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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42633/psn-pdf
    October 02, 2013 - Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. October 2, 2013 Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13-0059-EF.  https://psnet.ahrq.gov/issue/health-it-enabled-quali…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50625/psn-pdf
    November 06, 2019 - Pediatric medication safety considerations for pharmacists in an adult hospital setting. November 6, 2019 Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/ajhp/zxz168. https://psnet.ahrq.gov/is…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45551/psn-pdf
    November 30, 2016 - Parents' perspectives on "keeping their children safe" in the hospital. November 30, 2016 Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193. https://psnet.ahrq.gov/issue/parent…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43069/psn-pdf
    April 16, 2014 - Decimal numbers and safe interpretation of clinical pathology results. April 16, 2014 Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865. https://psnet.ahrq.gov/issue/decimal-numbers-and-saf…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42878/psn-pdf
    January 29, 2014 - A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. January 29, 2014 Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recogni…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843095/psn-pdf
    January 25, 2023 - Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. January 25, 2023 Sentinel Event Alert. January 17, 2023:(66):1-5. https://psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity- pregnant-and Racial and ethnic in…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60976/psn-pdf
    September 30, 2020 - Dangerous wrong-route errors with tranexamic acid. September 30, 2020 National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices. National Alert Network. September 9, 2020. https://psnet.ahrq.gov/issue/dangerous-wrong…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41163/psn-pdf
    June 19, 2012 - Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. June 19, 2012 Jeong H-J, Pham JC, Kim M, et al. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. BMJ Qual Saf. 2012;21(7):612-5. doi:1…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45936/psn-pdf
    March 08, 2017 - Using information from external errors to signal a "clear and present danger." March 8, 2017 ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. https://psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger Monitoring external reports of error and harm can pr…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43879/psn-pdf
    February 04, 2015 - Complaints and Raising Concerns. February 4, 2015 Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350. https://psnet.ahrq.gov/issue/complaints-and-raising-concerns Complaints are a proactive way to monitor and address rec…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43165/psn-pdf
    May 07, 2014 - Disrespectful behaviors—part 1 and part 2. May 7, 2014 ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4. https://psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2 The first article of this series reports the results of a survey investigating disruptive beh…

  12. Archived: Modeling Report: Radiation-Induced Breast Cancer and Breast Cancer Death From Mammography Screening (Abstract): Breast Cancer: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/modeling-report-radiation-induced-breast-cancer-and-breast-c/breast-cancer-screening-january-2016
    April 20, 2015 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Modeling Report: Radiation-Induced Breast Cancer and Breast Cancer Death From Mammography Screening (Abstract) Breast Cancer: Screening April 20, 2015 Recommenda…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60805/psn-pdf
    August 12, 2020 - A blueprint for leadership during COVID-19. August 12, 2020 Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19. Nurs Manage. 2020;51(8):28-34. doi:10.1097/01.numa.0000688940.29231.6f. https://psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19 These authors discuss the effect of the C…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60553/psn-pdf
    June 03, 2020 - Using social and behavioural science to support COVID- 19 pandemic response. June 3, 2020 Bavel JJV, Baicker K, Boggio PS, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-471. doi:10.1038/s41562-020-0884-z. https://psnet.ahrq.gov/issue/using-social-an…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45139/psn-pdf
    May 25, 2016 - Alarm management: promoting safety and establishing guidelines. May 25, 2016 Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518- 21. doi:10.1016/j.aorn.2016.03.008. https://psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines Alarms…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842432/psn-pdf
    January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60672/psn-pdf
    July 08, 2020 - The Care We Need July 8, 2020 Washington DC: National Quality Forum; 2020. https://psnet.ahrq.gov/issue/care-we-need This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach to improve the US health care system. Five strategic objectives are provided--one of which f…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47722/psn-pdf
    January 23, 2019 - Opening the Door to Change. NHS Safety Culture and the Need for Transformation. January 23, 2019 Newcastle upon Tyne, UK: Care Quality Commission; December 2018. https://psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation The term never events was originally coined to describe rare,…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842775/psn-pdf
    January 18, 2023 - Safer Together Survey: Advancing Patient and Workforce Safety January 18, 2023 Cambridge, MA: Institute for Healthcare Improvement: January 2023. https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety The National Steering Committee for Patient Safety (NSC) was formed to engage w…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46675/psn-pdf
    April 12, 2019 - The hidden curricula of medical education: a scoping review. April 12, 2019 Lawrence C, Mhlaba T, Stewart KA, et al. The Hidden Curricula of Medical Education: A Scoping Review. Acad Med. 2018;93(4):648-656. doi:10.1097/ACM.0000000000002004. https://psnet.ahrq.gov/issue/hidden-curricula-medical-education-scoping-r…
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