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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856640/psn-pdf
    November 29, 2023 - Research from webAIRS incident reporting system. November 29, 2023 Anaesth Intensive Care. 2023;51(6):372-421. https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system Centralized de-identified reports of patient safety events serve a core purpose for learning and improvement. This article collectio…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866072/psn-pdf
    June 05, 2024 - WHO Global Report on Patient Safety. June 5, 2024 Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. https://psnet.ahrq.gov/issue/who-global-report-patient-safety Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the seven objectives of the…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37419/psn-pdf
    December 19, 2007 - Ensuring medication reconciliation. December 19, 2007 Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007. https://psnet.ahrq.gov/issue/ensuring-medication-reconciliation The authors describe the team-based process they used to improve medication management at the admission, t…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850343/psn-pdf
    December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools. December 12, 2023 Rockville, MD: Agency for Healthcare Research and Quality; 2023. https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35823/psn-pdf
    July 20, 2010 - Renewal of surgical quality and safety initiatives: a multispecialty challenge. July 20, 2010 Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52. https://psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-chall…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49403/psn-pdf
    June 01, 2003 - https://psnet.ahrq.gov//#references discomfort migrating from the epigastrium to the periumbilical region … pain in the right lower quadrant, abdominal rigidity, and migration of pain from the periumbilical region
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35001/psn-pdf
    May 22, 2009 - 21st Century Health Information Act of 2005. May 22, 2009 Murphy T; Kennedy P. https://psnet.ahrq.gov/issue/21st-century-health-information-act-2005 This bill, which garnered bipartisan support, proposes developing health information technology networks (known as "Regional Health Information Organizations," or RHI…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40572/psn-pdf
    June 27, 2018 - Understanding care transitions as a patient safety issue. June 27, 2018 Butterfield S; Stegel C; Glock S; Tartaglia D. https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by improving …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42576/psn-pdf
    September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care- Related Safety Risks. September 4, 2013 Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN: 9789289002943.  https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks Exploring th…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73973/psn-pdf
    October 13, 2021 - Agency information collection activities: National Healthcare Safety Network (NHSN); comment request. October 13, 2021 Zirger JM, Centers for Disease Control and Prevention. Fed Register. September 27, 2021;86:53309-53312. https://psnet.ahrq.gov/issue/agency-information-collection-activities-national-healthca…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37602/psn-pdf
    July 03, 2013 - The vanishing nonforensic autopsy. July 3, 2013 Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. https://psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy Autopsies are rarely performed, despite a wealth of literature demonstrating that diagnost…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35545/psn-pdf
    August 11, 2010 - Bullying of junior doctors prevails in Irish health system: a bitter reality.   August 11, 2010 Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275. https://psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50610/psn-pdf
    October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit October 30, 2019 Profit J, Scheid A, Ridout E. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864847/psn-pdf
    March 20, 2024 - Inter-hospital transfer is an independent risk factor for hospital-associated infection. March 20, 2024 Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital- associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:10.1089/sur.2023.077. https://ps…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867015/psn-pdf
    October 23, 2024 - Supporting perioperative safety during a disaster through clinical crisis education. October 23, 2024 Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. https://psnet.ahrq.gov/issue/supporting-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37713/psn-pdf
    June 07, 2008 - Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. June 7, 2008 Pelletier E, Robson. Healthc Q. 2008;11(3 Spec No):85-90. https://psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after- harm-healthcare This c…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
    December 01, 2013 - PowerPoint Presentation Spotlight Case New Oral Anticoagulants 1 This presentation is based on the December 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Margaret C. Fang, MD, MPH, University of California, San Francisco Editor, AHRQ WebM&M…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41161/psn-pdf
    February 22, 2012 - An education-service partnership to achieve safety and quality improvement competencies in nursing. February 22, 2012 Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916- 02. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841479/psn-pdf
    December 14, 2022 - Fast does not imply flawed: analyzing emergency physician productivity and medical errors. December 14, 2022 Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849. doi:10.1002/emp2.12849. ht…

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