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  1. psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
    February 18, 2009 - Study Paramedic intubation errors: isolated events or symptoms of larger problems? Citation Text: Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
    May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…
  3. psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
    February 01, 2023 - Study The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, Citation Text: Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…
  4. 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…
  5. psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
    March 08, 2017 - Commentary Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative. Citation Text: Mallett P, Thompson A, Bourke T, et al. Ssssh for Handover: protected medical handover; optimising quality and prioritising safety-a regional initia…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37407/psn-pdf
    September 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. September 2, 2014 Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832. https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada This report describes a new metric used to an…
  8. 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…
  9. 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…
  10. 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…
  11. psnet.ahrq.gov/training-catalog/northwest-patient-safety-conference
    Northwest Patient Safety Conference Save Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Washington Patient Safety Coalition (WPSC) Event Description: This y…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40848/psn-pdf
    October 12, 2011 - IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. October 12, 2011 Geneva, Switzerland: World Health Organization; 2011.   https://psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care This publication reports on the findings of…
  13. 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 …
  14. 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…
  15. psnet.ahrq.gov/Topics
    February 26, 2021 - Topics Featured topics Ordering/Prescribing Errors Mental Health Care (Psychiatry & Clinical Psychology) Health Literacy Improvement Structured Hand-offs Popular topics …
  16. psnet.ahrq.gov/topics
    March 17, 2021 - Topics Featured topics Ordering/Prescribing Errors Mental Health Care (Psychiatry & Clinical Psychology) Health Literacy Improvement Structured Hand-offs Popular topics …
  17. 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…
  18. psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical
    September 11, 2019 - Study Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. Citation Text: Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ…
  19. 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…
  20. 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…

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