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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44285/psn-pdf
    November 06, 2015 - Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. November 6, 2015 Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. BMC Health Serv Res. 2015;15:196…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46242/psn-pdf
    June 21, 2017 - Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. June 21, 2017 Woodruff E. Baltimore Sun. June 9, 2017. https://psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous- even-fatal Psychiatric patients are vulnerable to pa…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43459/psn-pdf
    August 27, 2014 - Serious Reportable Events. August 27, 2014 Nova Scotia Department of Health and Wellness. https://psnet.ahrq.gov/issue/serious-reportable-events Incident reporting systems are an important method for capturing, analyzing, and learning about a broad range of potential safety issues. This Web site provides access to…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44895/psn-pdf
    March 09, 2016 - On patient safety: when are we too old to operate? March 9, 2016 Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6. https://psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate High-risk industries often have mandatory requ…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41624/psn-pdf
    November 06, 2012 - How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self- assessment of quality of care is suboptimal. November 6, 2012 Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality of care for deteriorating patients on medic…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34978/psn-pdf
    June 30, 2011 - Personal digital assistant-based drug information sources: potential to improve medication safety. June 30, 2011 Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):229-36. https://psnet.ahrq.gov/issue/p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46248/psn-pdf
    October 23, 2018 - Medical errors, malpractice, and defensive medicine: an ill-fated triad. October 23, 2018 Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007. https://psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43034/psn-pdf
    March 12, 2014 - Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. March 12, 2014 Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian Pediatr. 2014;51(1):11-5. https://psnet…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35127/psn-pdf
    February 24, 2011 - Beyond the medical record: other modes of error acknowledgment. February 24, 2011 Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. https://psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment Thi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38747/psn-pdf
    September 16, 2009 - Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. September 16, 2009 Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46711/psn-pdf
    July 01, 2019 - The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. July 1, 2019 Washington, DC: America's Health Insurance Plans; 2019. https://psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety- and-reduced-risk Gu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45234/psn-pdf
    November 18, 2016 - Recommended responsibilities for management of MR safety. November 18, 2016 Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73075/psn-pdf
    March 24, 2021 - Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. March 24, 2021 ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6. https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety- challenges Skin patches are a conveni…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34800/psn-pdf
    December 23, 2008 - A classification system for incidents and accidents in the health-care system. December 23, 2008 Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. https://psnet.ahrq.gov/issue/classification-system-incidents-and-a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44140/psn-pdf
    July 15, 2015 - Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. July 15, 2015 London, UK: General Medical Council and the Nursing and Midwifery Council; June 29, 2015. https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour Open and honest discussion with patie…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44638/psn-pdf
    May 18, 2016 - Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. May 18, 2016 Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 2016;5(2):88-94. doi:10.1007/s40037-0…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854993/psn-pdf
    November 01, 2023 - Building cultures of high reliability: lessons from the high reliability organization paradigm. November 1, 2023 Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm. Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2023.03.012. https://psnet.ahrq.g…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44417/psn-pdf
    January 25, 2016 - Health information exchange in emergency medicine. January 25, 2016 Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018. https://psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine Insuffi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839312/psn-pdf
    November 02, 2022 - Documenting the indication for antimicrobial prescribing: a scoping review. November 2, 2022 Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582. https://psnet.ahrq.gov/issue/documenting-indicati…

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