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9421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841489/psn-pdf
      December 14, 2022 - Rise to Health Coalition. December 14, 2022 Boston, MA; Institute for Healthcare Improvement: December 2022. https://psnet.ahrq.gov/issue/rise-health-coalition Systemic efforts to improve health equity support patient safety. This announcement highlights an initiative for collective work to address four areas of e…

9422. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36914/psn-pdf
      March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to on-call physicians. March 21, 2017 Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on- call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. https://psnet.ahrq.gov/issue/reasons-after-hours-call…

9423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37243/psn-pdf
      December 16, 2011 - Raising the awareness of inpatient nursing staff about medication errors. December 16, 2011 Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90. https://psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-…

9424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42584/psn-pdf
      September 11, 2013 - Cardiac surgical ICU care: eliminating "preventable" complications. September 11, 2013 Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124. https://psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-p…

9425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41758/psn-pdf
      October 10, 2012 - The Broselow tape as an effective medication dosing instrument: a review of the literature. October 10, 2012 Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.pedn.2012.04.009. https://psnet.ah…

9426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39464/psn-pdf
      February 17, 2011 - Evaluation of a redesign initiative in an internal-medicine residency. February 17, 2011 McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. https://psnet.ahrq.gov/issue/evaluation-redesign…

9427. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46442/psn-pdf
      October 04, 2017 - Handoff Communication. October 4, 2017 APSF Newsletter. October 2017;32:29-56. https://psnet.ahrq.gov/issue/handoff-communication Handoff processes are known to carry risks of communication errors. This special issue focuses on transfers involving anesthesia care. Articles review different types of handoffs, chara…

9428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46998/psn-pdf
      August 01, 2019 - 10 Facts on Patient Safety. June 27, 2018 Patient Safety and Risk Management Service Delivery and Safety. Geneva, Switzerland; World Health Organization: August 2019. https://psnet.ahrq.gov/issue/10-facts-patient-safety This publication highlights statistics that illustrate the global impact of patient harm. The i…

9429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43145/psn-pdf
      June 15, 2014 - The 2013 John M. Eisenberg Patient Safety and Quality Awards. June 15, 2014 Jt Comm J Qual Patient Saf. 2014;40(5):195-218. https://psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-awards Articles in this special issue highlight the achievements of the 2013 John M. Eisenberg Patient Safety and…

9430. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44693/psn-pdf
      June 15, 2016 - Safety. June 15, 2016 Center for Health Design. https://psnet.ahrq.gov/issue/safety-0 Elements of the health care work environment can affect the care delivery. This website highlights design considerations for health care facilities that can help reduce noise, falls, and hospital-acquired infections. The collect…

9431. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42185/psn-pdf
      April 10, 2013 - Improving patient safety in medicine: is the model of anaesthesia care enough? April 10, 2013 Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly. 2013;143:w13770. doi:10.4414/smw.2013.13770. https://psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-an…

9432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42664/psn-pdf
      August 11, 2014 - Positive deviance: a new tool for infection prevention and patient safety. August 11, 2014 Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013. https://psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-pa…

9433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34617/psn-pdf
      March 07, 2005 - World Alliance for Patient Safety: forward programme. March 7, 2005 Geneva, Switzerland: World Health Organization; 2004. https://psnet.ahrq.gov/issue/world-alliance-patient-safety-forward-programme This report outlines the six goals set by the new world alliance to achieve what no single country could accomplish …

9434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36388/psn-pdf
      June 12, 2013 - Using patient safety science to explore strategies for improving safety in intravenous medication administration. June 12, 2013 Franklin M. Journal of the Association for Vascular Access. 2006. 11(3):157–160. https://psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-…

9435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44137/psn-pdf
      May 13, 2015 - AHRQ Patient Safety YouTube Channel. May 13, 2015 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel This Web site hosts a collection of training videos to highlight two improvement strategies: the Comprehensive Unit-based Safety Program and …

9436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40212/psn-pdf
      April 04, 2011 - Creating effective quality-improvement collaboratives: a multiple case study. April 4, 2011 Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. https://psnet.ahrq.gov/issue/creatin…

9437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45663/psn-pdf
      November 09, 2016 - Nursing Home Antimicrobial Stewardship Guide. November 9, 2016 Rockville, MD: Agency for Healthcare Research and Quality; October 2016. https://psnet.ahrq.gov/issue/nursing-home-antimicrobial-stewardship-guide Antimicrobial stewardship is one strategy to reduce health care–associated infections in a variety of set…

9438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42297/psn-pdf
      August 01, 2024 - Society to Improve Diagnosis in Medicine. August 1, 2024 https://psnet.ahrq.gov/issue/society-improve-diagnosis-medicine The Society to Improve Diagnosis in Medicine (SIDM) was a not-for-profit organization founded in 2011 that promoted reducing diagnostic errors through collaboration, research, and education. SIDM…

9439. Strategies to Better Manage Lipids—Statin Pearls | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/heart-health/cholesterol/statins.html
      September 01, 2018 - Strategies to Better Manage Lipids—Statin Pearls Resource title: Strategies to Better Manage Lipids—Statin Pearls Resource description: This slide deck and transcript of a 20-minute video with a family physician at Virginia Commonwealth University reviews current recommendations for the use of statins in lo…

9440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38602/psn-pdf
      January 14, 2025 - World Hand Hygiene Day. January 14, 2025 World Health Organization https://psnet.ahrq.gov/issue/save-lives-clean-your-hands This global initiative raises awareness about hand hygiene as a strategy to reduce health care–associated infections. The initiative highlights Save Lives: Clean Your Hands, an annual promoti…