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  1. psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
    October 01, 2018 - CVC Removal: A Procedure Like Any Other Citation Text: Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - Procedure Complications – Who is Responsible for Follow up? March 29, 2023 Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow The Case A 74-year-old man with newly diagnose…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33693/psn-pdf
    February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety February 1, 2010 Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety Perspec…
  4. psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
    October 01, 2017 - Preventing PICC Complications: Whose Line Is It? Citation Text: Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibT…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866869/psn-pdf
    October 02, 2024 - Core Elements of Hospital Diagnostic Excellence (DxEx). October 2, 2024 Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex Diagnostic excellence is an expansion of the diagnostic error red…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867531/psn-pdf
    January 15, 2025 - Psychological Safety in Healthcare Settings. January 15, 2025 Psychological Safety in Healthcare Settings. Int J Public Health. 2024;69. https://psnet.ahrq.gov/issue/psychological-safety-healthcare-settings The importance of creating healthcare environments that enable concerns to be voiced and support individuals…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36637/psn-pdf
    January 14, 2011 - The effect of the fit between organizational culture and structure on medication errors in medical group practices. January 14, 2011 Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practices. Health Care Manage Rev. 2007…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33916/psn-pdf
    December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty Incident. Summary, Evidence Report/Technology Assessment. December 22, 2014 Hsu EB, Jenckes MW, Catlett CL, et al. In: AHRQ Evidence Report Summaries. Rockville, MD: Agency for Healthcare Research and Quality; 1998-2005. 95. AHRQ Publication No. 04-E015-1 h…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60727/psn-pdf
    July 29, 2020 - A randomized trial of a multifactorial strategy to prevent serious fall injuries. July 29, 2020 Bhasin S, Gill TM, Reuben DB, et al. A randomized trial of a multifactorial strategy to prevent serious fall injuries. N Engl J Med. 2020;383(2):129-140. doi:10.1056/nejmoa2002183. https://psnet.ahrq.gov/issue/randomize…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60671/psn-pdf
    July 08, 2020 - Hidden in plain sight — reconsidering the use of race correction in clinical algorithms. July 8, 2020 Vyas DA, Eisenstein LG, Jones DS. Hidden in plain sight — reconsidering the use of race correction in clinical algorithms. N Engl J Med. 2020;383(9):874-882. doi:10.1056/nejmms2004740. https://psnet.ahrq.gov/issue…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42057/psn-pdf
    February 20, 2013 - Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. February 20, 2013 Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for acc…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40599/psn-pdf
    November 23, 2011 - Organizational climate determinants of resident safety culture in nursing homes. November 23, 2011 Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053. https://psnet.ahrq.gov/issue/or…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42387/psn-pdf
    December 30, 2014 - 'Bad apples': time to redefine as a type of systems problem? December 30, 2014 Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. https://psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem While …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45931/psn-pdf
    July 05, 2017 - The CARE approach to reducing diagnostic errors. July 5, 2017 Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532. https://psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors Cognitive aids such as checklists and mnemoni…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37312/psn-pdf
    January 05, 2012 - Delineation of risk through the exploration of a culture of safety in community home health. January 5, 2012 Stevenson L, McRae C, Mughal WA. Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. Home Health Care Manag Pract. 2007;19(6). doi:10.1177/1084822307304256. https://…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37746/psn-pdf
    May 14, 2008 - Reducing preventable medication safety events by recognizing renal risk. May 14, 2008 Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f. https://psnet.ahrq.gov/issue/red…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35053/psn-pdf
    November 18, 2015 - Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety. November 18, 2015 Yeager KR, Saveanu R, Roberts AR, et al. Brief Treat Crisis Intervent. 2005;5(2):121-141 https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836870/psn-pdf
    April 26, 2022 - A Conversation Among Stakeholders on Medical Malpractice. April 6, 2022 Collaborative for Accountability and Improvement. April 26, 2022. https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice Communication and resolution programs (CRP) can improve response to patients and families a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42943/psn-pdf
    April 12, 2014 - Doing right by our patients when things go wrong in the ambulatory setting. April 12, 2014 Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96. https://psnet.ahrq.gov/issue/doing-right-our-patients-when-thin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60538/psn-pdf
    May 27, 2020 - Diagnostic Safety Toolkit. May 27, 2020 Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020. https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit Effective communication is an important component of diagnostic accuracy. Shaped with data co…

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