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  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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-…

  7. 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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50380/psn-pdf
    September 25, 2019 - Poetry and Medicine. Mistakes. September 25, 2019 Kittleson M. JAMA. 2019;322:984. https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes Medical mistakes are a source of anxiety for both patients and clinicians. This poem articulates a physician's perspective regarding the psychological impact of uncertainty a…

  9. 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-…

  10. 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…

  11. 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 …

  12. 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…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37028/psn-pdf
    April 11, 2009 - Multidisciplinary crisis simulations: the way forward for training surgical teams. April 11, 2009 Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. https://psnet.ahrq.gov/issue/multidisciplinary-crisis-simul…

  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/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…

  16. 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…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35761/psn-pdf
    February 15, 2017 - SBAR: a shared mental model for improving communication between clinicians. February 15, 2017 Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75. https://psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41442/psn-pdf
    May 30, 2012 - Radiation Therapy Safety: The Critical Role of the Radiation Therapist. May 30, 2012 Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundation; 2012. https://psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist Summarizing the rol…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37951/psn-pdf
    May 26, 2011 - The Leapfrog Group's CPOE standard and evaluation tool. May 26, 2011 Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25. https://psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool This article describes an evaluation tool designed for…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39937/psn-pdf
    December 06, 2010 - Hospital safety climate surveys: measurement issues. December 6, 2010 Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care. 2010;16(6):632-8. doi:10.1097/MCC.0b013e32833f0ee6. https://psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues This review…
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