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7901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40241/psn-pdf
      June 20, 2011 - Computerized physician order entry in the critical care environment: a review of current literature. June 20, 2011 Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3). doi:10.1177/0885066610387984. https…

7902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40407/psn-pdf
      October 04, 2011 - Insights into the climate of safety towards the prevention of falls among hospital staff. October 4, 2011 Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.1111/j.1365-2702.2010.03535.x. https:…

7903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41818/psn-pdf
      July 02, 2014 - Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. July 2, 2014 Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Acad Med. 2012;87(1…

7904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43646/psn-pdf
      January 01, 2021 - Patient Safety Systems Chapter. January 1, 2021 In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint Commission; January 2021:PS1-PS46. https://psnet.ahrq.gov/issue/patient-safety-systems-chapter This chapter provides information about how organizations can re-design existin…

7905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41901/psn-pdf
      December 05, 2012 - Patient safety culture in home care: experiences of home- care nurses. December 5, 2012 Berland A, Holm AL, Gundersen D, et al. Patient safety culture in home care: experiences of home-care nurses. J Nurs Manag. 2012;20(6):794-801. doi:10.1111/j.1365-2834.2012.01461.x. https://psnet.ahrq.gov/issue/patient-safety-c…

7906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45353/psn-pdf
      July 20, 2016 - Using the web or an app instead of seeing a doctor? Caution is advised. July 20, 2016 Frakt A. New York Times. July 11, 2016. https://psnet.ahrq.gov/issue/using-web-or-app-instead-seeing-doctor-caution-advised Patients are increasingly using online symptom checkers for medical information and health care recommen…

7907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36498/psn-pdf
      January 07, 2011 - Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. January 7, 2011 Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recommendations from the British Committee for Standards in Haemat…

7908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40080/psn-pdf
      December 15, 2010 - Injection practices among clinicians in United States health care settings. December 15, 2010 Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.003. https://psnet.ahrq.gov/issue/…

7909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36525/psn-pdf
      January 07, 2011 - Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care. January 7, 2011 Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient ca…

7910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44240/psn-pdf
      June 23, 2015 - Risks are high at low-volume hospitals. June 23, 2015 Sternberg S; Dougherty G. https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals This news article reports an independent analysis of patient risk at hospitals that provide surgeries they infrequently perform, highlighting how high procedure volume an…

7911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37332/psn-pdf
      November 14, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. November 14, 2007 Jacobson KL, Gazmararian JA, Kripalani S, et al. Rockville, MD: Agency for Healthcare Research and Quality. October 2007. AHRQ Publication No. 07-0051. https://psnet.ahrq.gov/issue/our-pharmacy-meeti…

7912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35116/psn-pdf
      April 06, 2011 - Crises in clinical care: an approach to management. April 6, 2011 Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856. https://psnet.ahrq.gov/issue/crises-clinical-care-approach-management This commentary discusses the many fa…

7913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44487/psn-pdf
      September 23, 2015 - Patient safety and quality improvement: terminology. September 23, 2015 Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology To Err Is…

7914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45808/psn-pdf
      December 19, 2017 - A concept analysis of systems thinking. December 19, 2017 Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking Systems thinking focuses on enabling an organization t…

7915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45429/psn-pdf
      December 19, 2016 - ONC Health IT Certification Program: Enhanced Oversight and Accountability. November 30, 2016 Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services; HHS. https://psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability Requiremen…

7916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46469/psn-pdf
      October 25, 2017 - RxAwareness. October 25, 2017 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/rxawareness The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to raise awareness of the addictive nature of the medication. This national campaign enlists…

7917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39829/psn-pdf
      January 09, 2025 - Hospital Reporting Program: Annual Summary. January 9, 2025 Portland, OR: Oregon Patient Safety Commission. https://psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary This site provides data and analysis from two Oregon Patient Safety Commission patient safety initiatives: the Patient Safety Reporting …

7918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72754/psn-pdf
      February 17, 2021 - Telehealth in the COVID-19 era: a balancing act to avoid harm. February 17, 2021 Reeves JJ, Ayers JW, Longhurst CA. Telehealth in the COVID-19 Era: a balancing act to avoid harm. J Med Internet Res. 2021;23(2):e24785. doi:10.2196/24785. https://psnet.ahrq.gov/issue/telehealth-covid-19-era-balancing-act-avoid-harm …

7919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45413/psn-pdf
      September 21, 2016 - A piece of my mind. Snakes on a dock. September 21, 2016 Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179. https://psnet.ahrq.gov/issue/piece-my-mind-snakes-dock Storytelling has been advocated as a strategy to teach and augment awareness in patient safety. In this commentary, the…

7920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45379/psn-pdf
      August 17, 2016 - A piece of my mind. How many have you done? August 17, 2016 Reisman A. A PIECE OF MY MIND. How Many Have You Done? JAMA. 2016;316(5):491. doi:10.1001/jama.2016.1996. https://psnet.ahrq.gov/issue/piece-my-mind-how-many-have-you-done This commentary explores transparency in response to patient and family inquiry reg…