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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34591/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. January 4, 2017 Kelly JJ, Sweigard KW, Shields K, et al. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. Jt Comm J …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37403/psn-pdf
    March 28, 2012 - Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? March 28, 2012 Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72699/psn-pdf
    February 03, 2021 - RISE: exploring volunteer retention and sustainability of a second victim support program. February 3, 2021 Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.1097/jhm-d-19-00264. https://psne…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34587/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. January 4, 2017 Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. Interview by Steven Berm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44146/psn-pdf
    June 03, 2015 - Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. June 3, 2015 Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(5):1049-55. doi:10.1097/AOG.000000000000…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44853/psn-pdf
    February 03, 2016 - Aviation and healthcare: a comparative review with implications for patient safety. February 3, 2016 Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548. https://psnet.ahrq.gov/is…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42915/psn-pdf
    January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. February 5, 2014 McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553- 7250(14)40026-6. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867085/psn-pdf
    November 06, 2024 - The medication kit conundrum: considerations to enhance safety and efficiency. November 6, 2024 Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233. https://psnet.ahrq.gov/issue/medi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47424/psn-pdf
    November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50423/psn-pdf
    September 04, 2019 - When a vital sign leads a country astray—the opioid epidemic. September 4, 2019 Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opio…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45227/psn-pdf
    January 21, 2017 - Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. January 21, 2017 Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Improvement Collaborative. Jt Comm …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849131/psn-pdf
    May 17, 2023 - The time is now: addressing implicit bias in obstetrics and gynecology education. May 17, 2023 Royce CS, Morgan HK, Baecher-Lind L, et al. The time is now: addressing implicit bias in obstetrics and gynecology education. Am J Obstet Gynecol. 2023;228(4):369-381. doi:10.1016/j.ajog.2022.12.016. https://psnet.ahrq.g…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866073/psn-pdf
    June 05, 2024 - Improving communication of diagnostic uncertainty to families of hospitalized children. June 5, 2024 Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. https://psnet.ahrq.gov/iss…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47338/psn-pdf
    September 19, 2018 - Avoidable sepsis infections send thousands of seniors to gruesome deaths. September 19, 2018 Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018. https://psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths Sepsis is a serious condition that can …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855431/psn-pdf
    January 01, 2024 - The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. November 15, 2023 Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum. 2024;37(4):196-201. doi:10.1177/0…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43024/psn-pdf
    March 05, 2014 - Speaking up for patient safety by hospital-based health care professionals: a literature review. March 5, 2014 Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61. https://psnet.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855428/psn-pdf
    November 15, 2023 - A study of error reporting by nurses: the significant impact of nursing team dynamics. November 15, 2023 Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194180. https://psnet.ahrq.gov/is…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842424/psn-pdf
    January 11, 2023 - Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. January 11, 2023 Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/hmr.0000000000000351. https://p…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74087/psn-pdf
    January 01, 2022 - Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. November 17, 2021 Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. J Patient Saf. 2022;18(3):e680-e686. doi:10.1097…

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