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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35227/psn-pdf
    June 15, 2011 - Building a Better Delivery System: A New Engineering/Health Care Partnership. June 15, 2011 Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Engineering, Committee on Engineering and the Health Care System. Washington, DC: National Academies Press; 2005. ISBN-10: 030909…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60064/psn-pdf
    March 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. March 18, 2020 Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation- report Maternal care saf…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47913/psn-pdf
    April 10, 2019 - Improving standardization of paging communication using quality improvement methodology. April 10, 2019 Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1362. https://psnet.ahrq.gov/issue…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46324/psn-pdf
    August 09, 2017 - IHI Framework for Improving Joy in Work. August 9, 2017 Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60880/psn-pdf
    September 02, 2020 - Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. September 2, 2020 Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Pe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46721/psn-pdf
    April 16, 2018 - Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge. April 16, 2018 Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018;153(2):e174859. doi:10.1001/jama…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40878/psn-pdf
    March 02, 2012 - Neonatal intensive care unit safety culture varies widely. March 2, 2012 Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635. https://psnet.ahrq.gov/issue/neonatal-intensive-ca…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43425/psn-pdf
    July 03, 2016 - Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? July 3, 2016 Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851067/psn-pdf
    June 28, 2023 - Assessing medication safety in settings not designated solely for pediatric patients. June 28, 2023 ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5. https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients Pediatric patients are at increa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44061/psn-pdf
    November 16, 2015 - Quality improvement and patient safety organizations in anesthesiology. November 16, 2015 Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503. https://psnet.ahrq.gov/issue/quality-improvement-and-patien…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60266/psn-pdf
    April 29, 2020 - Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. April 22, 2020 Armstrong Institute for Patient Safety and Quality. April 29, 2020. https://psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers As the COVID-19 pandemic evolves…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40962/psn-pdf
    December 14, 2011 - American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. December 14, 2011 Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvement and Patient Safety program: …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44259/psn-pdf
    April 01, 2024 - Training Program for Nurses on Shift Work and Long Work Hours. April 1, 2024 Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and He…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42191/psn-pdf
    June 25, 2013 - Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. June 25, 2013 Watts RG, Parsons K. Chemotherapy medication errors in a pediatric cancer treatment center: pro…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35265/psn-pdf
    February 03, 2011 - A 38-year-old woman with fetal loss and hysterectomy. February 3, 2011 Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy Part of a series in JAMA entitled Clinical Crossro…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47786/psn-pdf
    June 26, 2019 - Creating a Safe Space: Psychological Health and Safety of Healthcare Workers. June 26, 2019 Canadian Patient Safety Institute: 2019. https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers Structured approaches to managing negative psychological consequences of medical e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47271/psn-pdf
    August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39819/psn-pdf
    April 04, 2011 - Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. April 4, 2011 Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38887/psn-pdf
    August 26, 2009 - Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. August 26, 2009 Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Quality and Safety in Health Ca…

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