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2221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43839/psn-pdf
      January 28, 2015 - Patient Safety. January 28, 2015 J Health Serv Res Policy. 2015;20(suppl 1):S1-S60. https://psnet.ahrq.gov/issue/patient-safety-11 Articles in this special supplement explore research commissioned by National Institute for Health Research in the United Kingdom to address four patient safety research gaps: how orga…

2222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846455/psn-pdf
      March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di…

2223. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37847/psn-pdf
      June 18, 2008 - Effect of the 80-hour work week on resident case coverage. June 18, 2008 Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…

2224. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44718/psn-pdf
      November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient Safety. November 25, 2015 Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety The 2004 Canadian Adverse Events Study helpe…

2225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45526/psn-pdf
      January 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…

2226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60951/psn-pdf
      September 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im…

2227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46272/psn-pdf
      January 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-…

2228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863764/psn-pdf
      March 06, 2024 - Medication errors 2023: the year in review: January through December. March 6, 2024 Pharmacy Practice News; February 2024: Suppl 1-12. https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december The medication process has multiple steps in it that can open the door to mistakes. This ar…

2229. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44531/psn-pdf
      September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for Patients. September 30, 2015 Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients The never events list was dev…

2230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35186/psn-pdf
      July 13, 2005 - Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. July 13, 2005 Comarow A. US News & World Report. July 2005 https://psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary- deaths This article, accompanying the widely r…

2231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46750/psn-pdf
      January 31, 2018 - Iowans' Views on Medical Errors: Iowa Patient Safety Study. January 31, 2018 Clive, IA: Heartland Health Research Institute; January 7, 2018. https://psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study Patient perspectives can provide insights regarding areas in need of improvement. This sur…

2232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838015/psn-pdf
      September 07, 2022 - Physicians and cognitive decline: a challenge for state medical boards. September 7, 2022 Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19. https://psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-…

2233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44991/psn-pdf
      April 20, 2016 - Does an insulin double-checking procedure improve patient safety? April 20, 2016 Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. https://psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-…

2234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50875/psn-pdf
      February 05, 2020 - Implementing Closing the Loop. Safe Practices for Diagnostic Results February 5, 2020 Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results Health information technology (HIT) can improve record keepi…

2235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50838/psn-pdf
      January 29, 2020 - Start the new year off right by preventing these top 10 medication errors and hazards. January 29, 2020 ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6. https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards Medication errors routinely c…

2236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43243/psn-pdf
      June 11, 2014 - Improved incident reporting following the implementation of a standardized emergency department peer review process. June 11, 2014 Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86. d…

2237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44332/psn-pdf
      July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…

2238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34681/psn-pdf
      February 09, 2011 - No-fault compensation for medical injuries: the prospect for error prevention. February 9, 2011 Studdert DM, Brennan TA. No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2). doi:10.1001/jama.286.2.217. https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention The auth…

2239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60833/psn-pdf
      September 15, 2020 - Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. August 19, 2020 Institute for Safe Medication Practices. September 15, 2020. https://psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global- medication-safety Medication error reporting is key to …

2240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37577/psn-pdf
      July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. July 12, 2016 Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN: 9781…