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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865971/psn-pdf
    May 29, 2024 - Lessons learned from a national hospital antibiotic stewardship implementation project. May 29, 2024 Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:10.1016/j.jcjq.2024.04.002. https://…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866900/psn-pdf
    October 09, 2024 - Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. October 9, 2024 Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866687/psn-pdf
    September 11, 2024 - An exploratory analysis of the association between healthcare associated infections & hospital financial performance. September 11, 2024 Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between healthcare associated infections & hospital financial performance. Healthcare (Basel…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837210/psn-pdf
    May 25, 2022 - A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. May 25, 2022 Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37562/psn-pdf
    June 14, 2011 - Effectiveness and efficiency of root cause analysis in medicine. June 14, 2011 Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine Application of root c…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41494/psn-pdf
    June 27, 2012 - National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. June 27, 2012 Washington, DC: National Quality Forum; June 2012. https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus- report Progress in improving patient safety has been hampe…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40469/psn-pdf
    May 20, 2019 - Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. May 20, 2019 Spath PL, ed. San Francisco, CA: Jossey-Bass; 2011. ISBN: 9780470502402. https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd- edition Error Reduction in H…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865817/psn-pdf
    May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. May 8, 2024 Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatie…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854258/psn-pdf
    October 04, 2023 - A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. October 4, 2023 Phillips KK, Mecca MC, Baim?Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39249/psn-pdf
    September 30, 2015 - Patient participation: current knowledge and applicability to patient safety. September 30, 2015 Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc. 2010;85(1):53-62. doi:10.4065/mcp.2009.0248. https://psnet.ahrq.gov/issue/patient-particip…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837797/psn-pdf
    August 10, 2022 - Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. August 10, 2022 Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situations of error theory as a psychos…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50792/psn-pdf
    January 15, 2020 - Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center January 15, 2020 Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36315/psn-pdf
    July 10, 2008 - Wrong-side/wrong-site, wrong-procedure, and wrong- patient adverse events: are they preventable? July 10, 2008 Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. https://psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45648/psn-pdf
    February 01, 2017 - Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center. February 1, 2017 Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Medical Center. Pain Pract. 2016;1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866159/psn-pdf
    June 19, 2024 - Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study. June 19, 2024 Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contributors to delayed and inaccurate …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851971/psn-pdf
    July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up July 31, 2023 Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…
  17. psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN March 1, 2018  Also Read an Essay Citation Text: In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …
  18. psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
    July 01, 2011 - SPOTLIGHT CASE Spotlight: Mistaken Attribution, Diagnostic Misstep Citation Text: Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citat…
  19. psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72618/psn-pdf
    December 23, 2020 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care December 23, 2020 https://psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards- medical-decisions Summary Nudges are a change in the way choices ar…

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