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9541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41683/psn-pdf
      September 19, 2012 - Techniques to improve patient safety in hospitals: what nurse administrators need to know. September 19, 2012 Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5. https://psnet.ahrq.gov/issue/technique…

9542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44678/psn-pdf
      July 05, 2017 - Patient Safety Risk Management Playbook. July 5, 2017 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/patient-safety-risk-management-playbook Proactive risk management is an important component to improving the safety of care. Exploring principles of high reliabilit…

9543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860400/psn-pdf
      January 10, 2024 - AHA Patient Safety Initiative. January 10, 2024 American Hospital Association. https://psnet.ahrq.gov/issue/aha-patient-safety-initiative Leadership at the organization and system level is crucial to gaining improvement traction and sustainability. This initiative centers on safety culture, care inequities, and wo…

9544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60563/psn-pdf
      June 03, 2020 - ‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. June 3, 2020 Andrews M. Kaiser News Network. May 19, 2020. https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths Post-mortem examination is an important tool for determining if misdiagnos…

9545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45646/psn-pdf
      November 23, 2016 - Patient safety in the emergency department. November 23, 2016 Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. https://psnet.ahrq.gov/issue/patient-safety-emergency-department Emergency departments are high-risk environments due to the urgency of care …

9546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46494/psn-pdf
      January 24, 2018 - Complications. January 24, 2018 Anaesthesia. 2018;73(suppl 1):3-101. https://psnet.ahrq.gov/issue/complications Study of complications can provide insights into presurgical patient counseling, risk assessment, and medical harm prevention. Articles in this special issue explore complications in anesthesia, includin…

9547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43151/psn-pdf
      April 30, 2014 - Open for Better Care. April 30, 2014 Health Quality & Safety Commission New Zealand. https://psnet.ahrq.gov/issue/open-better-care This Web site hosts tools and resources associated with a national campaign to augment patient care. The initiative aims to build collaborative programs across New Zealand to reduce fa…

9548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867648/psn-pdf
      January 01, 2023 - Opioid Taskforce Playbook. January 1, 2023 College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook. https://psnet.ahrq.gov/issue/opioid-taskforce-playbook Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids. This Opioid Playbo…

9549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39715/psn-pdf
      May 25, 2011 - Barriers to incident notification in a regional prehospital setting. May 25, 2011 Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J. 2011;28(6):526-9. doi:10.1136/emj.2010.090738. https://psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-…

9550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47621/psn-pdf
      May 11, 2019 - 2018 update on pediatric medical overuse: a review. May 11, 2019 Coon ER, Quinonez RA, Morgan DJ, et al. 2018 Update on Pediatric Medical Overuse: A Review. JAMA Pediatr. 2019;173(4):379-384. doi:10.1001/jamapediatrics.2018.5550. https://psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review Overuse of …

9551. Improving Care Transitions of Older Adults | PSNet
      psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
      Improving Care Transitions of Older Adults Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization RCTCLEARN.NET Event Description: This program focu…

9552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60264/psn-pdf
      January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert! January 14, 2021 March 2020--January 2021. https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert Medication safety is improved through the sharing of frontline improvement experiences and concerns. These articles share recommendations to…

9553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847734/psn-pdf
      April 19, 2023 - Patient safety tools for primary care. April 19, 2023 Domdera J. Fam Pract Manag. 2023;30(2):24-28. https://psnet.ahrq.gov/issue/patient-safety-tools-primary-care A large segment of patients receives outpatient care. This commentary suggests that high-reliability concepts be applied in the primary care environment…

9554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42460/psn-pdf
      July 31, 2013 - Effectiveness of the surgical safety checklist in a high standard care environment. July 31, 2013 Lübbeke A, Hovaguimian F, Wickboldt N, et al. Effectiveness of the surgical safety checklist in a high standard care environment. Med Care. 2013;51(5):425-9. doi:10.1097/MLR.0b013e31828d1489. https://psnet.ahrq.gov/is…

9555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39558/psn-pdf
      May 26, 2010 - ReCASTing the RCA: an improved model for performing root cause analyses. May 26, 2010 Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533. https://psnet.ahrq.gov/issue/recasting-…

9556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39576/psn-pdf
      September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the Hospital. September 25, 2010 Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059. https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital This guide provides patients with information they need t…

9557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38453/psn-pdf
      January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…

9558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846165/psn-pdf
      March 15, 2023 - Do no unconscious harm. March 15, 2023 Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698. https://psnet.ahrq.gov/issue/do-no-unconscious-harm Implicit biases can degrade decision making as they impact heuristics, test result interpretation, and patient/physician commun…

9559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41083/psn-pdf
      December 12, 2012 - Teams under pressure in the emergency department: an interview study. December 12, 2012 Flowerdew L, Brown R, Russ S, et al. Teams under pressure in the emergency department: an interview study. Emerg Med J. 2012;29(12):e2. doi:10.1136/emermed-2011-200084. https://psnet.ahrq.gov/issue/teams-under-pressure-emergenc…

9560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841789/psn-pdf
      July 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o…