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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41246/psn-pdf
    April 06, 2012 - Utilizing improvement science methods to improve physician compliance with proper hand hygiene. April 6, 2012 White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50. doi:10.1542/peds.2011-1864. https:/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764413/psn-pdf
    March 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care The emergence of telemedicine during…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47220/psn-pdf
    September 12, 2018 - Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. September 12, 2018 Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018. https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state- hospitals Hospital patien…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60285/psn-pdf
    April 29, 2020 - How Collective Design Triumphed Over Competition in the Fight Against HAIs. April 29, 2020 Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020. https://psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais Health care environment design can affect safety. This report sh…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44946/psn-pdf
    February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40883/psn-pdf
    February 10, 2012 - Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. February 10, 2012 Nakhleh RE, Myers JL, Allen TC, et al. Conse…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72511/psn-pdf
    November 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA:  Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844556/psn-pdf
    February 15, 2023 - Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. February 15, 2023 Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022. https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults T…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47766/psn-pdf
    March 27, 2019 - Advancing the Safety of Acute Pain Management. March 27, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management Pain management has emerged as a complex safety concern. This report discusses four organizational prerequisites to improve pain …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37422/psn-pdf
    March 23, 2011 - Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. March 23, 2011 Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Qual S…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42625/psn-pdf
    November 08, 2013 - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. November 8, 2013 Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm J Qual Patient Saf. 2013;39(10):4…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35383/psn-pdf
    January 02, 2017 - North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. January 2, 2017 Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Jt Comm J Qual Patient Saf. 2005;31(10):545-53. https://p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33934/psn-pdf
    March 02, 2011 - A hospitalization from hell: a patient's perspective on quality. March 2, 2011 Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33- 39. https://psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality The author shares the unique perspectives of…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855002/psn-pdf
    November 01, 2023 - Temporarily holding medication orders safely in order to prevent patient harm. November 1, 2023 ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. https://psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm Process disconnects can cause administr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72733/psn-pdf
    February 10, 2021 - Start the year off right by preventing these top 10 medication errors and hazards from 2020. February 10, 2021 ISMP Medication Safety Alert! Acute care edition. January 27, 2021;26(2). https://psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020 Medication safety is chal…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43440/psn-pdf
    August 13, 2014 - Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17. https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864865/psn-pdf
    March 20, 2024 - The Top Five: A Review of Post-Pandemic Patient Safety Priorities. March 20, 2024 Sacramento, CA: Hospital Quality Institute; 2024. https://psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities The COVID pandemic posed wide-ranging challenges to both society at large as well as to the health…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34570/psn-pdf
    March 07, 2005 - Measuring the Success of the Regional Medication Safety Program for Hospitals. March 7, 2005 Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005. https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals The Regional Medication Safety Prog…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60555/psn-pdf
    January 01, 2021 - Putting the patient in patient safety investigations: barriers and strategies for involvement. June 3, 2020 Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pts.0000000000000699. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43399/psn-pdf
    August 06, 2014 - Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. August 6, 2014 Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.…