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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73369/psn-pdf
    June 09, 2021 - SEIPS 101 and seven simple SEIPS tools. June 9, 2021 Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538. https://psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools Since the SEIPS (Systems Engineering Initiative for Patient Safety…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74218/psn-pdf
    January 25, 2022 - We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. December 22, 2021 Patient Safety Movement Foundation. January 25, 2022. https://psnet.ahrq.gov/issue/we-cant-do-alone-role-patients-family-members-and-general-public-play- advancing-patient Su…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45264/psn-pdf
    September 01, 2016 - Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. September 1, 2016 Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Improvement Collaborative. Jt Co…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74129/psn-pdf
    January 01, 2022 - Factors influencing providers' willingness to deprescribe medications. December 1, 2021 Davila H, Rosen AK, Stolzmann K, et al. Factors influencing providers' willingness to deprescribe medications. J Am Coll Clin Pharm. 2022;5:15-25. doi:10.1002/jac5.1537. https://psnet.ahrq.gov/issue/factors-influencing-provider…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43940/psn-pdf
    February 25, 2015 - AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Settings. February 25, 2015 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. February 10, 2015. Publication No. NOT-HS-15-006. https://psnet.ahrq.gov/issue/ahrq…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72828/psn-pdf
    March 10, 2021 - A recurring call to action: every healthcare organization needs a medication safety officer! March 10, 2021 ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4. https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety- officer Leadership ro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837324/psn-pdf
    July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …
  8. psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
    March 01, 2013 - The Literature on Health Care Simulation Education: What Does It Show? David A. Cook, MD, MHPE | March 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Cook DA. The Literature on Health Care Simulation Education: What Do…
  9. psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? Mark L. Graber, MD | February 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpi…
  10. psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
    March 01, 2011 - Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical
  11. AHRQ PSNet Webinar (pdf file)

    psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
    January 01, 2025 - AHRQ PSNet Webinar AHRQ PSNet Webinar Making Healthcare Safer (MHS) IV: Rapid Response Systems and Opioid Stewardship February 10, 2025 Agenda 2 • Logistics • Introduction to the Making Healthcare Safer (MHS) IV Reports • Report 1 – Rapid Response Systems ► Discussion ► PSNet Resources • Report 2 – Opioi…
  12. psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
    February 28, 2024 - In Conversation With… Vineet Chopra, MD, MSc October 30, 2019  Citation Text: In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation…
  13. psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
    June 30, 2021 - EMERGING INNOVATIONS Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Citation Text: Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Evans S, Green A, Roberson A, et al. …
  14. psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans
    December 21, 2017 - Study Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes. Citation Text: Mody L, Greene T, Saint S, et al. Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Betwee…
  15. psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
    November 28, 2012 - EMERGING INNOVATIONS There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety Citation Text: Johnson CR, Noorzad A, Pujari A, et al. There is an app for that: mobile technology improves complication reporting and resident p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33562/psn-pdf
    September 15, 2024 - Rapid Response Systems September 15, 2024 Rapid Response Systems. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/rapid-response-systems 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.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845303/psn-pdf
    March 01, 2023 - Association of past and future paid medical malpractice claims. March 1, 2023 Hyman DA, Lerner J, Magid DJ, et al. Association of past and future paid medical malpractice claims. JAMA Health Forum. 2023;4(2):e225436. doi:10.1001/jamahealthforum.2022.5436. https://psnet.ahrq.gov/issue/association-past-and-future-pa…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43584/psn-pdf
    October 22, 2014 - The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! October 22, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. https://psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve Changes in practice require time and monitoring to achieve lasting …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60693/psn-pdf
    July 15, 2020 - Incoming interns recognize inadequate physical examination as a cause of patient harm. July 15, 2020 Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/2382120520928993. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854254/psn-pdf
    October 04, 2023 - Implementing patient safety and quality improvement in dermatology. October 4, 2023 Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67. https://psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology Patient safety in dermatology has received increasing …

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