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8581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45558/psn-pdf
      May 10, 2017 - Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. May 10, 2017 Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763. https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare Patients continue to experience preventable health care–associated harm.…

8582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46218/psn-pdf
      October 29, 2017 - Nurses' knowledge and teaching of possible postpartum complications. October 29, 2017 Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371. https://psnet.ahrq.gov/issue/nurses-knowledge…

8583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45241/psn-pdf
      October 31, 2023 - Hospital Harm Project. October 31, 2023 Canadian Institute for Health Information, Health Excellence Canada. https://psnet.ahrq.gov/issue/hospital-harm-project Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative developed a measure to track unintended harm in acute c…

8584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42563/psn-pdf
      October 09, 2013 - Quick Response codes for surgical safety: a prospective pilot study. October 9, 2013 Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036. https://psnet.ahrq.gov/issue/quick-response-code…

8585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42957/psn-pdf
      March 05, 2014 - Massachusetts Alliance for Communication and Resolution Following Medical Injury. March 5, 2014 Betsy Lehman Center for Patient Safety. https://psnet.ahrq.gov/issue/massachusetts-alliance-communication-and-resolution-following-medical-injury Communication-and-response programs emphasize early disclosure of adverse…

8586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36288/psn-pdf
      December 23, 2016 - Preventing adverse events caused by emergency electrical power system failures. December 23, 2016 Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert. 2006;37(37):1-3. https://psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system- …

8587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37039/psn-pdf
      September 14, 2007 - Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. September 14, 2007 Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: Office of the Inspector General of the US Department of Health and Human Services, American Health Lawyers Association; September 2007. h…

8588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37017/psn-pdf
      September 15, 2011 - The association between culture, climate and quality of care in primary health care teams. September 15, 2011 Hann M, Bower P, Campbell S, et al. The association between culture, climate and quality of care in primary health care teams. Fam Pract. 2007;24(4):323-9. https://psnet.ahrq.gov/issue/association-between-…

8589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35414/psn-pdf
      May 21, 2014 - Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. May 21, 2014 Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870. https://psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation- report-1 The authors report on the his…

8590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37432/psn-pdf
      November 29, 2009 - The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. November 29, 2009 Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007. https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…

8591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73124/psn-pdf
      April 07, 2021 - Safety and Quality in Perioperative Anesthesia Care. April 7, 2021 Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154. https://psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care The field of anesthesiology has realized impressive improvements in safety, yet challenges still ex…

8592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38529/psn-pdf
      April 01, 2009 - Standardized admission order set improves perceived quality of pediatric inpatient care. April 1, 2009 Bekmezian A, Chung PJ, Yazdani S. Standardized admission order set improves perceived quality of pediatric inpatient care. J Hosp Med. 2009;4(2):90-6. doi:10.1002/jhm.403. https://psnet.ahrq.gov/issue/standardize…

8593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35723/psn-pdf
      March 28, 2011 - Impact of nursing on hospital patient mortality: a focused review and related policy implications. March 28, 2011 Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care. 2006;15(1):4-8. https://psnet.ahrq.gov/issue…

8594. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867699/psn-pdf
      June 01, 2023 - Toolkit for Improving Surgical Care and Recovery. June 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023. https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery Improving patient experience fosters better communication, trust, and col…

8595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36050/psn-pdf
      January 02, 2017 - Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. January 2, 2017 Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7):366-72. https://psnet.ahrq.gov/issu…

8596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37934/psn-pdf
      July 23, 2008 - Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. July 23, 2008 Nadzam D, Westergaard F. Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. J Nurs Care Qual. 2008;23(3):189-194. doi:10.1097/01.NCQ.000…

8597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38750/psn-pdf
      July 01, 2009 - Probability error in diagnosis: the conjunction fallacy among beginning medical students. July 1, 2009 Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5. https://psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-begin…

8598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43748/psn-pdf
      December 03, 2014 - New enteral connectors: raising awareness. December 3, 2014 Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330. https://psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness Redesigning tubing connectors according to new ISO standards has the potenti…

8599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37086/psn-pdf
      October 03, 2011 - Failure mode and effects analysis: a useful tool for risk identification and injury prevention. October 3, 2011 Paparella S. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Ass…

8600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35413/psn-pdf
      September 11, 2009 - Lessons learned: basic evidence-based advice for preventing medication errors in children. September 11, 2009 Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.…