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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34997/psn-pdf
    June 22, 2009 - Evaluating the effectiveness of health care teams. June 22, 2009 Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7. https://psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams In this review, the author summarizes the benefits of effective teamwork in health…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35406/psn-pdf
    September 10, 2009 - Maintain accountability in patient safety efforts. September 10, 2009 Spath P. Maintain accountability in patient safety efforts. Hospital peer review. 2005;30(9):129-32. https://psnet.ahrq.gov/issue/maintain-accountability-patient-safety-efforts To develop an accountability initiative, the author recommends settin…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40481/psn-pdf
    June 20, 2011 - Medication errors—new approaches to prevention. June 20, 2011 Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. https://psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention This review discusses evidence-bas…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41108/psn-pdf
    August 02, 2012 - Effective discharge communication in the emergency department. August 2, 2012 Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023. https://psnet.ahrq.gov/issue/effective-discharge-communication-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39704/psn-pdf
    July 21, 2010 - Identifying medication errors in surgical prescription charts. July 21, 2010 Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. https://psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts This study used manual chart review to estima…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38018/psn-pdf
    August 27, 2008 - Teamwork during resuscitation. August 27, 2008 Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am. 2008;55(4):1011-24, xi- xii. doi:10.1016/j.pcl.2008.04.001. https://psnet.ahrq.gov/issue/teamwork-during-resuscitation Beginning with two brief case histories, this review describes how to …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36395/psn-pdf
    May 04, 2015 - An Introduction to the Improved FDA Prescription Drug Labeling. May 4, 2015 Silver Spring MD; US Food and Drug Administration: 2006. https://psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling This teleconference discussed the 2006 FDA medication package insert design program and reviewed pr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40340/psn-pdf
    September 01, 2011 - Physician accused of reusing devices has license suspended. September 1, 2011 Harasim P. Las Vegas Review-Journal. March 15, 2011:1A. https://psnet.ahrq.gov/issue/physician-accused-reusing-devices-has-license-suspended This newspaper article reports how a physician reused single-use equipment and put patients at r…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41473/psn-pdf
    June 20, 2012 - Current assessment of patient safety education. June 20, 2012 Mansour M. Current assessment of patient safety education. Br J Nurs. 2012;21(9):536-43. https://psnet.ahrq.gov/issue/current-assessment-patient-safety-education This review discusses the evidence for integrating patient safety concepts into undergraduat…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38438/psn-pdf
    February 25, 2009 - Minimising medication errors in children. February 25, 2009 Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child. 2009;94(2):161-4. doi:10.1136/adc.2007.116442. https://psnet.ahrq.gov/issue/minimising-medication-errors-children This review identifies factors that contribute to…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42809/psn-pdf
    January 01, 2015 - Patient Safety Measures. December 11, 2013 Washington, DC: National Quality Forum.  https://psnet.ahrq.gov/issue/patient-safety-measures This Web site tracks the progress of the development and review of measures to enhance reporting and accountability of health care organizations in addressing risks to patient sa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35820/psn-pdf
    December 31, 2018 - Simulation in Healthcare. December 31, 2018 Scerbo M, ed. Washington DC; Society for Simulation in Healthcare, Lippincott, Williams and Wilkins. ISSN: 1559-2332 https://psnet.ahrq.gov/issue/simulation-healthcare This bi-monthly peer-reviewed journal presents multidisciplinary content on how simulation is being use…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36899/psn-pdf
    April 12, 2011 - The role of communication in paediatric drug safety. April 12, 2011 Stebbing C, Wong ICK, Kaushal R, et al. The role of communication in paediatric drug safety. Arch Dis Child. 2007;92(5):440-5. https://psnet.ahrq.gov/issue/role-communication-paediatric-drug-safety The authors review the literature on how communic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37235/psn-pdf
    March 04, 2015 - Radiologic errors and malpractice: a blurry distinction. March 4, 2015 Berlin L. Radiologic errors and malpractice: a blurry distinction. AJR Am J Roentgenol. 2007;189(3):517-22. https://psnet.ahrq.gov/issue/radiologic-errors-and-malpractice-blurry-distinction Reviewing legal and clinical literature, the author dis…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74275/psn-pdf
    December 06, 2023 - Spotlight Series December 6, 2023 Healthcare Excellence Canada. 2020-2024. https://psnet.ahrq.gov/issue/all-one-and-one-all-how-patient-safety-starts-healthcare-workers This quarterly webinar series focuses on a variety of topics that support patient safety and quality improvement such as learning from event revie…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40190/psn-pdf
    May 21, 2011 - Perinatal high reliability. May 21, 2011 Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377. doi:10.1016/j.ajog.2010.10.900. https://psnet.ahrq.gov/issue/perinatal-high-reliability This review provides background on high-reliability organizations and discusses how these concep…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37371/psn-pdf
    March 28, 2012 - The architecture of safety: hospital design. March 28, 2012 Joseph A, Rashid M. The architecture of safety: hospital design. Curr Opin Crit Care. 2007;13(6):714-9. https://psnet.ahrq.gov/issue/architecture-safety-hospital-design This review analyzes the literature linking patient safety to hospital design elements,…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36353/psn-pdf
    October 27, 2010 - Ways to avert potential patient care disasters. October 27, 2010 Spath P. Ways to avert potential patient care disasters. Hospital peer review. 2006;31(9):128-30. https://psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters This article discusses clinician failure to recognize patient deterioration and …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35035/psn-pdf
    March 17, 2011 - Scottish Audit of Surgical Mortality. March 17, 2011 Scottish Audit of Surgical Mortality and Royal College of Physicians and Surgeons of Glasgow. https://psnet.ahrq.gov/issue/scottish-audit-surgical-mortality The Scottish Audit of Surgical Mortality (SASM) facilitates the peer review of all surgical deaths in Scot…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34631/psn-pdf
    December 23, 2016 - Sentinel Event Alert. December 23, 2016 Oakbrook Terrace, IL: The Joint Commission. https://psnet.ahrq.gov/issue/sentinel-event-alert This newsletter provides guidance to health care organizations for responding to commonly reported incidents. The Joint Commission issues these sentinel event alerts to review selec…

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