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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36954/psn-pdf
    February 24, 2011 - Patient safety knowledge and its determinants in medical trainees. February 24, 2011 Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4. https://psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-tr…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42189/psn-pdf
    April 17, 2013 - Avoiding medical emergencies. April 17, 2013 Omar Y. Avoiding medical emergencies. Br Dent J. 2013;214(5):255-9. doi:10.1038/sj.bdj.2013.217. https://psnet.ahrq.gov/issue/avoiding-medical-emergencies This commentary details how to assess and address risks in dental care and highlights checklists as a tool to help …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41179/psn-pdf
    February 29, 2012 - High fidelity simulation as a research tool. February 29, 2012 Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001. https://psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool This review explores simulation as a met…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43360/psn-pdf
    September 29, 2017 - Antimicrobial Stewardship Toolkit. September 29, 2017 Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit Antimicrobial stewardship has been promoted as an element of patient safety. This toolkit provides resources for hos…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867770/psn-pdf
    March 01, 2022 - Toolkit for Decolonization of Non-ICU Patients with Devices. March 1, 2022 Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices. https://psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices Healthcare associated infection is a persistent contributo…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36119/psn-pdf
    January 05, 2017 - A leadership framework for culture change in health care. January 5, 2017 Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. https://psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care The authors describ…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36146/psn-pdf
    February 05, 2019 - Guidelines for Design and Construction. February 5, 2019 St Louis, Missouri; Facilities Guidelines Institute; 2018. https://psnet.ahrq.gov/issue/guidelines-design-and-construction These updated guidelines include design changes, such as the adoption of private rooms to reduce medical error, interruptions, and hosp…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41927/psn-pdf
    December 19, 2012 - Should you reveal nonharmful mistakes to patients? December 19, 2012 Yasgur BS. https://psnet.ahrq.gov/issue/should-you-reveal-nonharmful-mistakes-patients This article discusses the results of a survey to assess physicians' perceptions about acknowledging mistakes that did not harm patients. https://psnet.ahrq.g…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36765/psn-pdf
    August 10, 2011 - Factors influencing perioperative nurses' error reporting preferences. August 10, 2011 Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43. https://psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-prefer…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38897/psn-pdf
    April 21, 2011 - Quality initiatives: developing a radiology quality and safety program: a primer. April 21, 2011 Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.294095006. https://psnet.ahrq.gov/issue/quality-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42385/psn-pdf
    June 26, 2013 - Identifying and addressing preventable process errors in trauma care. June 26, 2013 Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. https://psnet.ahrq.gov/issue/identifying-and-addressing-pre…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36911/psn-pdf
    September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. September 1, 2011 Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47675/psn-pdf
    November 28, 2023 - SOPS Surveys. November 28, 2023 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/sops-surveys Surveys are established mechanisms for organizational assessment of safety culture. This collection of webinars provides an overview of the AHRQ Surveys on Patient Safety Culture™ (SOPS®) and a ran…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50900/psn-pdf
    February 12, 2020 - How to "DEAL" with disruptive physician behavior. February 12, 2020 Junga Z, Tritsch A, Singla M. How to “DEAL” With disruptive physician behavior. Gastroenterology. 2019;157(6):1469-1472. doi:10.1053/j.gastro.2019.10.021. https://psnet.ahrq.gov/issue/how-deal-disruptive-physician-behavior In this commentary, the …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41656/psn-pdf
    September 05, 2012 - ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health. September 5, 2012 Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c. https://psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73548/psn-pdf
    July 27, 2021 - Diagnostic Errors in Primary Care. July 27, 2021 Betsy Lehman Center for Patient Safety. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care Case analysis provides important opportunities to highlight factors that culminate in diagnostic error. This website supports learning generated from the Primary-Care…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36571/psn-pdf
    January 05, 2017 - The Objective Structured Clinical Examination as an educational tool in patient safety. January 5, 2017 Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. https://psnet.ahrq.gov/issue/objective-structured-clinical-…
  18. psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
    December 12, 2014 - June 22, 2022 Factors associated with missed nursing care and nurse-assessed quality
  19. psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
    June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed
  20. psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
    January 18, 2013 - January 18, 2013 The effect of hospital electronic health record adoption on nurse-assessed

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