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4341. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - Shojania is a leading expert on evidence-based patient safety strategies and translating research into … editor of BMJ Quality and Safety (formerly Quality and Safety in Health Care ), one of the world's leading

4342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33566/psn-pdf
      September 15, 2024 - Teamwork Training September 15, 2024 Teamwork Training. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/teamwork-training PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed …

4343. People, processes, health IT and accurate patient identification. | PSNet
      psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
      April 11, 2018 - June 17, 2020 Mental health conditions leading cause of pregnancy-related deaths.

4344. Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet
      psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
      May 06, 2015 - September 3, 2024 Leading a Culture of Safety: a Blueprint for Success.

4345. Pathways for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/pathways-patient-safety
      May 06, 2015 - Information Pathway for Medication Safety: Leading a Strategic Planning Effort (PDF)

4346. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet
      psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
      November 25, 2015 - September 20, 2016 Leading High-Reliability Organizations in Healthcare.

4347. Are we finally getting serious about medical errors? | PSNet
      psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
      May 11, 2016 - February 11, 2015 System issues leading to "found-on-floor" incidents: a multi-incident

4348. The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding. | PSNet
      psnet.ahrq.gov/issue/role-non-icu-staff-nurse-medical-emergency-team-perceptions-and-understanding
      April 12, 2006 - August 4, 2010 Leading successful rapid response teams: a multisite implementation evaluation

4349. The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. | PSNet
      psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
      July 27, 2011 - July 5, 2008 The Future of Nursing: Leading Change, Advancing Health.

4350. A clinical reminder about the safe use of insulin vials. | PSNet
      psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
      June 10, 2018 - May 7, 2018 National estimates of insulin-related hypoglycemia and errors leading to

4351. Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. | PSNet
      psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
      November 16, 2011 - November 16, 2011 New HHS Data Shows Major Strides Made in Patient Safety, Leading to

4352. Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. | PSNet
      psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
      December 23, 2016 - February 15, 2023 Mental health conditions leading cause of pregnancy-related deaths.

4353. ISMP updates its list of drug name pairs with Tall man letters. | PSNet
      psnet.ahrq.gov/issue/ismp-updates-its-list-drug-name-pairs-tall-man-letters
      June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading

4354. Navigating risks in breast cancer diagnosis and treatment. | PSNet
      psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
      December 19, 2012 - November 17, 2009 Leading causes of anesthesia-related liability claims in ambulatory

4355. Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. | PSNet
      psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
      January 30, 2003 - July 18, 2024 Leading change: why transformation efforts fail.

4356. Contribution of Governance to Patient Safety Initiatives in Australia, England, New Zealand and the United States. | PSNet
      psnet.ahrq.gov/issue/contribution-governance-patient-safety-initiatives-australia-england-new-zealand-and-united
      March 06, 2005 - July 18, 2024 Leading change: why transformation efforts fail.

4357. Keeping patients on track with preventative care during pandemic. | PSNet
      psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
      April 11, 2018 - June 17, 2020 Mental health conditions leading cause of pregnancy-related deaths.

4358. Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. | PSNet
      psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare
      August 02, 2016 - December 18, 2017 Leading a Culture of Safety: a Blueprint for Success.

4359. How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety. | PSNet
      psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
      January 01, 2019 - April 17, 2018 Leading High-Reliability Organizations in Healthcare.

4360. Promethazine conundrum: IV can hurt more than IM injection! | PSNet
      psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
      November 13, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading