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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40237/psn-pdf
    February 23, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses. February 23, 2011 Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876. ht…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41648/psn-pdf
    September 30, 2012 - Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. September 30, 2012 Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commission National Patient Safety Goal-…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60285/psn-pdf
    April 29, 2020 - How Collective Design Triumphed Over Competition in the Fight Against HAIs. April 29, 2020 Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020. https://psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais Health care environment design can affect safety. This report sh…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41440/psn-pdf
    August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. August 17, 2016 Rockville, MD: Agency for Healthcare Research and Quality; July 2016. https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety This toolkit provides resou…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837192/psn-pdf
    May 25, 2022 - Declaration to Advance Patient Safety. May 25, 2022 National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022. https://psnet.ahrq.gov/issue/declaration-advance-patient-safety Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45496/psn-pdf
    May 09, 2017 - The application of the Global Trigger Tool: a systematic review. May 9, 2017 Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. https://psnet.ahrq.gov/issue/application-global-trigger-tool-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73677/psn-pdf
    September 08, 2021 - Toolkit for Engaging Patients to Improve Diagnostic Safety. September 8, 2021 Rockville, MD: Agency for Healthcare Research and Quality; August 2021. AHRQ Publication No. 21-0047-2-EF. https://psnet.ahrq.gov/issue/toolkit-engaging-patients-improve-diagnostic-safety Patient and family engagement is core to ef…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865931/psn-pdf
    July 22, 2024 - Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). July 22, 2024 Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261. https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact- artificial Health systems are increasingly …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73613/psn-pdf
    August 18, 2021 - Implementing universal suicide risk screening in a pediatric hospital. August 18, 2021 Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001. https://psnet.ahrq.gov/issue/im…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73638/psn-pdf
    August 25, 2021 - The pain was unbearable. So why did doctors turn her away? August 25, 2021 Szalavitz M. Wired Magazine. August 11, 2021.  https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43820/psn-pdf
    February 18, 2015 - Care of the clinician after an adverse event. February 18, 2015 Pratt SD, Jachna BR. Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63. doi:10.1016/j.ijoa.2014.10.001. https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event Spotlighting the emotional impact adverse events …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46213/psn-pdf
    June 28, 2017 - The second victim: a review. June 28, 2017 Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. https://psnet.ahrq.gov/issue/second-victim-review Maternity care is a high-risk environment. This review discusses second vic…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60065/psn-pdf
    March 18, 2020 - Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey. March 18, 2020 Washington DC: Leapfrog Group; 2020. https://psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard- based-results-2019 Surgica…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47081/psn-pdf
    September 02, 2018 - Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. September 2, 2018 Millenson ML, Baldwin JL, Zipperer L, et al. Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. Diagnosis (Berl). 2018;5(3):95-105. doi:10.1515/dx-2018-0009. https://psnet.ahrq.gov/issue/b…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854834/psn-pdf
    January 01, 2024 - Bringing the equity lens to patient safety event reporting. October 25, 2023 Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. https://psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-e…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60831/psn-pdf
    August 19, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. August 19, 2020 Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; August 2020. AHRQ Publication No. 20-0040-2-EF. https://psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60875/psn-pdf
    September 02, 2020 - Understanding context specificity: the effect of contextual factors on clinical reasoning. September 2, 2020 Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:10.1515/dx-2020-0016. https://…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47632/psn-pdf
    April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43537/psn-pdf
    October 15, 2014 - Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross- sectional factorial survey study. October 15, 2014 Davis R, Savvopoulou M, Shergill R, et al. Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviou…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43515/psn-pdf
    July 03, 2016 - Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. July 3, 2016 Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical educ…
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