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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36095/psn-pdf
    September 28, 2010 - The safety culture in a children's hospital. September 28, 2010 Grant MJC, Donaldson AE, Larsen G. The safety culture in a children's hospital. J Nurs Care Qual. 2006;21(3):223-229. https://psnet.ahrq.gov/issue/safety-culture-childrens-hospital The investigators used the Safety Attitudes Questionnaire to assess st…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36861/psn-pdf
    November 23, 2016 - Patients as Partners: How to Involve Patients and Families in Their Own Care. November 23, 2016 McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964. https://psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care This book illustrates how health c…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38844/psn-pdf
    June 30, 2011 - What's the difference between a hospital and a bottling factory? June 30, 2011 Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. https://psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory This commentary a…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36760/psn-pdf
    August 23, 2011 - A plan for achieving significant improvement in patient safety. August 23, 2011 Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual. 2007;22(2):164-71. https://psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety The authors describe the u…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41214/psn-pdf
    August 02, 2016 - Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. August 2, 2016 Patankar MS, Brown JP, Sabin EJ, Bigda-Peyton TG. Burlington, VT: Ashgate; 2012. ISBN: 9780754672371. https://psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare Thi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36643/psn-pdf
    January 14, 2011 - Addressing the nursing work environment to promote patient safety. January 14, 2011 Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nurs Forum. 2007;42(1):20-30. https://psnet.ahrq.gov/issue/addressing-nursing-work-environment-promote-patient-safety The authors assess factors i…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36019/psn-pdf
    September 22, 2010 - Errors and adverse events in otolaryngology. September 22, 2010 Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9. https://psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology The authors assessed the literature specific to …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37370/psn-pdf
    March 28, 2012 - Communication skills and error in the intensive care unit. March 28, 2012 Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-6. https://psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit This article examines how ef…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38185/psn-pdf
    October 29, 2008 - Implementation of the SBAR communication technique in a tertiary center. October 29, 2008 Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR Communication Technique in a Tertiary Center. J Emerg Nurs. 2008;34(4):314-317. doi:10.1016/j.jen.2007.07.007. https://psnet.ahrq.gov/issue/implementation-sba…

  10. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Spotlight Case July 2008 Spotlight Case The Safety and Quality of Long Term Care * * Source and Credits This presentation is based on the September 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49603/psn-pdf
    June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in…

  12. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
    May 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case May 2005 Diagnosing Diagnostic Mistakes Source and Credits This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Robert McNutt, MD; Richard A…

  13. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
    October 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case October 2003 Hemivulvectomy: Wrong Side Removed Source and Credits This presentation is based on the Oct. 2003 AHRQ WebM&M Spotlight Case in OB/GYN See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Charles Vin…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35922/psn-pdf
    July 26, 2010 - Nursing 2006 Patient-safety survey report. July 26, 2010 Manno M, Hogan P, Heberlein V, et al. Nursing 2006. Patient-safety survey report. Nursing (Brux). 2006;36(5):54-64. https://psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report The investigators analyzed the results of a 2005 survey of approximatel…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40366/psn-pdf
    April 13, 2011 - Health Literacy Interventions and Outcomes: An Updated Systematic Review. April 13, 2011 Berkman ND, Sheridan SL, Donahue KE, et al. Evidence Report/Technology Assessment: Number 199. Rockville, MD: Agency for Healthcare Research and Quality; March 2011. AHRQ Publication No. 11-E006. https://psnet.ahrq.gov/issue/h…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39219/psn-pdf
    January 13, 2010 - No simple fix for fixation errors: cognitive processes and their clinical applications. January 13, 2010 Fioratou E, Flin R, Glavin R. No simple fix for fixation errors: cognitive processes and their clinical applications. Anaesthesia. 2009;65(1). doi:10.1111/j.1365-2044.2009.05994.x. https://psnet.ahrq.gov/issue/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46852/psn-pdf
    March 07, 2018 - NHS Resolution. March 7, 2018 NHS Resolution. https://psnet.ahrq.gov/issue/nhs-resolution The National Health Service (NHS) is a global leader in patient safety improvement. This website coalesces information and activities generated by three NHS improvement efforts: patient compensation, performance assessment, …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40039/psn-pdf
    December 01, 2010 - How to use an article about quality improvement. December 1, 2010 Fan E, Laupacis A, Pronovost P, et al. How to use an article about quality improvement. JAMA. 2010;304(20):2279-87. doi:10.1001/jama.2010.1692. https://psnet.ahrq.gov/issue/how-use-article-about-quality-improvement Part of the Users' Guides to the M…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39114/psn-pdf
    November 18, 2009 - How long does it take to train a surgeon? November 18, 2009 Jackson GP, Tarpley JL. How long does it take to train a surgeon? BMJ. 2009;339:b4260. doi:10.1136/bmj.b4260. https://psnet.ahrq.gov/issue/how-long-does-it-take-train-surgeon This commentary addresses the evidence on the effectiveness of limiting work hou…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42445/psn-pdf
    September 18, 2013 - Educational agenda for diagnostic error reduction. September 18, 2013 Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622. https://psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction This review…
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