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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  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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