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  1. psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
    January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Hauck LD, Jacob J. Implementing a Patient Safety …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33898/psn-pdf
    October 03, 2012 - Quick Tips for Buying Medicines Over the Internet. October 3, 2012 Food and Drug Administration. https://psnet.ahrq.gov/issue/buying-medicines-over-internet This Web site provides information related to the dangers of purchasing medical products online, including a link for consumers to report suspected illegal si…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39018/psn-pdf
    October 14, 2009 - When the doctor is distressed. October 14, 2009 Chen PW. https://psnet.ahrq.gov/issue/when-doctor-distressed This column discusses how life stresses affect the reliability and safety of care provided by over-extended clinicians in light of a recent study on the topic. https://psnet.ahrq.gov/issue/when-doctor-dist…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40246/psn-pdf
    February 23, 2011 - Global Patient Safety Alerts. February 23, 2011 Canadian Patient Safety Institute; CPSI. https://psnet.ahrq.gov/issue/global-patient-safety-alerts This Web site provides access to incident reports with the aim of stimulating innovation and driving patient safety improvement efforts. https://psnet.ahrq.gov/issue/g…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40076/psn-pdf
    October 20, 2014 - Learning to Use Patient Stories. October 20, 2014 Cardiff, UK: NHS Wales; April 2010. https://psnet.ahrq.gov/issue/learning-use-patient-stories This report provides insights from participants in the 1000 Lives Campaign on how patient stories can focus attention on safety improvements and drive commitment to change…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36665/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-10 This monthly selection of medication error reports provides examples of look-alike solution confusion, order entry error, and inhaler dose counter malfunction. https://psnet.ahrq.go…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37765/psn-pdf
    May 24, 2015 - The Rebecca O'Malley Report. May 24, 2015 Cork, Ireland: Health Information and Quality Authority; March 21, 2008. https://psnet.ahrq.gov/issue/rebecca-omalley-report This report analyzes the findings of a diagnostic error investigation and provides numerous recommendations to improve standards for treating sympto…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38320/psn-pdf
    July 28, 2013 - State of Healthcare 2008. July 28, 2013 Healthcare Commission. London, England: Commission for Healthcare Audit and Inspection; 2008. ISBN: 9780102958362. https://psnet.ahrq.gov/issue/state-healthcare-2008 This report assesses care in the United Kingdom, provides data on a variety of issues related to safety, and …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41830/psn-pdf
    November 07, 2012 - Drug, Healthcare and Patient Safety. November 7, 2012 Aparasu R, ed. Princeton, NJ: Dove Press. ISSN: 1179-1365. https://psnet.ahrq.gov/issue/drug-healthcare-and-patient-safety This journal provides articles that cover a variety of safety issues in health care, including risk management, health literacy, and patie…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38004/psn-pdf
    November 01, 2024 - Canadian Patient Safety Week. April 5, 2024 Healthcare Excellence Canada. https://psnet.ahrq.gov/issue/canadian-patient-safety-week This site provides promotional materials and registration information for an awareness campaign on patient safety that takes place in the autumn. The annual observance will take place…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35789/psn-pdf
    March 22, 2006 - Preventing adverse drug events. March 22, 2006 Manno MS. https://psnet.ahrq.gov/issue/preventing-adverse-drug-events The author provides a comprehensive introduction to adverse drug events (ADEs), their impact, and strategies to prevent them. Nursing continuing education credits are available for the test on page …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36534/psn-pdf
    March 09, 2009 - Standardizing hand-off processes. March 9, 2009 Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. https://psnet.ahrq.gov/issue/standardizing-hand-processes The author suggests ways to improve hand-off communications and provides an assessment form to assist staff in detecting weaknesses in…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35821/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen M. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4 This monthly selection of medication error reports provides examples of oral to IV dosing conflicts, name confusion with a new sleep aid, and radiology errors. https://psnet.ahrq.gov/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37142/psn-pdf
    August 29, 2007 - Patient Safety in Canada: An Update. August 29, 2007 Ottawa, ON: Canadian Institute for Health Information; August 14, 2007. https://psnet.ahrq.gov/issue/patient-safety-canada-update Using survey data as well as information on patient safety indicators, this report provides an update on the frequency of certain ty…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35768/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-3 This monthly selection of medication error reports provides examples of problems with drug name confusion and misspellings, oral medication misadministration, and dispensing dose disc…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34124/psn-pdf
    April 16, 2018 - TIPS (Topics in Patient Safety). April 16, 2018 National Center for Patient Safety. https://psnet.ahrq.gov/issue/tips-topics-patient-safety The National Center for Patient Safety provides six issues of this general interest newsletter each year. The site houses an archive that spans from 2001 to 2019 when it cease…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37867/psn-pdf
    June 25, 2008 - The Transforming Care at the Bedside (TCAB) Toolkit. June 25, 2008 Princeton, NJ: Robert Wood Johnson Foundation; 2008. https://psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit This toolkit provides materials for hospital units interested in adopting the transforming care at the bedside (TCAB) model of …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41529/psn-pdf
    July 18, 2012 - Medical errors disclosure and apology. July 18, 2012 Weiss PM; Koch S. https://psnet.ahrq.gov/issue/medical-errors-disclosure-and-apology This commentary discusses barriers to error disclosure, describes the emotional impact medical errors can have on physicians, and provides tips for effective disclosure. https:…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37553/psn-pdf
    February 20, 2008 - A Guide to Patient Safety in the Medical Practice. February 20, 2008 Vance JE. Chicago, IL: American Medical Association: 2008. https://psnet.ahrq.gov/issue/guide-patient-safety-medical-practice This publication discusses patient safety in ambulatory care and provides business cases, technology tips, and examples …
  20. psnet.ahrq.gov/web-mm/compare-and-contrast
    July 16, 2019 - SPOTLIGHT CASE Compare and Contrast Citation Text: Cho KC, Chertow GM. Compare and Contrast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

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