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  1. 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…
  2. 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…
  3. 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…
  4. 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-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34885/psn-pdf
    February 07, 2019 - Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. February 7, 2019 Knox RA. Boston Globe. March 23, 1995; metro/region:1. https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose- caused-death-…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863209/psn-pdf
    February 28, 2024 - Emergency department volume and delayed diagnosis of serious pediatric conditions. February 28, 2024 Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatrics.2023.6672. https://psnet.ahr…
  8. 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…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74017/psn-pdf
    October 27, 2021 - Ensuring primary care diagnostic quality in the era of telemedicine. October 27, 2021 Willis JS, Tyler C, Schiff GD, et al. Ensuring primary care diagnostic quality in the era of telemedicine. Am J Med. 2021;134(9):1101-1103. doi:10.1016/j.amjmed.2021.04.027. https://psnet.ahrq.gov/issue/ensuring-primary-care-diag…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73113/psn-pdf
    April 07, 2021 - Analysis of results from event investigations in industrial and patient safety contexts. April 7, 2021 Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. https://psnet.ahrq.gov/issue/analysis-results-event-inve…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841155/psn-pdf
    February 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems…
  13. 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. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44155/psn-pdf
    June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37253/psn-pdf
    January 10, 2017 - American Hospital Association-McKesson Quest for Quality Prize. January 10, 2017 Jt Comm J Qual Patient Saf. 2007;33(10):592-604. https://psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0 This issue includes articles highlighting the achievements of the 2007 AHA McKesson Quest …
  16. psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
    December 01, 2014 - In Conversation With… Edward Kelley, PhD December 1, 2014  Also Read an Essay Citation Text: In Conversation With… Edward Kelley, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49471/psn-pdf
    December 01, 2004 - However, in many suburban, rural, or remote regions of the United States and other countries, inability
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838316/psn-pdf
    October 12, 2022 - The Lancet Commission on lessons for the future from the COVID-19 pandemic. October 12, 2022 Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. https://psnet.ahrq.gov/issue/lancet-com…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50887/psn-pdf
    February 12, 2020 - Lessons learned from a systems approach to engaging patients and families in patient safety transformation. February 12, 2020 Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qual Patient Saf. 2020;46(3):158-1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837338/psn-pdf
    June 08, 2022 - Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach. June 8, 2022 Lefosse G, Rasero L, Bellandi T, et al. Healthcare-related infections within nursing homes (NHS): A qualitative study of care practices based on a systemic approach. J Patient …

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