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6341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39416/psn-pdf
      May 26, 2017 - Health Literacy. May 26, 2017 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/health-literacy-0 This website provides tools, resources, research, and educational modules to help health care professionals recognize and address health literacy deficiencies. https://psnet.ahrq.gov/issue/healt…

6342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42044/psn-pdf
      February 13, 2013 - Patient Safety. February 13, 2013 Minnesota Hospital Association; MHA. https://psnet.ahrq.gov/issue/patient-safety-10 This Web site provides access to materials for patient safety improvement efforts in Minnesota, including initiatives to reduce adverse drug events and hospital collaboratives to implement best pra…

6343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42476/psn-pdf
      September 27, 2016 - Lives and Dollars Lost Calculator. September 27, 2016 Leapfrog Group. https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator This Web site provides resources to help employers and purchasers estimate latent costs related to unsafe care. https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator https:…

6344. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34021/psn-pdf
      March 07, 2005 - Focusing on Medical Errors. March 7, 2005 Temple WJ, ed. J Surg Oncol. 2004;88(3):111-199. https://psnet.ahrq.gov/issue/focusing-medical-errors This issue provides a review of medical error from a variety of perspectives, including pediatrics, anesthesiology, pharmacy, pathology, laboratory medicine, and insurers.…

6345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34008/psn-pdf
      March 17, 2011 - Sorry Works! March 17, 2011 https://psnet.ahrq.gov/issue/sorry-works Sorry Works! supports a full-disclosure approach to medical errors. They encourage doctors and their insurers to be honest when mistakes happen, offer apologies, and provide compensation up-front to patients and their attorneys to minimize litiga…

6346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36357/psn-pdf
      December 19, 2009 - Error reporting in organizations. December 19, 2009 Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030. https://psnet.ahrq.gov/issue/error-reporting-organizations The authors provide a framework for individual error reporting behavior that follows three phases: error detection, situation assessment, and choic…

6347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38247/psn-pdf
      June 27, 2018 - Debriefing for patient safety. June 27, 2018 Turner SH, Kurtz WD. Patient Saf Qual Healthc. November/December 2008:5:42-44,46. https://psnet.ahrq.gov/issue/debriefing-patient-safety This article provides guidelines for effective clinical debriefings and suggests how to position these conversations as learning oppo…

6348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36399/psn-pdf
      May 04, 2015 - Tips for Safer Surgery. May 4, 2015 Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality; 2006. https://psnet.ahrq.gov/issue/tips-safer-surgery This tip sheet provides a list of questions consumers should ask clinicians to help improve the safety of their surgical car…

6349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42817/psn-pdf
      December 18, 2013 - Medication Reconciliation for Hospitalists. December 18, 2013 Society of Hospital Medicine. https://psnet.ahrq.gov/issue/medication-reconciliation-hospitalists This Web site provides resources to help health systems implement the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) medication…

6350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41829/psn-pdf
      November 07, 2012 - Center for Drug Safety & Effectiveness. November 7, 2012 Johns Hopkins Bloomberg School of Public Health; JHSPH. https://psnet.ahrq.gov/issue/center-drug-safety-effectiveness This Web site provides resources for individuals at John Hopkins involved in training, research, patient care, and public service to improve…

6351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36257/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-7 This monthly selection of medication error reports provides examples of problems related to poorly scanned pharmacy orders, ambiguous labeling, and abbreviation use. https://psnet.ah…

6352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35560/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-2 This monthly selection of medication error reports provides examples of problems with neuromuscular blocking agents, confusion with drug names, and unclear labeling practices. https:…

6353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36840/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-11 This monthly selection of medication error reports provides examples of problems related to abbreviations, electronic prescribing, and communication of critical lab values. https://…

6354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36071/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6 This monthly selection of medication error reports provides examples of nimodipine administration mishaps, a lithium overdose, and suggested adopted drug names for review. https://ps…

6355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36269/psn-pdf
      September 16, 2009 - Nursing Care Quality at NQF. September 16, 2009 National Quality Forum https://psnet.ahrq.gov/issue/nursing-care-quality-nqf This Web site provides information on National Quality Forum activities in understanding nurses' impact on patient safety and quality. https://psnet.ahrq.gov/issue/nursing-care-quality-nqf …

6356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42391/psn-pdf
      June 26, 2013 - Patient Notification Toolkit. June 26, 2013 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/patient-notification-toolkit This toolkit provides guidance and resources to help organizations inform patients about infection control lapses. https://psnet.ahrq.gov/issue/patient-notificatio…

6357. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
      July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP July 1, 2012  Also Read an Essay Citation Text: In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…

6358. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
      July 01, 2012 - Patient Safety and Health Information Technology: Learning from Our Mistakes Ross Koppel, PhD | July 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Koppel R. Patient Safety and Health Information Technology: Learning f…

6359. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
      March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity Barbara Pelletreau, RN; John Riggi | March 27, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Pelletreau B, Riggi J. In Conversation with..Barbara Pe…

6360. Cybersecurity and How to Maintain Patient Safety | PSNet
      psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
      March 27, 2024 - Cybersecurity and How to Maintain Patient Safety Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Pelletreau B, Riggi J, Gale B…