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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46336/psn-pdf
    August 23, 2017 - Improving the Working Environment for Safe Surgical Care. August 23, 2017 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care Surgical training is demanding and can r…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46221/psn-pdf
    July 02, 2017 - Tools and methods for quality improvement and patient safety in perinatal care. July 2, 2017 Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002. https://psnet.ahrq.gov/issue/tools-and-methods-q…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40219/psn-pdf
    December 29, 2014 - Cardiac surgery errors: results from the UK National Reporting and Learning System. December 29, 2014 Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/intqhc/mzq084. https://psnet.ah…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47462/psn-pdf
    October 31, 2018 - Emergency department checklist: an innovation to improve safety in emergency care. October 31, 2018 Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325. https://psnet.ahrq.gov/issue/e…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836833/psn-pdf
    March 30, 2022 - As a nurse faces prison for a deadly error, her colleagues worry: could I be next? March 30, 2022 Kelman B. Kaiser Health News. March 22, 2022 https://psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next Criminalization of medical mistakes typifies the blame-focused approach pa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44473/psn-pdf
    September 27, 2016 - Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. September 27, 2016 Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60800/psn-pdf
    January 01, 2021 - Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. August 12, 2020 Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing and implementing the leadership s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46384/psn-pdf
    November 14, 2018 - Peggy Lillis Foundation. November 14, 2018 266 12th Street #6, Brooklyn, NY 11215. https://psnet.ahrq.gov/issue/peggy-lillis-foundation Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots foundation employs educational, policy, and advocacy strategies aimed at red…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837605/psn-pdf
    June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74064/psn-pdf
    May 27, 2021 - Achieving zero inequity: lessons learned from patient safety. May 27, 2021 Gandhi TK. NEJM Catalyst. May 27, 2021. https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety The COVID-19 pandemic has shown a spotlight on bias, disparities, and inequity in the healthcare system. The author…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46253/psn-pdf
    August 28, 2017 - Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. August 28, 2017 Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531. https://psnet.ahrq.gov/issue/diagnostic-stewardship-l…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41425/psn-pdf
    June 19, 2012 - Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? June 19, 2012 Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867016/psn-pdf
    October 23, 2024 - An automated, dynamic radiation oncology prescription checking system. October 23, 2024 Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002. https://psnet.ahrq.gov/issue/automated-dynamic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50940/psn-pdf
    February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. February 26, 2020 Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing students' performance in prevent…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43888/psn-pdf
    August 02, 2015 - Diagnostic performance by medical students working individually or in teams. August 2, 2015 Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770. https://psnet.ahrq.gov/issue/diagnostic-performance…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46519/psn-pdf
    December 22, 2018 - Delirium in hospitalized older adults. December 22, 2018 Marcantonio ER. Delirium in Hospitalized Older Adults. N Engl J Med. 2017;377(15):1456-1466. doi:10.1056/NEJMcp1605501. https://psnet.ahrq.gov/issue/delirium-hospitalized-older-adults Delirium is considered a patient safety problem that can be prevented with…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47464/psn-pdf
    October 17, 2018 - How to prevent the top 4 medication errors. October 17, 2018 Sederstrom J. Drug Topics. September 17, 2018. https://psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors Medication errors continue to be a worldwide patient safety challenge that requires both systems and individual practice strategies for improv…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44410/psn-pdf
    August 12, 2015 - Workarounds in the workplace: a second look. August 12, 2015 Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. https://psnet.ahrq.gov/issue/workarounds-workplace-second-look Workarounds are prevalent in health care and create opport…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44299/psn-pdf
    November 06, 2015 - Nurse practitioner–led medication reconciliation in critical access hospitals. November 6, 2015 Young L, Barnason S, Hays K, et al. Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.2015.03.005. https://psnet.ahrq.go…