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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35397/psn-pdf
    September 10, 2009 - The National Medical Error Disclosure and Compensation (MEDiC) Act. September 10, 2009 Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005. https://psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act This bill, introduced to the Senate by Senators Clint…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41293/psn-pdf
    June 01, 2012 - Developing an action plan for patient radiation safety in adult cardiovascular medicine. June 1, 2012 Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult cardiovascular medicine: proceedings from the Duke University Clinical Research Institute/American College o…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38913/psn-pdf
    May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. May 24, 2015 Cambridge, MA: New England Healthcare Institute; August 12, 2009. https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication- adherence-chro…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37053/psn-pdf
    July 31, 2008 - Electronic health record use and the quality of ambulatory care in the United States. July 31, 2008 Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5. https://psnet.ahrq.gov/issue/electronic-health-record-use…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47025/psn-pdf
    April 11, 2018 - Chemotherapy medication errors. April 11, 2018 Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. https://psnet.ahrq.gov/issue/chemotherapy-medication-errors Chemotherapy errors can result in serious patient harm. This revi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41062/psn-pdf
    July 02, 2014 - Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. July 2, 2014 Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. 2012;87(2):168-71. doi:10.1097/ACM.0b013…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836870/psn-pdf
    April 26, 2022 - A Conversation Among Stakeholders on Medical Malpractice. April 6, 2022 Collaborative for Accountability and Improvement. April 26, 2022. https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice Communication and resolution programs (CRP) can improve response to patients and families a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72688/psn-pdf
    October 06, 2022 - Request for proposals for clinical quality measures to improve diagnosis. October 6, 2022 Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.  https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis A lack of consensus on measures for the effectiveness and ac…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42028/psn-pdf
    February 18, 2014 - Warning! Severe burns and permanent scarring after glacial acetic acid (?99.5%) mistakenly applied topically. February 18, 2014 National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013. https://ps…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45176/psn-pdf
    July 20, 2016 - Sustaining Improvement. July 20, 2016 Scoville R, Little K, Rakover J, et al. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2016. https://psnet.ahrq.gov/issue/sustaining-improvement Numerous activities and programs have been launched to improve patient safety, but sustaining improvements can be …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34668/psn-pdf
    June 06, 2018 - Please don't sleep through this wake-up call. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001.   https://psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call This is an alert from the Institute for Safe Medication Practices informing readers of a fatal medication error that occu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48136/psn-pdf
    August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health IT. August 7, 2019 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it Inconsistent checking for and consideration of drug allergy alerts can d…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40869/psn-pdf
    October 26, 2011 - Patient safety outcomes: the importance of understanding the organizational culture and safety climate. October 26, 2011 Ross J. Patient safety outcomes: the importance of understanding the organizational culture and safety climate. J Perianesth Nurs. 2011;26(5):347-8. doi:10.1016/j.jopan.2011.08.001. https://psn…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866531/psn-pdf
    August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of Patients. August 14, 2024 Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. . https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients Artificial intelligence (AI) is rapidly …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37576/psn-pdf
    May 24, 2015 - Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. May 24, 2015 Adams M, Bates D, Coffman G, et al. Boston, MA: Massachusetts Technology Collaborative; New England Healthcare Institute; February 2008. https://psnet.ahrq.gov/issue/saving-lives-saving-money…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38361/psn-pdf
    January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. January 31, 2011 Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940. https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37023/psn-pdf
    September 24, 2010 - Applying the Toyota Production System: using a patient safety alert system to reduce error. September 24, 2010 Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. https://psnet.ahrq.gov/issue/applying-toyot…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38305/psn-pdf
    January 15, 2009 - High-alert medications in the pediatric intensive care unit. January 15, 2009 Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. https://psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-c…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44223/psn-pdf
    November 22, 2016 - Patient Safety and Incident Management Toolkit. November 22, 2016 Edmonton, AB: Canadian Patient Safety Institute. June 2015. https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit Engaging patients and families in safety can uncover concerns and inform improvement efforts. This three- compone…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44502/psn-pdf
    May 07, 2018 - Draft Guidelines for the Safe Communication of Electronic Medication Information. May 7, 2018 Institute for Safe Medication Practices. Acute Care Edition. August 27, 2015;2;1-3,6. https://psnet.ahrq.gov/issue/draft-guidelines-safe-communication-electronic-medication-information How electronic medication-related in…

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