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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851461/psn-pdf
    July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating them. July 19, 2023 Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42468/psn-pdf
    August 07, 2013 - A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. August 7, 2013 Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of volunt…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38945/psn-pdf
    November 25, 2009 - The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. November 25, 2009 Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5(3):180-183. doi:10.1097/pts.0b013…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839327/psn-pdf
    December 05, 2024 - The National Healthcare System Action Alliance for Patient and Workforce Safety. December 5, 2024 US Department of Health and Human Services. https://psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety The large system change required to reduce patient harm requires multi-stakeho…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836761/psn-pdf
    March 16, 2022 - Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. March 16, 2022 Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2):221-224. doi:10.1016/j.mayocp.2021.1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47851/psn-pdf
    May 22, 2019 - Communication and Resolution After an Adverse Health Care Incident. May 22, 2019 Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201. https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident Communication-and-resolution mechanisms are seen as important approache…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855107/psn-pdf
    January 01, 2019 - Foundations of Safety Science: a century of understanding accidents and disasters. January 1, 2019 Dekker S. Taylor & Francis Group, Boca Raton, FL: CRC Press; 2019. ISBN:  9781138481787. https://psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters Safety science p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46483/psn-pdf
    October 04, 2017 - Fall Prevention in Hospitals Training Program. October 4, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training program pro…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45273/psn-pdf
    October 13, 2018 - Using an inpatient portal to engage families in pediatric hospital care. October 13, 2018 Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070. https://psnet.ahrq.gov/issue/using-inpatient-portal…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862151/psn-pdf
    February 07, 2024 - Taking up the challenge to improve name and role recognition in the operating room. February 7, 2024 Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.0000000000001177. https://psnet.ahrq.gov/issue…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74848/psn-pdf
    February 16, 2022 - Patients for Patient Safety US. February 16, 2022 404.510.8787; info@pfps.us https://psnet.ahrq.gov/issue/patients-patient-safety-us Patient safety improvement has made progress but more can be done. This organization supports community efforts in the United States to engage policymakers in work toward aligning ef…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841492/psn-pdf
    December 14, 2022 - Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. December 14, 2022 Washington DC; Office of Senator Mark Warner: November 25, 2022. https://psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector There is lack of consensus concerning the need for increased syst…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34981/psn-pdf
    July 14, 2010 - Child-specific risk factors and patient safety. July 14, 2010 Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41285/psn-pdf
    June 01, 2012 - Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. June 1, 2012 Cornu P, Steurbaut S, Leysen T, et al. Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838196/psn-pdf
    July 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46524/psn-pdf
    October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41536/psn-pdf
    December 31, 2014 - Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. December 31, 2014 Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136/amiajnl-2011-000779. https://…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39789/psn-pdf
    August 25, 2010 - Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. August 25, 2010 Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Crit Care Med. 201…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73415/psn-pdf
    June 23, 2021 - Patient safety in dermatology: a ten-year update. June 23, 2021 Patel J, Otto E, Taylor JS, et al. Dermatol Online J. 2021;27(3). https://psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update In an update to their 2010 article, this review’s authors summarized the patient safety literature in dermatology…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46742/psn-pdf
    March 14, 2018 - Evidence-based guidelines for fatigue risk management in emergency medical services. March 14, 2018 Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101. doi:10.1080/10903127.2017.1376137. https…

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