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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43164/psn-pdf
    May 03, 2016 - Patient safety in the era of healthcare reform. May 3, 2016 Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73. doi:10.1007/s11999-014-3598-6. https://psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform The publication of To Err Is Human spurred efforts to imp…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40654/psn-pdf
    January 01, 2012 - The computerized rounding report: implementation of a model system to support transitions of care. December 15, 2011 Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015. …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44330/psn-pdf
    September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop Summary. September 2, 2015 Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN: 9780309371544. https://psnet.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44140/psn-pdf
    July 15, 2015 - Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. July 15, 2015 London, UK: General Medical Council and the Nursing and Midwifery Council; June 29, 2015. https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour Open and honest discussion with patie…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44620/psn-pdf
    November 04, 2015 - Laboratory testing in general practice: a patient safety blind spot. November 4, 2015 Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. https://psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46764/psn-pdf
    March 28, 2018 - The Report of the Short Life Working Group on Reducing Medication-related Harm. March 28, 2018 Department of Health and Social Care. London, England: Crown Publishing; February 2018. https://psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm Medication errors are a prominent chal…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48140/psn-pdf
    July 31, 2019 - Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. July 31, 2019 Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11(4):e4376. doi:10.7759/cureus.4376.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44002/psn-pdf
    March 25, 2015 - Preventing medication errors in transitions of care: a patient case approach. March 25, 2015 Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: A patient case approach. J Am Pharm Assoc (2003). 2015;55(2):e264-276. doi:10.1331/JAPhA.2015.15509. https://psnet.ahrq.gov/issue/prevent…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40676/psn-pdf
    November 26, 2014 - Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. November 26, 2014 Nuckols TK, Escarce JJ. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. J Gen Intern Med. 2012;27(2):241-9. doi:10.1007/s11606-011-1775-9. https://psnet.ah…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50785/psn-pdf
    January 08, 2020 - Moving Measurement into Action: Global Principles for Measuring Patient Safety. January 8, 2020 IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar; December 2019. https://psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety Me…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841200/psn-pdf
    December 07, 2022 - Preventing errors when preparing and administering medications via enteral feeding tubes. December 7, 2022 ISMP Medication Safety Alert! Acute care edition. November 17, 2022;27(23). https://psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral- feeding-tubes Enteral feeding …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43946/psn-pdf
    May 28, 2015 - Development and measurement of perioperative patient safety indicators. May 28, 2015 Emond YE, Stienen JJ, Wollersheim HC, et al. Development and measurement of perioperative patient safety indicators. Br J Anaesth. 2015;114(6):963-72. doi:10.1093/bja/aeu561. https://psnet.ahrq.gov/issue/development-and-measuremen…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44557/psn-pdf
    November 20, 2015 - Reforming the Veterans Health Administration—beyond palliation of symptoms. November 20, 2015 Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…

  14. Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination | Agency for Healthcare Research and Quality

    www.ahrq.gov/takeheart/assessing/summary/index.html
    August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination Final Evaluation Report: Executive Summary About the Resource TAKEheart was conducted between April 2019 and December 2022 by Abt Associates (Abt) and its…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839825/psn-pdf
    November 09, 2022 - Preventing medication errors in pediatric anesthesia: a systematic scoping review. November 9, 2022 Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.0000000000001019. https://psnet.ahrq.gov…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41718/psn-pdf
    October 03, 2012 - Duty hours, quality of care, and patient safety: general surgery resident perceptions. October 3, 2012 Borman KR, Jones AT, Shea JA. Duty hours, quality of care, and patient safety: general surgery resident perceptions. J Am Coll Surg. 2012;215(1):70-7; discussion 77-9. doi:10.1016/j.jamcollsurg.2012.02.010. https…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47101/psn-pdf
    December 21, 2018 - Education and reporting of diagnostic errors among physicians in internal medicine training programs. December 21, 2018 Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178(11):1548-1549. doi:10.1001/ja…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46711/psn-pdf
    July 01, 2019 - The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. July 1, 2019 Washington, DC: America's Health Insurance Plans; 2019. https://psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety- and-reduced-risk Gu…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44785/psn-pdf
    January 27, 2016 - Reducing Adverse Drug Events Related to Opioids Implementation Guide. January 27, 2016 Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide Opioids are high-risk medication…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74196/psn-pdf
    December 15, 2021 - Adverse glycemic events and critical emergencies. December 15, 2021 ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. https://psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies Insulin is a high-alert medication that requires extra attention to safely manage blood sugar …
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