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4681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39137/psn-pdf
      June 07, 2016 - The rise of patient safety organizations. June 7, 2016 Ivill DS, Kearbey AH. New York Law J. November 2, 2009. https://psnet.ahrq.gov/issue/rise-patient-safety-organizations This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection and evaluation, work product designa…

4682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42244/psn-pdf
      June 27, 2018 - Medical simulation: a holistic approach to highly reliable healthcare. June 27, 2018 Fanning RM. https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare This magazine article describes various ways simulation can be used to augment safety in health care, including evaluating w…

4683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37863/psn-pdf
      June 25, 2008 - The effect of nurse staffing patterns on medical errors and nurse burnout.  June 25, 2008 Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022. https://psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and…

4684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34919/psn-pdf
      February 25, 2009 - Changes in prognosis after the first postoperative complication. February 25, 2009 Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. https://psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication The aut…

4685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41883/psn-pdf
      June 10, 2018 - Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. November 15, 2012;17:1-3. https://psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital- community This article d…

4686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39383/psn-pdf
      January 23, 2012 - What doctors can learn from the factory floor. January 23, 2012 Martyn C. What doctors can learn from the factory floor. BMJ. 2010;340(mar03 3). doi:10.1136/bmj.c1217. https://psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor This essay relates what health care systems can learn from industry about making t…

4687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40421/psn-pdf
      January 01, 2020 - Safe Surgery 2020. April 27, 2011 GE Foundation. info@safesurgery2020.org. https://psnet.ahrq.gov/issue/safe-surgery-2015 This Web site provides programmatic resources building on work to implement the World Health Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…

4688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36131/psn-pdf
      September 29, 2010 - Emergent CSCW systems: the resolution and bandwidth of workplaces. September 29, 2010 Xiao Y, Seagull J. Emergent CSCW systems: the resolution and bandwidth of workplaces. Int J Med Inform. 2007;76 Suppl 1:S261-6. https://psnet.ahrq.gov/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces The authors d…

4689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36035/psn-pdf
      June 21, 2006 - Development and implementation of a pediatric patient safety program. June 21, 2006 Alton M, Frush K, Brandon D, et al. DEVELOPMENT AND IMPLEMENTATION OF A PEDIATRIC PATIENT SAFETY PROGRAM. Adv Neonatal Care. 2006;6(3):104-111. doi:10.1016/j.adnc.2006.02.003. https://psnet.ahrq.gov/issue/development-and-implementa…

4690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38134/psn-pdf
      December 30, 2008 - Developing expert medical teams: toward an evidence- based approach. December 30, 2008 Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence- based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x. https://psnet.ahrq.gov/issue/developin…

4691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35036/psn-pdf
      March 29, 2007 - Escape Fire: Designs for the Future of Health Care. March 29, 2007 Berwick DM. San Francisco, CA: John Wiley & Sons; 2004. https://psnet.ahrq.gov/issue/escape-fire-designs-future-health-care This book presents a decade's worth of keynote speeches made by the Institute for Healthcare Improvement's cofounder and pre…

4692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40997/psn-pdf
      December 14, 2011 - Psychosocial influences on safety climate: evidence from community pharmacies. December 14, 2011 Phipps D, Ashcroft DM. Psychosocial influences on safety climate: evidence from community pharmacies. BMJ Qual Saf. 2011;20(12):1062-8. doi:10.1136/bmjqs.2011.051912. https://psnet.ahrq.gov/issue/psychosocial-influence…

4693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40397/psn-pdf
      January 22, 2017 - The Safe Tables Collaborative: a statewide experience. January 22, 2017 Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193. https://psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience The authors, who won t…

4694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47614/psn-pdf
      October 19, 2020 - Patient. October 19, 2020 Canadian Patient Safety Institute; https://psnet.ahrq.gov/issue/patient Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solut…

4695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40451/psn-pdf
      May 11, 2011 - Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. May 11, 2011 Jordan S, ed. J Nurs Manag. 2011;19(3):287-417.  https://psnet.ahrq.gov/issue/adverse-events-expecting-too-much-nurses-and-too-little-nursing-research This special issue explores adverse events in nursing, including …

4696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34621/psn-pdf
      September 27, 2017 - Human Factors and Medical Devices. September 27, 2017 Center for Devices and Radiological Health, US Food and Drug Administration. https://psnet.ahrq.gov/issue/human-factors-and-medical-devices Human factors engineering (HFE) helps improve human performance and reduce the risks associated with use error. The U.S. …

4697. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34632/psn-pdf
      March 28, 2005 - Keeping Each Patient Safe. March 28, 2005 University of Pittsburgh Schools of the Health Sciences https://psnet.ahrq.gov/issue/keeping-each-patient-safe A collection of three educational modules that address key areas of concern in patient safety. These include protecting patients from hospital-acquired infection,…

4698. National Action Alliance: Webinars | PSNet
      psnet.ahrq.gov/training-catalog/national-action-alliance-webinars
      August 10, 2025 - National Action Alliance: Webinars Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Agency for Healthcare Research and Quality (AHRQ) Event Des…

4699. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50850/psn-pdf
      January 29, 2020 - Better Safer Care Victoria. January 29, 2020 Safer Care Victoria and Victorian Agency for Health Information. https://psnet.ahrq.gov/issue/better-safer-care-victoria Large scale tracking of adverse care incidents offers evidence that governments and organizations can use to target care process improvement efforts.…

4700. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72558/psn-pdf
      December 09, 2020 - Escape Room. December 9, 2020 Harrisburg, PA: Pennsylvania Safety Authority; 2020. https://psnet.ahrq.gov/issue/escape-room Time pressure can negatively impact critical thinking, information gathering, and communication abilities. This tool builds teamwork and decision-making skills by testing participants as they…