, 2018 - Study Multistate point-prevalence survey of health care-associated infections. Citation Text: Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. Copy Citation …
  8. psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
    April 24, 2018 - Study Classic Readiness of US general surgery residents for independent practice. Citation Text: George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…
  9. psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
    June 28, 2023 - Study Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Citation Text: Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33984/psn-pdf
    April 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. April 17, 2024 Horsham, PA; Institute for Safe Medication Practices; April 17, 2024. https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations A handy list for medical personnel to ensure and implement safe…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33968/psn-pdf
    July 08, 2016 - Health Literacy: A Prescription to End Confusion. July 8, 2016 Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 9780309283328. https://psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43676/psn-pdf
    November 12, 2014 - Is surgery safer at a teaching hospital? November 12, 2014 Webster H. US News & World Report. October 27, 2014. https://psnet.ahrq.gov/issue/surgery-safer-teaching-hospital This magazine article explores whether receiving care at a teaching hospital affects patient safety and highlights how the demands of the educ…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36216/psn-pdf
    August 03, 2012 - Hospital Medication Errors Commonplace. August 3, 2012 Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006. https://psnet.ahrq.gov/issue/hospital-medication-errors-commonplace This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine (IOM) report Prev…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34009/psn-pdf
    November 12, 2014 - Consumer Safe Medicine. November 12, 2014 Plymouth Meeting, PA; Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismps-safe-medicine ISMP's electronic consumer medication safety newsletter is published six times a year and its content aims to engage patients and families in reducing medication…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40419/psn-pdf
    October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals. October 21, 2011 Horsham, PA: Institute for Safe Medication Practices; April 2011. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40523/psn-pdf
    August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. August 31, 2011 Texas Medical Institute of Technology. June 16, 2011. https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing This webinar covered how medical errors affect both the family and provider …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40086/psn-pdf
    December 15, 2010 - The Safe Use Initiative and Health Literacy: Workshop Summary. December 15, 2010 Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies Press; 2010. ISBN-10: 0309159318. https://psnet.ahrq.gov/issue/safe-use-initiative-and-health-literacy-workshop-summary This publica…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43441/psn-pdf
    July 12, 2018 - Fixing Healthcare Delivery. July 12, 2018 University of Florida, Institute for Healthcare Improvement, Coursera. https://psnet.ahrq.gov/issue/fixing-healthcare-delivery This online course presents teamwork, systems design, leadership, and change management as strategies to improve health care safety. The course in…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37656/psn-pdf
    May 08, 2019 - Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. May 8, 2019 Disclosure Working Group. Edmonton, AB, Canada; Canadian Patient Safety Institute; 2011. ISBN 9781926541389. https://psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families These n…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41091/psn-pdf
    October 01, 2021 - ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. October 1, 2021 Horsham, PA: Institute for Safe Medication Practices; 2021. https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare This fact sheet provides a list of high-alert medications commonly used in…

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