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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35215/psn-pdf
    June 24, 2009 - Organizational and cultural changes for providing safe patient care. June 24, 2009 Odwazny R, Hasler S, Abrams R, et al. Organizational and cultural changes for providing safe patient care. Qual Manag Health Care. 2005;14(3):132-143. https://psnet.ahrq.gov/issue/organizational-and-cultural-changes-providing-safe-p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35864/psn-pdf
    June 17, 2014 - Exploring strategies for reducing hospital errors. June 17, 2014 McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136. https://psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors The authors surveyed health care quality directors on …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42278/psn-pdf
    June 10, 2013 - Reducing errors in emergency surgery. June 10, 2013 Watters DAK, Truskett PG. Reducing errors in emergency surgery. ANZ J Surg. 2013;83(6):434-437. doi:10.1111/ans.12194. https://psnet.ahrq.gov/issue/reducing-errors-emergency-surgery In the context of emergency surgery, this review summarizes error classification,…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34598/psn-pdf
    November 15, 2011 - Complexity and the Adoption of Innovation in Health Care. November 15, 2011 Plsek P. Washington DC: National Institute for Health Care Management Foundation and National Committee for Quality Health Care; 2003. https://psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care In discussing the complexit…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37976/psn-pdf
    December 14, 2010 - Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. December 14, 2010 Thomas MO, Quinn CJ, Donohue GM. Sudbury, MA: Jones Bartlett; 2009. ISBN: 100763748560. https://psnet.ahrq.gov/issue/practicing-medicine-difficult-times-protecting-physicians-malpractice-litigation Written …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41560/psn-pdf
    August 01, 2012 - Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. August 1, 2012 Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ Publication No. 12-EHC027-EF. https://psnet.ahrq.gov/issue/improving…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37889/psn-pdf
    July 02, 2008 - Minimising treatment-associated risks in systemic cancer therapy. July 2, 2008 Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy. Pharm World Sci. 2008;30(2):161-8. https://psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy This …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37516/psn-pdf
    February 06, 2008 - Caregiver perspectives on safety in home dementia care. February 6, 2008 Lach HW, Chang Y-P. Caregiver perspectives on safety in home dementia care. West J Nurs Res. 2007;29(8):993-1014. https://psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care This focus group study discusses the safety proble…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42752/psn-pdf
    January 23, 2014 - Sounding the alarm. Nurses, organizations work to address alarm fatigue. January 23, 2014 Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. https://psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue This article report…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36826/psn-pdf
    December 31, 2014 - Staying safe: simple tools for safe surgery. December 31, 2014 Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22. https://psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery The author uses examples from his experience as a pilot to discuss aviation safety strategies,…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38914/psn-pdf
    May 24, 2015 - Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. May 24, 2015 Turney S, Evans EW, Callaway E, et al. Englewood Cliffs, CO: Medical Group Management Association; 2009. https://psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting This white paper discusses development…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60011/psn-pdf
    March 04, 2020 - UCSD, doc who overdosed in hospital bathroom face lawsuits. March 4, 2020 Clark C. MedPage Today. February 10, 2020.  https://psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits It is an institutional responsibility to monitor physicians exhibiting performance issues that put pati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40310/psn-pdf
    March 23, 2011 - Inaccuracy of ECG interpretations reported to the poison center. March 23, 2011 Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019. https://psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37279/psn-pdf
    January 04, 2012 - Studying the technical work of emergency care. January 4, 2012 Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med. 2007;50(4):384-6. https://psnet.ahrq.gov/issue/studying-technical-work-emergency-care The authors introduce a set of articles that explore how clinicians plan a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38040/psn-pdf
    August 09, 2017 - Safety cultural preconditions for organizational learning in high-risk organizations. August 9, 2017 Naevestad T-O. Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. J Contingencies Crisis Manage. 2008;16(3):154-163. doi:10.1111/j.1468-5973.2008.00544.x. https://psnet.ahrq.gov/i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35871/psn-pdf
    April 21, 2010 - Innovation and teamwork: introducing multidisciplinary team ward rounds. April 21, 2010 Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing management (Harrow, London, England : 1994). 2006;13(1):28-31. https://psnet.ahrq.gov/issue/innovation-and-teamwork-introduc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40225/psn-pdf
    March 12, 2011 - As industry automates, adverse events continue to haunt caregivers. March 12, 2011 Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. https://psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers This article discusse…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35014/psn-pdf
    August 17, 2011 - A team performance measurement model for continuous improvement. August 17, 2011 Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous improvement. Total Quality Management & Business Excellence. 2007;16(3). doi:10.1080/14783360500054129. https://psnet.ahrq.gov/issue/team-performan…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39484/psn-pdf
    April 28, 2010 - Surgical fires, a clear and present danger. April 28, 2010 Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92. doi:10.1016/j.surge.2010.01.005. https://psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger This article reviews the literature on surgical fires and …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72513/psn-pdf
    November 25, 2020 - COVID-19: The Diagnostic Challenge. November 25, 2020 Diagnosis (Berl). 2020;7(4):345-411. https://psnet.ahrq.gov/issue/covid-19-diagnostic-challenge COVID-19 is a novel coronavirus that harbors a variety of diagnostic, treatment, and management hurdles. This special issue covers a variety of clinical topics …

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