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  1. psnet.ahrq.gov/issue/final-report-ockenden-review
    January 13, 2021 - Copy Citation Save Save to your library Print Download PDF Share … The authors share overarching system improvement suggestions and high-priority recommendations to initiate … text Related news Save Save to your library Print Download PDF Share
  2. psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert
    January 01, 2021 - Copy Citation Save Save to your library Print Download PDF Share … These articles share recommendations to reduce risks associated with distinct areas of the medication … Information Save Save to your library Print Download PDF Share
  3. psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
    October 19, 2022 - Download Citation Save Save to your library Print Download PDF Share … The authors share a case study of an inadvertent drug misadministration and discuss the fiduciary duty … citation Available at Save Save to your library Print Download PDF Share
  4. psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
    October 21, 2021 - Copy Citation Save Save to your library Print Download PDF Share … vaccine errors  to highlight common risks that are likely to be present in a variety of settings and share … Information Save Save to your library Print Download PDF Share
  5. psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
    July 01, 2020 - Download Citation Save Save to your library Print Download PDF Share … The authors share the development of their curriculum, its evaluation, and also provide a tool to address … citation Free full text Save Save to your library Print Download PDF Share … March 20, 2017 When doctors share visit notes with patients: a study of patient and doctor
  6. psnet.ahrq.gov/issue/annual-speak-data-reports
    September 14, 2022 - Copy Citation Save Save to your library Print Download PDF Share … This annual report presents insights drawn from problems staff share with Freedom to Speak Up Guardians … Latest report (PDF) Save Save to your library Print Download PDF Share
  7. psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
    February 08, 2010 - Newspaper/Magazine Article Still hard to share. … Still hard to share. PSOs making progress but still face tech hurdles. … Download Citation Save Save to your library Print Download PDF Share … registration required) Save Save to your library Print Download PDF Share … Still hard to share. PSOs making progress but still face tech hurdles.
  8. psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
    March 18, 2020 - Copy Citation Save Save to your library Print Download PDF Share … In this commentary, the authors discuss the legal aspects of the incident, share reasons for the criminal … Available at Save Save to your library Print Download PDF Share
  9. psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
    September 23, 2020 - Download Citation Save Save to your library Print Download PDF Share … The authors share a case report demonstrating successful use of  rapid response teams and discuss safety … citation Available at Save Save to your library Print Download PDF Share
  10. psnet.ahrq.gov/issue/drive-deprescribe
    August 19, 2020 - Copy Citation Save Save to your library Print Download PDF Share … encourages long-term care organizations, physicians, and pharmacists to take part in a learning network to share … Available at Save Save to your library Print Download PDF Share
  11. psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
    December 13, 2023 - Download Citation Save Save to your library Print Download PDF Share … Storytelling can share knowledge and build community among physicians. … study PubMed citation Save Save to your library Print Download PDF Share
  12. psnet.ahrq.gov/issue/family-and-hospitals-journey-and-commitment-improving-diagnostic-safety
    July 06, 2022 - Download Citation Save Save to your library Print Download PDF Share … The authors share actions being taken by the hospital involved in the tragedy to partner with the family … citation Free full text Save Save to your library Print Download PDF Share
  13. psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
    November 11, 2020 - Download Citation Save Save to your library Print Download PDF Share … increase commitment to workplace and patient safety through leadership encouragement of staff to share … citation Free full text Save Save to your library Print Download PDF Share
  14. psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
    August 23, 2023 - Download Citation Save Save to your library Print Download PDF Share … Patient safety organizations (PSOs), such as Wake Up Safe , can aggregate data and share lessons … citation Available at Save Save to your library Print Download PDF Share
  15. psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice
    June 30, 2021 - Copy Citation Save Save to your library Print Download PDF Share … The authors share overarching considerations to support tool implementation including keeping efforts … Free full text Save Save to your library Print Download PDF Share
  16. psnet.ahrq.gov/issue/using-clinical-simulation-teach-patient-safety-acutecritical-care-nursing-course
    July 13, 2022 - Download Citation Save Save to your library Print Download PDF Share … The authors share their experience in developing, implementing, and evaluating a simulation program used … citation Available at Save Save to your library Print Download PDF Share
  17. psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
    December 16, 2020 - Download Citation Save Save to your library Print Download PDF Share … changes in the process to reduce the fear of reporting, a shorter reporting form, and newsletters to share … at Free full text Save Save to your library Print Download PDF Share
  18. psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
    November 11, 2020 - Download Citation Save Save to your library Print Download PDF Share … The authors share their experience in implementing and sustaining organizational change in a primary … at PubMed citation Save Save to your library Print Download PDF Share
  19. psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
    October 19, 2022 - Download Citation Save Save to your library Print Download PDF Share … Using lessons learned from a pilot project, the authors share strategies for addressing barriers to clinical … at PubMed citation Save Save to your library Print Download PDF Share
  20. psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations
    December 09, 2020 - Download Citation Save Save to your library Print Download PDF Share … The tiered huddle structure uses six tiers to share information and address problems at all levels of … citation Available at Save Save to your library Print Download PDF Share

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