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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44060/psn-pdf
    November 16, 2015 - Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. November 16, 2015 Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44. doi:10.1136/bmjqs-2014-003795…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838193/psn-pdf
    September 28, 2022 - Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. September 28, 2022 de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147. …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44347/psn-pdf
    November 20, 2015 - An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes? November 20, 2015 Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensation Alter Intentions and Attit…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45539/psn-pdf
    November 18, 2016 - Overuse of medical imaging and its radiation exposure: who’s minding our children? November 18, 2016 Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2147. https://psnet.ahrq.gov/issue/o…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47818/psn-pdf
    April 03, 2019 - Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. April 3, 2019 Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther Adv Drug Saf. 2019;10:204209861882…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851649/psn-pdf
    July 26, 2023 - Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety. July 26, 2023 Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication an…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72853/psn-pdf
    March 17, 2021 - Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. March 17, 2021 Kruse CS, Mileski M, Syal R, et al. Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a sys…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73987/psn-pdf
    October 20, 2021 - Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Am J Health Sy…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74856/psn-pdf
    February 23, 2022 - The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. February 23, 2022 Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Ph…

  10. Action Planning for the SOPS Surveys-Intro (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-intro-sops-action-planning-tool.pdf
    January 17, 2019 - Action Planning for the SOPS Surveys-Intro Action Planning for the SOPS Surveys Webcast January 17, 2019 12:00-1:00 PM ET 2 Need Help? • No sound from computer speakers? • Trouble with your connection or slides not moving? ► Log out and log back in • Other problems? ► Use Q&A feature to ask for help 3…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47995/psn-pdf
    July 24, 2019 - Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). July 24, 2019 Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The Harm Associated with Medication Error Cl…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864381/psn-pdf
    March 13, 2024 - Patient safety near misses – still missing opportunities to learn. March 13, 2024 Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430. https://psnet.ahrq.gov/issue/patient-safety-near-mi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74847/psn-pdf
    February 16, 2022 - Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. February 16, 2022 Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. JAMA. 2022;327(8):719-720. doi:10.1001/ja…

  14. Remember T.E.A.M.S. to Improve Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.pdf
    March 01, 2017 - Remember T.E.A.M.S. to Improve Safety Culture T E A M S Team Formation Excellent Communication Assess What’s Working Meet Monthly Sustain Efforts The most effective teams are diverse. Make sure your team includes people of differing perspectives and roles. Communication should be effective. Commu…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73696/psn-pdf
    September 15, 2021 - Factors related to serious safety events in a children's hospital patient safety collaborative. September 15, 2021 Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi:10.1542/peds.2020-030346. ht…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61058/psn-pdf
    October 28, 2020 - Interventions and measurements of highly reliable/resilient organization implementations: a literature review. October 28, 2020 Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon. 2020;90:103241. doi:10.1016/j.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46992/psn-pdf
    March 20, 2019 - Views of children, parents, and health-care providers on pediatric disclosure of medical errors. March 20, 2019 Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1367493518765220. https://psnet.ah…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43210/psn-pdf
    May 28, 2014 - Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. May 28, 2014 Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy (Los Angel). 2014;59(5). doi:10.11…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45766/psn-pdf
    February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. February 8, 2017 Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy and Management at Brandeis University; 2016. https://psnet.ahrq.gov/issue/prescription-drug-monit…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45971/psn-pdf
    April 21, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. April 21, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. https://psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and- families Patient engagement i…
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