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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42232/psn-pdfMay 08, 2013 - The Measurement and Monitoring of Safety. May 8, 2013 Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety Despite great effort, health care organizations are still learning how to identify safety problems, es… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43402/psn-pdfOctober 20, 2014 - The WHO surgical safety checklist: survey of patients' views. October 20, 2014 Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853428/psn-pdfSeptember 13, 2023 - Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. September 13, 2023 Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34758/psn-pdfJanuary 29, 2019 - Normal Accidents: Living with High-Risk Technologies. January 29, 2019 Perrow C. Princeton NJ: Princeton University Press; 1999. https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies Though less often cited than high-reliability theory in the health care literature, normal accidents theor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38863/psn-pdfAugust 12, 2009 - Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. August 12, 2009 Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care. 2009;18(4):2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41319/psn-pdfMay 17, 2012 - Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. May 17, 2012 de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/bmjqs-2011-000347. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867337/psn-pdfDecember 11, 2024 - Perspectives on anesthesia and perioperative patient safety: past, present, and future. December 11, 2024 Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past, present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/aln.0000000000005164. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72520/psn-pdfJanuary 01, 2021 - Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. December 2, 2020 Kelley-Quon LI, Kirkpatrick MG, Ricca RL, et al. Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. JAMA Surg. 2021;156(1):76. doi:10.1001/jamasu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46459/psn-pdfAugust 20, 2018 - Readiness of US general surgery residents for independent practice. August 20, 2018 George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.0000000000002414. https://psnet.ahrq.gov/issue/readiness-us-general-surger… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73339/psn-pdfJune 02, 2021 - Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. June 2, 2021 McHugh MD, Aiken LH, Sloane DM, et al. Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37386/psn-pdfJanuary 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865534/psn-pdfApril 10, 2024 - Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. April 10, 2024 Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606. https://psnet.ahrq.gov/… -
psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0September 08, 2021 - Multi-use Website Patient Safety Tools: Improving Safety at the Point of Care. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 14, 2011 Produced in conjunction with it…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837193/psn-pdfMay 25, 2022 - Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. May 25, 2022 Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health … -
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter2.htmlAugust 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 2. Conceptual Framework and Design Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866907/psn-pdfOctober 09, 2024 - A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare October 9, 2024 Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contributing to inpatient suicide: a… -
www.ahrq.gov/cpi/about/organization/nac/gelrud.htmlFebruary 01, 2025 - NAC Member Biography: Joan Gelrud Joan L. Gelrud, R.N., M.S.N., CPHQ, FACHE Special Advocate for Children Maryland Health Care Commission Baltimore, MD (Retired) Luminis Health Chief Quality and Population Health Officer Joan L. Gelrud, R.N., M.S.N., CPHQ, FACHE , recently retired as Luminis Health’s chief qual…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/4_Gladys_Epting_slide_41-44.pdfJanuary 15, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance ® Using CG-CAHPS at Academic Medical Centers Gladys J. Epting, PhD. University HealthSystem Consortium Francis Fulllam, MA, Rush University Medical Center Edward M. Karls, MBA, University…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72825/psn-pdfMarch 10, 2021 - The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. March 10, 2021 Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. J Patient Saf. 2021;17(2):e76-e83. doi:10.1097/p… -
Fl15Loincbriefdescription (pdf file)
hcup-us.ahrq.gov/datainnovations/clinicaldata/FL15LOINCbriefdescription.pdfApril 04, 2011 - LOINC Regenstrief Institute’s Logical Observation Identifiers, Names and Codes (LOINC®) was selected to standardize the thirty data elements across the participating sites. Started in 1995, LOINC® has been adopted by the Office of National Coordinator for Healthcare IT as a viable standard for information exc…
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