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7801. 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…

7802. 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…

7803. 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…

7804. 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…

7805. 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.…

7806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46596/psn-pdf
      November 01, 2017 - Infection prevention and control in pediatric ambulatory settings. November 1, 2017 Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857. https://psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings Patient safety in the ambulatory environme…

7807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46293/psn-pdf
      January 01, 2021 - Development of the barriers to error disclosure assessment tool. September 27, 2017 Welsh D, Zephyr D, Pfeifle AL, et al. Development of the Barriers to Error Disclosure Assessment Tool. J Patient Saf. 2021;17(5):363-374. doi:10.1097/PTS.0000000000000331. https://psnet.ahrq.gov/issue/development-barriers-error-dis…

7808. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42978/psn-pdf
      February 26, 2014 - The Francis Report: One Year On. February 26, 2014 Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.  https://psnet.ahrq.gov/issue/francis-report-one-year This publication offers insights from acute care hospital staff in England regarding recommendations from the Francis rep…

7809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36260/psn-pdf
      May 27, 2011 - The effect of physicians' long-term use of CPOE on their test management work practices. May 27, 2011 Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. https://psnet.ahrq.gov/issue/effect-physic…

7810. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38649/psn-pdf
      May 20, 2009 - Managing the adverse event occurring during elective, ambulatory pediatric surgery. May 20, 2009 Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013. https://psnet.ahrq.gov/issue/managing-advers…

7811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35083/psn-pdf
      March 29, 2007 - Patient Safety: Achieving a New Standard for Care. March 29, 2007 Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC: National Academies Press; 2004. ISBN 0309090776. https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care This report details findings…

7812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73860/psn-pdf
      September 22, 2021 - A system safety approach to assessing risks in the sepsis treatment process. September 22, 2021 Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sep…

7813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44978/psn-pdf
      June 01, 2016 - Josie's Story: A Patient Safety Curriculum. June 1, 2016 Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013. https://psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum The experience of Sorrel King and the death of her daughter has motivated h…

7814. Building Safety Culture and Strengthening Hospital Safety Systems | PSNet
      psnet.ahrq.gov/training-catalog/building-safety-culture-and-strengthening-hospital-safety-systems
      September 15, 2025 - Building Safety Culture and Strengthening Hospital Safety Systems Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Hospital Quality Institute E…

7815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867772/psn-pdf
      September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocl. September 1, 2013 Agency for Healthcare Research and Quality. Universal ICU Decolonization: An Enhanced Protocol. https://psnet.ahrq.gov/issue/universal-icu-decolonization-enhanced-protocl Methicillin-resistant?Staphylococcus aureus (MRSA) is a known threat to pati…

7816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35349/psn-pdf
      November 18, 2011 - Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. November 18, 2011 Botwinick L, Bisognano M, Haraden C. Cambridge, MA: Institute for Healthcare Improvement; 2006. https://psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishin…

7817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43371/psn-pdf
      June 19, 2019 - Medication Safety Officer's Handbook. June 19, 2019 Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. https://psnet.ahrq.gov/issue/medication-safety-officers-handbook This book provides information about medication errors and quality improvement to gui…

7818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38297/psn-pdf
      May 21, 2014 - Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. May 21, 2014 Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2007. ISBN: 9780833042170 https://psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-imple…

7819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853976/psn-pdf
      September 27, 2023 - Disclosure of Medical Errors. September 27, 2023 Irving, TX: American College of Emergency Physicians; 2023. https://psnet.ahrq.gov/issue/disclosure-medical-errors Error disclosure is difficult yet important for patient and clinician psychological healing. This statement provides guidance to address barriers to em…

7820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45311/psn-pdf
      May 20, 2019 - The Joint Commission Big Book of Checklists. 2nd Edition. May 20, 2019 Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598. https://psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition Checklists are a widely accepted strategy to improve communication and standardize processes to su…