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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38561/psn-pdf
    April 15, 2009 - Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections. April 15, 2009 Subcommittee on Health Care, Committee on Finance, US Senate, Government Accountability Office, GAO-09-516T (March 18, 2009) https://psnet.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35391/psn-pdf
    April 06, 2011 - Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior.   April 6, 2011 Coyle YM, Mercer SQ, Murphy-Cullen CL, et al. Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior. Qual Saf Health Care. 2…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39369/psn-pdf
    March 17, 2010 - Paediatric nurses' understanding of the process and procedure of double-checking medications. March 17, 2010 Dickinson A, McCall E, Twomey B, et al. Paediatric nurses' understanding of the process and procedure of double-checking medications. J Clin Nurs. 2010;19(5-6). doi:10.1111/j.1365-2702.2009.03130.x. https:/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35657/psn-pdf
    July 05, 2013 - Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. July 5, 2013 Casey MM, Moscovice I, Davidson G. Minneapolis, MN: Upper Midwest Rural Health Research Center; 2005. https://psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-im…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43010/psn-pdf
    March 19, 2014 - Why pediatricians fail to diagnose hypertension: a multicenter survey. March 19, 2014 Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066. https://psnet.ahrq.gov/issue/why-pediatrician…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45006/psn-pdf
    April 06, 2016 - Quality and Patient Safety. April 6, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/quality-and-patient-safety The Agency for Healthcare Research and Quality has provided access to patient safety research, information, and tools for nearly two decades. This website offers a wide rang…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46233/psn-pdf
    September 24, 2017 - Cutting-edge efforts in surgical patient safety. September 24, 2017 Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719- 720. doi:10.1001/jamasurg.2017.0858. https://psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety Implementation science examines me…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38339/psn-pdf
    January 31, 2011 - Physician autonomy and informed decision making: finding the balance for patient safety and quality. January 31, 2011 Mathews SC, Pronovost P. Physician autonomy and informed decision making: finding the balance for patient safety and quality. JAMA. 2008;300(24):2913-5. doi:10.1001/jama.2008.846. https://psnet.ahr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37938/psn-pdf
    July 23, 2008 - An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections. July 23, 2008 Backman C, Zoutman DE, Marck PB. An integrative review of the current evidence on the relationship between hand hygiene interventions and the in…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47743/psn-pdf
    February 22, 2019 - Assessing the performance of aging surgeons. February 22, 2019 Katlic MR, Coleman JA, Russell MM. Assessing the Performance of Aging Surgeons. JAMA. 2019;321(5):449-450. doi:10.1001/jama.2018.22216. https://psnet.ahrq.gov/issue/assessing-performance-aging-surgeons High-risk industries like aviation employ policies…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38258/psn-pdf
    April 14, 2011 - How often do physicians review medication charts on ward rounds? April 14, 2011 Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. https://psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds Thi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39089/psn-pdf
    November 11, 2009 - Blame culture and defensive medicine. November 11, 2009 Catino M. Blame culture and defensive medicine. Cognition, Technology & Work. 2009;11(4). doi:10.1007/s10111-009-0130-y. https://psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine This study surveyed more than 300 Italian general practitioners and foun…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843322/psn-pdf
    February 01, 2023 - A deadly epidural, delivered by a doctor with a history of mistakes. February 1, 2023 Goldstein J. New York Times. January 23, 2023. https://psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes Active errors are evident when they occur, yet systemic weaknesses, if not addressed, allow them to rep…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48166/psn-pdf
    August 28, 2019 - Doctors can change opioid prescribing habits, but progress comes in small doses. August 28, 2019 Appleby J; Lucas E. https://psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses Efforts to reduce misuse of prescription opioids must draw from public health and behavioral stra…
  15. psnet.ahrq.gov/training-catalog/medicine-patient-safety-conference-2025
    January 01, 2025 - Medicine Patient Safety Conference: 2025 Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization George Washington University School of Medicine and Health Sciences …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40238/psn-pdf
    February 23, 2011 - Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. February 23, 2011 Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7. doi:10.1136/bmjqs.2009.033472. https…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44623/psn-pdf
    November 11, 2015 - Quality, Safety, and Noninterpretive Skills. November 11, 2015 Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848. https://psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills Increased radiation exposure has emerged as a patient safety problem, with the potential to result in harm for provide…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42511/psn-pdf
    February 06, 2014 - Ending disruptive behavior: staff nurse recommendations to nurse educators. February 6, 2014 Lux KM, Hutcheson JB, Peden AR. Ending disruptive behavior: staff nurse recommendations to nurse educators. Nurse Educ Pract. 2014;14(1):37-42. doi:10.1016/j.nepr.2013.06.014. https://psnet.ahrq.gov/issue/ending-disruptive…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45431/psn-pdf
    November 22, 2017 - ?Pediatric chest radiographs: common and less common errors. November 22, 2017 Menashe SJ, Iyer RS, Parisi MT, et al. Pediatric Chest Radiographs: Common and Less Common Errors. AJR Am J Roentgenol. 2016;207(4):903-911. doi:10.2214/AJR.16.16449. https://psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-l…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50643/psn-pdf
    November 06, 2019 - Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of …

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