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8321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46483/psn-pdf
      October 04, 2017 - Fall Prevention in Hospitals Training Program. October 4, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training program pro…

8322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838254/psn-pdf
      October 05, 2022 - Embedded bias: how medical records sow discrimination. October 5, 2022 Tahir D. Kaiser Health News. September 26, 2022.  https://psnet.ahrq.gov/issue/embedded-bias-how-medical-records-sow-discrimination Negative patient representations in medical records perpetuate stereotypes that can affect care over ti…

8323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37398/psn-pdf
      March 28, 2012 - A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. March 28, 2012 Oken A, Rasmussen MD, Slagle JM, et al. A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Anesth…

8324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50705/psn-pdf
      January 01, 2020 - Closing the loop with ambulatory staff on safety reports. December 4, 2019 Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-repor…

8325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45987/psn-pdf
      April 26, 2017 - Using simulation to prepare nursing staff for the move to a new building. April 26, 2017 Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…

8326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46791/psn-pdf
      May 23, 2018 - Medication Safety Dashboard. May 23, 2018 National Health Service. https://psnet.ahrq.gov/issue/medication-safety-dashboard Data surveillance and transparency are core to measuring and informing improvement efforts. This website provides detailed data that links ambulatory care prescribing activity to National Hea…

8327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35556/psn-pdf
      May 27, 2011 - Improving patient safety using interactive, evidence- based decision support tools. May 27, 2011 Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683. https://psnet.ahrq.gov/issue/improving-patient-safety-using-inter…

8328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45621/psn-pdf
      November 09, 2016 - Impact of age on anaesthesiologists' competence: a narrative review. November 9, 2016 Giacalone M, Zaouter C, Mion S, et al. Impact of age on anaesthesiologists' competence: A narrative review. Eur J Anaesthesiol. 2016;33(11):787-793. https://psnet.ahrq.gov/issue/impact-age-anaesthesiologists-competence-narrative-…

8329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46854/psn-pdf
      June 20, 2018 - FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. June 20, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related- patient-inju…

8330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35619/psn-pdf
      June 24, 2010 - Studying patient safety in health care organizations: accentuate the qualitative. June 24, 2010 Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…

8331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47540/psn-pdf
      April 03, 2019 - Medication handling: towards a practical, human-centred approach. April 3, 2019 Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia. 2019;74(3):280-284. doi:10.1111/anae.14482. https://psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approac…

8332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34770/psn-pdf
      April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela…

8333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37732/psn-pdf
      May 30, 2008 - Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety. May 30, 2008 Sheridan-Leos N. Oncology care setting design and planning part I: Concepts for the oncology nurse that improve patient safety. Clin J Oncol Nurs. 2008;12(2):361-3. doi:10.1188/08.CJON.361-36…

8334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839828/psn-pdf
      October 14, 2016 - STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. October 14, 2016 Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi:10.1136/bmjopen-2016-012799. https:…

8335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43219/psn-pdf
      January 01, 2015 - Developing a reporting and tracking tool for nursing student errors and near misses. May 28, 2014 Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. https://psnet.ahrq.gov/issue/developing-repor…

8336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44014/psn-pdf
      March 20, 2019 - Patient Centered Medical Home Resource Center: Quality and Safety. March 20, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…

8337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848827/psn-pdf
      May 10, 2023 - TQIP Mortality Reporting System Case Reports. May 10, 2023 ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. https://psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports Anonymous case reporting provides opportunities to examine unexpected patient harm instances to pin…

8338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38938/psn-pdf
      July 26, 2023 - ISMP's List of Confused Drug Names. July 26, 2023 Horsham, PA; Institute for Safe Medication Practices: July 2023. https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names Drawing on information gathered from the ISMP Medication Errors Reporting Program, this fact sheet provides a comprehensive list of commonly…

8339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34731/psn-pdf
      July 08, 2016 - Crossing the Quality Chasm: A New Health System for the 21st Century. July 8, 2016 Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National Academies Press; 2001. ISBN: 9780309072809. https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century Following…

8340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39060/psn-pdf
      October 28, 2009 - Impact of duty-hour restriction on resident inpatient teaching. October 28, 2009 Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448. https://psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teac…