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3481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34926/psn-pdf
      February 03, 2010 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls. February 3, 2010 Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36. https://psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome…

3482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37339/psn-pdf
      January 02, 2017 - A check-up for safety culture in "my patient care area." January 2, 2017 Sexton JB, Paine LA, Manfuso J, et al. A Check-up for Safety Culture in “My Patient Care Area”. doi:10.1016/s1553-7250(07)33081-x. https://psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area This tool is designed to allow frontline…

3483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60332/psn-pdf
      May 13, 2020 - Circle Up Training. May 13, 2020 Center for Medical Simulation. https://psnet.ahrq.gov/issue/circle-training Communication strategies are important for engaging staff in behaviors that support effective teamwork. This website highlights a process that involves briefings, supportive conversations, and debriefings a…

3484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844798/psn-pdf
      September 25, 2019 - Poetry and Medicine. Mistakes. September 25, 2019 Kittleson M. JAMA. 2019;322(10):984. https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes-0 Medical mistakes are a source of anxiety for both patients and clinicians. This poem articulates a physician's perspective regarding the psychological impact of uncerta…

3485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47556/psn-pdf
      November 28, 2018 - Improving Diagnosis. November 28, 2018 Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70. https://psnet.ahrq.gov/issue/improving-diagnosis This special issue raises awareness of challenges to reducing diagnostic error. Articles discuss insights from experts about how to improve diagnosis, t…

3486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41711/psn-pdf
      September 26, 2012 - Beyond FMEA: the structured what-if technique (SWIFT). September 26, 2012 Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. https://psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards This commentary…

3487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50633/psn-pdf
      November 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in assessment to ensure their safety. This re…

3488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43800/psn-pdf
      August 02, 2016 - Patient Safety Culture: Theory, Methods and Application. August 2, 2016 Waterson P, ed. London, UK: Ashgate; 2014. ISBN: 9781409448143. https://psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application This publication covers patient safety culture including its background in high-risk industries, …

3489. Patient Safety in the United Kingdom: Evolution and Progress | PSNet
      psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
      May 01, 2007 - Most doctors, at least in my country, are not assessed once they've gone into autonomous practice—for

3490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50665/psn-pdf
      November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…

3491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45741/psn-pdf
      November 16, 2018 - Monitoring the diagnostic process on an inpatient neurology service. November 16, 2018 Dhand A, Bucelli R, Varadhachary A, et al. Monitoring the Diagnostic Process on an Inpatient Neurology Service. Neurohospitalist. 2017;7(3):132-136. doi:10.1177/1941874416677681. https://psnet.ahrq.gov/issue/monitoring-diagnosti…

3492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40812/psn-pdf
      November 16, 2011 - Introducing the patient safety professional: why, what, who, how, and where? November 16, 2011 Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e585. https://psnet.ahrq.gov/issue/introd…

3493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35034/psn-pdf
      November 05, 2015 - Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. November 5, 2015 Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute for Healthcare Improvement; 2008. https://psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-car…

3494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/856639/psn-pdf
      November 29, 2023 - Impact Wellbeing. November 29, 2023 National Institute for Occupational Safety and Health. Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/impact-wellbeing Clinician burnout has become a major concern for both healthcare workforce and patient safety. This portal provides access to too…

3495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36816/psn-pdf
      August 26, 2011 - Embedding quality improvement and patient safety - the UCLA value analysis experience. August 26, 2011 Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. https://psnet.ahrq.gov/issue/embedding-quality-…

3496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43089/psn-pdf
      April 02, 2014 - Save a brain, make a checklist. April 2, 2014 Hamblin J. The Atlantic. March 17, 2014. https://psnet.ahrq.gov/issue/save-brain-make-checklist Reporting on the use of checklists, this magazine article describes studies that identified benefits, such as reduced complication rates, along with research that questioned…

3497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44693/psn-pdf
      June 15, 2016 - Safety. June 15, 2016 Center for Health Design. https://psnet.ahrq.gov/issue/safety-0 Elements of the health care work environment can affect the care delivery. This website highlights design considerations for health care facilities that can help reduce noise, falls, and hospital-acquired infections. The collect…

3498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43675/psn-pdf
      April 18, 2016 - Patient Safety 2015: Final Technical Report. April 18, 2016 Washington, DC: National Quality Forum; 2016. https://psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report The value of current measures to track patient safety has been called into question. This technical report provides information about a c…

3499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43964/psn-pdf
      November 25, 2015 - Simulation-based Surgical Education. November 25, 2015 Surgery. 2015;158:1395-1440. https://psnet.ahrq.gov/issue/simulation-based-surgical-education Simulation training is widely accepted as a method to enhance operative techniques and nontechnical behaviors. Articles in this special issue cover topics in surgical…

3500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865934/psn-pdf
      May 01, 2023 - MHA Person- and Family-Centered Care. May 1, 2023 MHA Keystone Center. Michigan Health and Hospital Association. https://psnet.ahrq.gov/issue/mha-person-and-family-centered-care Person- and family-centered (PFC) care puts the patient and their family at the center of decision making and planning for their health a…