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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72665/psn-pdf
    January 20, 2021 - The hard talk: dealing with the disruptive physician. January 20, 2021 Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. https://psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician Disruptive behav…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42869/psn-pdf
    January 28, 2017 - Exploring Alternatives To Malpractice Litigation. January 28, 2017 Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66. https://psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation Articles in this special issue cover findings from a federally-funded initiativ…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44288/psn-pdf
    March 21, 2024 - Prevention of adverse drug events in hospitals. March 21, 2024 Zhu J, Weingart SN. UpToDate. February 29, 2024. https://psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals Unsafe medication systems in hospitals can lead to adverse drug events (ADEs). This review discusses patient care and organizational …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39742/psn-pdf
    August 09, 2013 - Patient Safety, 2nd edition. August 9, 2013 doi:10.1002/9781444323856. https://psnet.ahrq.gov/issue/patient-safety-2nd-edition Dr. Charles Vincent, a psychologist by training, is unquestionably one of the founders of the modern patient safety movement and continues to publish groundbreaking research in the field. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48026/psn-pdf
    July 10, 2019 - Network of Patient Safety Databases. July 10, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/network-patient-safety-databases The Patient Safety Organization (PSO) program seeks to gather and analyze nonidentifiable patient safety incident data to track concerns and reduce risks. Thi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837813/psn-pdf
    January 21, 2021 - Recognizing Excellence in Diagnosis. January 21, 2021 The Leapfrog Group. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise to be successful. This collaborative initiative will initially dev…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45721/psn-pdf
    June 28, 2017 - Rude providers jeopardize patient safety. So stop it. June 28, 2017 Thew J. HealthLeaders Media. June 14, 2017. https://psnet.ahrq.gov/issue/rude-providers-jeopardize-patient-safety-so-stop-it Rudeness can affect teamwork and hinder safe, transparent care. This news article reports on one hospital's approach to ma…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37268/psn-pdf
    December 16, 2011 - Prevention of wrong-site tooth extraction: clinical guidelines. December 16, 2011 Lee JS, Curley AW, Smith RA, et al. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral Maxillofac Surg. 2007;65(9):1793-9. https://psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines T…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73520/psn-pdf
    July 21, 2021 - Geriatric medication reconciliation in the home setting. July 21, 2021 Taylor K. American Nurse J. 2021;16(7):14-17. https://psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting Medication reconciliation reduces the potential for problems in complicated medication regimens. This article share…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42521/psn-pdf
    August 21, 2013 - Why your TeamSTEPPS program may not be working. August 21, 2013 Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007. https://psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working This commentary explores barriers to implementi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45649/psn-pdf
    November 30, 2016 - Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy … Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - disclosure of medical errors has been described as both a great idea and an impractical risk management strategy … full-disclosure-and-apology-idea-whose-time-has-come https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - economic-evaluation-pharmacist-led-medication-reviews-residential-aged- care-facilities Pharmacist oversight of medication prescribing is an established safety strategy … inappropriate polypharmacy in aged care facilities and the cost- effectiveness of this risk management strategy

  14. Assessing and monitoring override medications in automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - May 6, 2009 Designing a strategy to promote safe, innovative off-label use of medications … September 29, 2010 Developing a medication patient safety program — infrastructure and strategy … December 30, 2014 A randomized trial of a multifactorial strategy to prevent serious

  15. Team-training in healthcare: a narrative synthesis of the literature. | PSNet

    psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
    July 02, 2014 - Related Resources From the Same Author(s) Promoting a culture of safety as a patient safety strategy … July 2, 2014 Rapid response systems as a patient safety strategy: a systematic review … October 10, 2017 Towards high-reliability organising in healthcare: a strategy for building

  16. Health IT Patient Safety Action and Surveillance Plan. | PSNet

    psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - May 13, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019 FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016 View More Related Resources Strategy on Reducing Regulatory

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - exploring how sleep deprivation affects clinician performance and the impact of work hour limits as a strategy … common-program-requirements-learning-and-working-environment-duty-hours https://psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47582/psn-pdf
    December 12, 2018 - data from chart review and taking ulcer severity into account may yield a more meaningful measurement strategy … success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36814/psn-pdf
    March 28, 2011 - paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy … paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45277/psn-pdf
    July 01, 2017 - really-possible Crew resource management (CRM), a type of team training, is a prime example of an aviation strategy … They propose more widespread implementation of CRM as a strategy to enhance safety culture.
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