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7741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47047/psn-pdf
      June 06, 2018 - MedStar Health Institute for Quality and Safety. June 6, 2018 MedStar Health. 10980 Grantchester Way, Columbia, MD 21044. https://psnet.ahrq.gov/issue/medstar-health-institute-quality-and-safety Health care has recognized the importance of designing systems solutions that reduce risks. Established within MedStar H…

7742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36147/psn-pdf
      January 13, 2012 - An experimental study in nurse-physician relationships. January 13, 2012 Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv Ment Dis. 1966;143(2):171-80. https://psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships The investigators arranged …

7743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45443/psn-pdf
      September 07, 2016 - Making health care safer. Think sepsis. Time matters. September 7, 2016 CDC; Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-health-care-safer-think-sepsis-time-matters Delayed diagnosis of sepsis can have serious consequences. This article and accompanying set of infographics spotl…

7744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36074/psn-pdf
      September 28, 2010 - Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. September 28, 2010 Rischbieth A. Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. J Nurs Manag. 2006;14(5):397-404. https://psnet.ahrq.gov/issue/matching-nurse-skill-pati…

7745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37269/psn-pdf
      November 30, 2016 - ACOG Committee Opinion #681: disclosure and discussion of adverse events. November 30, 2016 Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261. https://psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adv…

7746. 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.…

7747. 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…

7748. 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…

7749. 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…

7750. 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…

7751. 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:…

7752. 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…

7753. 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…

7754. 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…

7755. 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…

7756. 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…

7757. 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…

7758. 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…

7759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36688/psn-pdf
      May 27, 2011 - Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care. May 27, 2011 Vardi A; Efrati O; Levin I; Matok I; Rubinstein M; Paret G; Barzilay Z. https://psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-or…

7760. 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…