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8541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41616/psn-pdf
      January 01, 2013 - The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. December 12, 2012 Patrician PA, Dolansky MA, Pair V, et al. The Veterans Affairs National Quality Scholars program: a model for interprofessional education in quality and safety. J Nurs Care Qual.…

8542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851926/psn-pdf
      August 02, 2023 - Improving Patient Safety Culture – A Practical Guide. August 2, 2023 London, UK: NHS England; July 2023. https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide A strong patient safety culture needs nurturing to serve as a foundation for launching and sustaining improvements. This toolkit pro…

8543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41430/psn-pdf
      May 30, 2012 - Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. May 30, 2012 The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012. https://psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge- global-perspec…

8544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39182/psn-pdf
      May 22, 2019 - ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. May 22, 2019 Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90e. https://psnet.ahrq.gov/issue/acog-com…

8545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41435/psn-pdf
      September 27, 2016 - Quantitative assessment of workload and stressors in clinical radiation oncology. September 27, 2016 Mazur LM, Mosaly PR, Jackson M, et al. Quantitative assessment of workload and stressors in clinical radiation oncology. Int J Radiat Oncol Biol Phys. 2012;83(5):e571-6. doi:10.1016/j.ijrobp.2012.01.063. https://ps…

8546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38325/psn-pdf
      September 29, 2017 - Health care professionals' views of implementing a policy of open disclosure of errors. September 29, 2017 Sorensen R, Iedema R, Piper D, et al. Health care professionals' views of implementing a policy of open disclosure of errors. J Health Serv Res Policy. 2008;13(4):227-32. doi:10.1258/jhsrp.2008.008062. https:…

8547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45153/psn-pdf
      May 18, 2016 - Structuring feedback and debriefing to achieve mastery learning goals. May 18, 2016 Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. https://psnet.ahrq.gov/issue/structuring-feedback-an…

8548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41013/psn-pdf
      January 01, 2012 - Patient safety in emergency medical services: a systematic review of the literature. December 21, 2011 Bigham BL, Buick JE, Brooks SC, et al. Patient safety in emergency medical services: a systematic review of the literature. Prehosp Emerg Care. 2012;16(1):20-35. doi:10.3109/10903127.2011.621045. https://psnet.ah…

8549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40667/psn-pdf
      August 03, 2011 - Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. August 3, 2011 Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;33(7):535-40. doi:10.3109/0142159X.2010.5…

8550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37154/psn-pdf
      September 02, 2015 - Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. September 2, 2015 Weiss BD. Chicago, IL: American Medical Association Foundation; 2007. https://psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians- 2nd-ed This book provides…

8551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38316/psn-pdf
      March 04, 2009 - Practising open disclosure: clinical incident communication and systems improvement. March 4, 2009 Iedema R, Jorm C, Wakefield J, et al. Practising Open Disclosure: clinical incident communication and systems improvement. Sociol Health Illn. 2009;31(2):262-77. doi:10.1111/j.1467-9566.2008.01131.x. https://psnet.ah…

8552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42927/psn-pdf
      February 05, 2014 - Staff Care: How to Engage Staff in the NHS and Why It Matters. February 5, 2014 London, UK: Point of Care Foundation; January 2014. https://psnet.ahrq.gov/issue/staff-care-how-engage-staff-nhs-and-why-it-matters The well-being of clinical staff is crucial to ensuring safe care delivery. This report provides result…

8553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39478/psn-pdf
      March 23, 2011 - Teamwork on inpatient medical units: assessing attitudes and barriers. March 23, 2011 O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795. https://psnet.ahrq.gov/issue/teamwork-inpatien…

8554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35271/psn-pdf
      June 29, 2009 - Use of specific indicators to detect warfarin-related adverse events.   June 29, 2009 Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. https://psnet.ahrq.gov/issue/use-specific-indic…

8555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47049/psn-pdf
      July 10, 2019 - Injectable Opioid Shortages: Suggestions for Management and Conservation. July 10, 2019 University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. https://psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation Efforts to limit the availabilit…

8556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45793/psn-pdf
      July 19, 2024 - SHOT Annual Report. July 19, 2024 S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. https://psnet.ahrq.gov/issue/shot-annual-report-2019 Although errors in the blood transfusion process are rare, they can be harmful. This annual report provides an anal…

8557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43921/psn-pdf
      February 18, 2015 - Is incivility an underlying threat to safety in obstetrics? February 18, 2015 Veltman L. Patient Saf Qual Healthc. January/February 2015;12:34-36. https://psnet.ahrq.gov/issue/incivility-underlying-threat-safety-obstetrics The Joint Commission and the American College of Obstetricians and Gynecologists have issued …

8558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43738/psn-pdf
      December 03, 2014 - Unverified patient-reported error: a false alarm can have real consequences. December 3, 2014 ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3. https://psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences Reviewing an incident involving a patient w…

8559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44155/psn-pdf
      June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…

8560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44880/psn-pdf
      September 06, 2016 - Drug shortages forcing hard decisions on rationing treatments. September 6, 2016 Fink S. New York Times. January 29, 2016. https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments Drug shortages have become a routine challenge in medicine. Reporting on the impact of medication short…