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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34119/psn-pdf
    June 11, 2019 - 2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy. June 11, 2019 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory- pharmacy This community pharmacy measurement tool can be used to re…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34598/psn-pdf
    November 15, 2011 - Complexity and the Adoption of Innovation in Health Care. November 15, 2011 Plsek P. Washington DC: National Institute for Health Care Management Foundation and National Committee for Quality Health Care; 2003. https://psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care In discussing the complexit…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40317/psn-pdf
    November 21, 2016 - Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. November 21, 2016 Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care This whit…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60011/psn-pdf
    March 04, 2020 - UCSD, doc who overdosed in hospital bathroom face lawsuits. March 4, 2020 Clark C. MedPage Today. February 10, 2020.  https://psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits It is an institutional responsibility to monitor physicians exhibiting performance issues that put pati…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39427/psn-pdf
    July 30, 2012 - Responding to patient safety incidents: the "seven pillars." July 30, 2012 McDonald TB, Helmchen LA, Smith KM, et al. Responding to patient safety incidents: the "seven pillars". Qual Saf Health Care. 2010;19(6):e11. doi:10.1136/qshc.2008.031633. https://psnet.ahrq.gov/issue/responding-patient-safety-incidents-sev…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37358/psn-pdf
    January 02, 2017 - Reducing surgical complications. January 2, 2017 Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5. https://psnet.ahrq.gov/issue/reducing-surgical-complications The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by recommending several ch…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38223/psn-pdf
    October 14, 2015 - Patient-Centered Care Improvement Guide. October 14, 2015 Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008. https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide This guide contains comprehensive information about best practices and implementation tool…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36121/psn-pdf
    April 29, 2018 - Practitioners agree on medication reconciliation value, but frustration and difficulties abound. April 29, 2018 ISMP Medication Safety Alert! Acute care edition. July 13, 2006. https://psnet.ahrq.gov/issue/practitioners-agree-medication-reconciliation-value-frustration-and-difficulties- abound This article summar…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38375/psn-pdf
    December 01, 2019 - ISMP QuarterWatch Reports. April 17, 2019 Horsham, PA: Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports This website provides quarterly reports that identify and analyze new risks related to medications and adverse drug events submitted to the Food and Drug Administra…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35581/psn-pdf
    June 17, 2010 - Incident reporting in one UK accident and emergency department. June 17, 2010 Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency department. Accid Emerg Nurs. 2006;14(1):27-37. https://psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department The …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50902/psn-pdf
    February 12, 2020 - Improving care by using patient feedback. February 12, 2020 National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019. https://psnet.ahrq.gov/issue/improving-care-using-patient-feedback Patient feedback is a problematic source of patient safety improvement information. This r…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37045/psn-pdf
    September 30, 2011 - Understanding and attitudes towards patient safety concepts in obstetrics. September 30, 2011 Nabhan A, Ahmed-Tawfik MS. Understanding and attitudes towards patient safety concepts in obstetrics. Int J Gynaecol Obstet. 2007;98(3):212-6. https://psnet.ahrq.gov/issue/understanding-and-attitudes-towards-patient-safet…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38335/psn-pdf
    March 23, 2009 - For patients, a list of hospital hazards. March 23, 2009 Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2. https://psnet.ahrq.gov/issue/patients-list-hospital-hazards Emphasizing the importance of safe device use to prevent patient harm, this article reports on the top 10 technology hazards in…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41563/psn-pdf
    December 04, 2016 - Harm to Healing - Partnering with Patients Who Have Been Harmed. December 4, 2016 Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012. https://psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed This publication describes an investigation into e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39172/psn-pdf
    December 09, 2009 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation. December 9, 2009 Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084. https://psnet.ahrq.gov/issue/advancing-patient-safety-decade-evidence-design-and-implementation This publication …
  16. psnet.ahrq.gov/training-catalog/ismp-education-solutions
    August 09, 2025 - ISMP Education Solutions Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization ECRI Institute Event Description: As a global leader in medication s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40111/psn-pdf
    December 14, 2012 - Disruptive behavior affects hospital financial health. December 14, 2012 Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital. Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management. 2010;30(2):20-6. doi:10.1002/jhrm.20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39494/psn-pdf
    May 13, 2019 - Chasing Zero: Winning the War on Healthcare Harm. May 13, 2019 Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010. https://psnet.ahrq.gov/issue/chasing-zero-winning-war-healthcare-harm This documentary reports on families affected by medical errors; it includes the story of a high-pro…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36077/psn-pdf
    July 05, 2006 - Perinatal patient safety from the perspective of nurse executives: a round table discussion. July 5, 2006 Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J. https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion The authors summarize a discussion be…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35036/psn-pdf
    March 29, 2007 - Escape Fire: Designs for the Future of Health Care. March 29, 2007 Berwick DM. San Francisco, CA: John Wiley & Sons; 2004. https://psnet.ahrq.gov/issue/escape-fire-designs-future-health-care This book presents a decade's worth of keynote speeches made by the Institute for Healthcare Improvement's cofounder and pre…

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