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4881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855439/psn-pdf
      December 07, 2023 - Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. November 15, 2023 American Hospital Association. December 7, 2023. https://psnet.ahrq.gov/issue/bringing-systemness-focus-quality-safety-and-patient-experience Health care organizations require a systems approach to address patient safety ch…

4882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36968/psn-pdf
      February 15, 2011 - The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  February 15, 2011 Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. https://psnet.ahrq.gov/issue/hospital-discharge-review…

4883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46855/psn-pdf
      February 21, 2018 - Leadership and vision for a culture of safety. February 21, 2018 Gandhi TK. NEJM Catalyst. February 8, 2018. https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety Leadership has an important role in establishing a culture of safety in health care organizations. This commentary describes key skills requ…

4884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38708/psn-pdf
      April 30, 2014 - Frequency and clinical importance of pages sent to the wrong physician. April 30, 2014 Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117. https://psnet.ahrq.gov/issue/frequency-and-clini…

4885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60264/psn-pdf
      January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert! January 14, 2021 March 2020--January 2021. https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert Medication safety is improved through the sharing of frontline improvement experiences and concerns. These articles share recommendations to…

4886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45093/psn-pdf
      September 04, 2016 - Radically redesigning patient safety. September 4, 2016 Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…

4887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853075/psn-pdf
      August 30, 2023 - Striving for diagnostic excellence. August 30, 2023 Centor RM, Dhaliwal G. Annals On Call. July 2023. https://psnet.ahrq.gov/issue/striving-diagnostic-excellence Diagnostic accuracy requires both cognitive and team-focused skill development. This podcast interview shares problem-solving tactics that support diagno…

4888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43306/psn-pdf
      February 17, 2017 - Addressing patient safety in rapid response activations for nonhospitalized persons. February 17, 2017 Lakshminarayana PH, Darby JM, Simmons RL. Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. J Patient Saf. 2017;13(1):14-19. doi:10.1097/PTS.0000000000000098. https://psnet.ahrq…

4889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35811/psn-pdf
      March 29, 2006 - Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. March 29, 2006 Angus DC; Shorr AF; White A; Dremsizov TT; Schmitz RJ; Kelley MA;Committee on Manpower for Pulmonary and Critical Care Societies; COMPACCS. https://psnet.ahrq.gov/issue/critical-care-…

4890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73124/psn-pdf
      April 07, 2021 - Safety and Quality in Perioperative Anesthesia Care. April 7, 2021 Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154. https://psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care The field of anesthesiology has realized impressive improvements in safety, yet challenges still ex…

4891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40516/psn-pdf
      July 15, 2013 - Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. July 15, 2013 Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nurs Educ. 2011;50(8):437-46. doi:10.3928/…

4892. Computerized Provider Order Entry (CPOE) Questionnaire for Nurses | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/computerized-provider-order-entry-cpoe
      January 01, 2023 - Computerized Provider Order Entry (CPOE) Questionnaire for Nurses This is a questionnaire designed to be completed by nurses in a across the health care system setting. The tool includes questions to assess perception of computerized provider order entry. Survey Link Computerized Provider Order Entr…

4893. Four Moments Poster (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
      November 01, 2019 - Four Moments Poster AHRQ Pub. No. 17(20)-0028-EF November 2019 Moment 1 occurs at the time initiation of antibiotic therapy is considered: Ask, “Does my patient have an infection that requires antibiotics?” occurs when the dec…

4894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40474/psn-pdf
      July 02, 2011 - A survey of the use of time-out protocols in emergency medicine. July 2, 2011 Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288. https://psnet.ahrq.gov/issue/survey-use-time-out-protocols-emergency-medicine This su…

4895. Access Telecare Patient Safety Institute, LLC | PSO
      pso.ahrq.gov/pso/access-telecare-patient-safety-institute-llc
      November 02, 2021 - SHARE: More topics in this section Return to Search Access Telecare Patient Safety Institute, LLC PSO Number: P0233 Components of Parent Org(s): Access Telecare, LLC Eff…

4896. APMD Quality and Patient Safety Organization, LLC | PSO
      pso.ahrq.gov/pso/apmd-quality-and-patient-safety-organization-llc
      May 07, 2020 - SHARE: More topics in this section Return to Search APMD Quality and Patient Safety Organization, LLC PSO Number: P0222 Components of Parent Org(s): ApolloMD Business Services, LL…

4897. Baptist Health Patient Safety Partnership | PSO
      pso.ahrq.gov/pso/baptist-health-patient-safety-partnership
      January 13, 2010 - SHARE: More topics in this section Return to Search Baptist Health Patient Safety Partnership PSO Number: P0083 Components of Parent Org(s): Baptist Health South Florida, Inc. …

4898. BradenHealth, Patient Safety Organization | PSO
      pso.ahrq.gov/pso/bradenhealth-patient-safety-organization
      April 28, 2020 - SHARE: More topics in this section Return to Search BradenHealth, Patient Safety Organization PSO Number: P0221 Components of Parent Org(s): Braden Health, LLC Effective…

4899. Care Standards Organization, LLC | PSO
      pso.ahrq.gov/pso/care-standards-organization-llc
      September 12, 2019 - SHARE: More topics in this section Return to Search Care Standards Organization, LLC PSO Number: P0209 Components of Parent Org(s): Sunrise Senior Living Management, Inc. …

4900. Caring Communities Patient Safety Organization, LLC | PSO
      pso.ahrq.gov/pso/caring-communities-patient-safety-organization-llc
      August 07, 2024 - SHARE: More topics in this section Return to Search Caring Communities Patient Safety Organization, LLC PSO Number: P0265 Components of Parent Org(s): Caring Communities Shared Se…