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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40204/psn-pdf
    April 14, 2011 - Residents' intentions and actions after patient safety education. April 14, 2011 Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. https://psnet.ahrq.gov/issue/residents-intentions-and-actions-after-pati…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37080/psn-pdf
    October 03, 2011 - Pharmacists' perceptions of computerized prescriber- order-entry systems. October 3, 2011 Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber- order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32. https://psnet.ahrq.gov/issue/pharmacists-perceptions-co…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836788/psn-pdf
    March 23, 2022 - A widow’s mission to change NC dental sedation rules. March 23, 2022 Blythe A. NC Health News. March 10, 2022 https://psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules Patient harm in dentistry is receiving increased attention and scrutiny. This story covers a medication incident and the lack of …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73480/psn-pdf
    December 17, 2024 - Improving Patient Safety with Human Factors Methods. December 17, 2024 Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025. https://psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods Human factors engineering (HFE) is a primary strategy for advancing safety in healt…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40403/psn-pdf
    August 25, 2011 - The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. August 25, 2011 Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/1062860611400592. https://psnet.ahrq.gov/issue/qual…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45544/psn-pdf
    December 19, 2016 - Prescribing errors that cause harm. December 19, 2016 Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91. https://psnet.ahrq.gov/issue/prescribing-errors-cause-harm Prescribing errors can have harmful results. Analyzing prescribing error reports submitted over a 12- year period, t…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40502/psn-pdf
    January 01, 2020 - New 2012 National Patient Safety Goal - catheter- associated urinary tract infection (CAUTI). June 1, 2011 Joint Commission. https://psnet.ahrq.gov/issue/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract- infection-cauti This announcement reveals the new National Patient Safety Goal for 2012…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60262/psn-pdf
    April 22, 2020 - COVID-19 exposes potential gaps in PPE training, effectiveness. April 22, 2020 Ault A. Medscape Medical News. April 6, 2020. https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness Training is essential to ensure the safe use of equipment. This article discusses how the incorrect us…

  9. 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866284/psn-pdf
    February 26, 2025 - AJR Podcast Series on Diagnostic Excellence and Error. February 26, 2025 Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025. https://psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error Reducing diagnostic errors relies on a variety of professionals across the spectrum of care. This podcast…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40331/psn-pdf
    July 31, 2012 - Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. July 31, 2012 McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15, 2011. https://psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety- improvement Updating a previous …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35654/psn-pdf
    June 14, 2011 - Medical error and human factors engineering: where are we now? June 14, 2011 Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67. https://psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now The autho…

  13. 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…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45338/psn-pdf
    July 20, 2016 - Understanding models of error and how they apply in clinical practice. July 20, 2016 Garfield S, Franklin BD. Pharm J. June 14, 2016. https://psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice Human error and fallibility are a part of health care delivery that can be exacerbated b…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46607/psn-pdf
    November 08, 2017 - Stem the Tide: Addressing the Opioid Epidemic. November 8, 2017 Chicago, IL: American Hospital Association; 2017. https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help health care systems target ei…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49392/psn-pdf
    April 01, 2003 - Another Fall April 1, 2003 Bogardus SG. Another Fall. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/another-fall Case Objectives List risk factors for falls in hospitalized patients Understand appropriate use of restraints Identify system issues contributing to falls in hospitalized patients Case & Comm…

  17. In Conversation With… David Urbach, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
    June 12, 2019 - In Conversation With… David Urbach, MD, MSc April 1, 2015  Citation Text: In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation …

  18. Another Fall | PSNet

    psnet.ahrq.gov/web-mm/another-fall
    June 01, 2010 - SPOTLIGHT CASE Another Fall Citation Text: Bogardus SG. Another Fall. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  19. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/866100
    August 30, 2023 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Nurse Wellbeing and Patient Safety Curated Library Foundations Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services. Wash…

  20. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet

    psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
    July 23, 2024 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications Save Save to your library Print Download PDF Sha…
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