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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41833/psn-pdf
    November 14, 2012 - Risks related to patient bed safety. November 14, 2012 Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b. https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety Reviewing the three major contributing factors to me…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41063/psn-pdf
    January 27, 2012 - Perspective: ten thousand hours to patient safety, sooner or later. January 27, 2012 Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202. https://psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-…
  8. 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…
  9. 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…
  10. 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-…
  11. 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-…
  12. 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 …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73104/psn-pdf
    January 04, 2021 - This strategy not only reduces unnecessary patient visits and unnecessary patient monitoring and socially
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45932/psn-pdf
    May 18, 2017 - Polypharmacy. May 18, 2017 Zagaria MAE, ed. Clin Geriatr Med. 2017;33:153-292. https://psnet.ahrq.gov/issue/polypharmacy Older patients are likely to be prescribed multiple medications, which can increase risks. Articles in this special issue explore polypharmacy in a variety of care settings and provide tactics f…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48190/psn-pdf
    June 17, 2024 - APSF Stoelting Conference. June 17, 2024 Anesthesia Patient Safety Foundation. Markell Conference Center, Somerville, MA, September 4–5, 2024. https://psnet.ahrq.gov/issue/apsf-stoelting-conference Anesthesia is a high-risk activity that has achieved safety successes. This hybrid conference explored topics related…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36810/psn-pdf
    November 19, 2014 - A Systems Approach to Quality Improvement in Long- Term Care: Safe Medication Practices Workbook. November 19, 2014 Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care Foundation. Boston, MA: Commonwealth of Massachusetts; 2008. https://psnet.ahrq.gov/issue/systems-ap…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38822/psn-pdf
    July 29, 2009 - The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. July 29, 2009 Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. https://psnet.ahrq.gov/issue/5th-annivers…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38530/psn-pdf
    April 01, 2009 - Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. April 1, 2009 Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. J Hosp Med. 2009;4(2):97-101. doi:10.1002/jhm.387. https://psnet.ah…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47348/psn-pdf
    September 05, 2018 - Hospital-Acquired Condition Reduction Program (HACRP). September 5, 2018 QualityNet. Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program Eliminating hospital-acquired harm requires policy, organizational, and individual approaches to motivate …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48026/psn-pdf
    July 10, 2019 - Network of Patient Safety Databases. July 10, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/network-patient-safety-databases The Patient Safety Organization (PSO) program seeks to gather and analyze nonidentifiable patient safety incident data to track concerns and reduce risks. Thi…

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