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  1. 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-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42951/psn-pdf
    September 16, 2014 - Novel approach to cardiac alarm management on telemetry units. September 16, 2014 Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. https://psnet.ahrq.gov/issue/novel-approach-cardiac-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41623/psn-pdf
    April 05, 2013 - Preventing patient harms through systems of care. April 5, 2013 Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537. https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care Recent initiatives, such as the Partnership for…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37359/psn-pdf
    January 02, 2017 - Case study: preventing surgical complications at Baystate Medical Center. January 2, 2017 Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:10.1016/s1553- 7250(07)33076-6. http…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46596/psn-pdf
    November 01, 2017 - Infection prevention and control in pediatric ambulatory settings. November 1, 2017 Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857. https://psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings Patient safety in the ambulatory environme…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73480/psn-pdf
    December 17, 2024 - Improving Patient Safety with Human Factors Methods. December 17, 2024 Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025. https://psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods Human factors engineering (HFE) is a primary strategy for advancing safety in healt…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37595/psn-pdf
    March 05, 2008 - An evaluation of medication errors—the pediatric surgical service experience. March 5, 2008 Engum SA, Breckler FD. An evaluation of medication errors-the pediatric surgical service experience. J Pediatr Surg. 2008;43(2):348-52. doi:10.1016/j.jpedsurg.2007.10.042. https://psnet.ahrq.gov/issue/evaluation-medication-…
  10. 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…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73872/psn-pdf
    September 22, 2021 - Parenteral nutrition safety. September 22, 2021 Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20. https://psnet.ahrq.gov/issue/parenteral-nutrition-safety Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses …
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40403/psn-pdf
    August 25, 2011 - The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. August 25, 2011 Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/1062860611400592. https://psnet.ahrq.gov/issue/qual…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36425/psn-pdf
    December 22, 2010 - Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. December 22, 2010 Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2006;130(11):1662-1668. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45026/psn-pdf
    April 19, 2016 - Managing the risks of concurrent surgeries. April 19, 2016 Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305. https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries Scheduling overlapping surgeries may improve operating room efficie…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42358/psn-pdf
    June 12, 2013 - CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. June 12, 2013 Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5. https://psnet.ahrq.gov/issue/cdc-grand-rounds-preventi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43086/psn-pdf
    March 26, 2014 - International Comparisons: A Focus on Quality of Care. March 26, 2014 Ottawa, ON: Canadian Institute for Health Information; January 23, 2014. https://psnet.ahrq.gov/issue/international-comparisons-focus-quality-care This report compared the quality of care in Canada with 34 other countries to identify areas in whi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46408/psn-pdf
    November 29, 2017 - Eliminating vincristine administration events. November 29, 2017 Quick Safety. October 16, 2017;(37):1-3. https://psnet.ahrq.gov/issue/eliminating-vincristine-administration-events Vincristine administration errors can have serious consequences. This newsletter article outlines steps to reduce risks associated wit…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47047/psn-pdf
    June 06, 2018 - MedStar Health Institute for Quality and Safety. June 6, 2018 MedStar Health. 10980 Grantchester Way, Columbia, MD 21044. https://psnet.ahrq.gov/issue/medstar-health-institute-quality-and-safety Health care has recognized the importance of designing systems solutions that reduce risks. Established within MedStar H…

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