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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46802/psn-pdfMarch 21, 2018 - The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. March 21, 2018 Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam Med. 2018;31(1):113-125. doi:10.31… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74269/psn-pdfJanuary 19, 2022 - Safety culture, safety climate, and safety performance in healthcare facilities: a systematic review. January 19, 2022 Noor Arzahan IS, Ismail Z, Yasin SM. Safety culture, safety climate, and safety performance in healthcare facilities: A systematic review. Safety Sci. 2022;147:105624. doi:10.1016/j.ssci.2021.10562… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837330/psn-pdfJune 08, 2022 - A call to action: next steps to advance diagnosis education in the health professions. June 8, 2022 Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.1515/dx-2021-0103. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44867/psn-pdfMarch 23, 2016 - Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. March 23, 2016 Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. https://psnet.ahrq.gov/issue/understand… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838080/psn-pdfSeptember 14, 2022 - Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. September 14, 2022 Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. BMJ Qual S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43200/psn-pdfMay 21, 2014 - How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. May 21, 2014 Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115. https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47808/psn-pdfMay 15, 2019 - Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation. May 15, 2019 Woodham LA, Round J, Stenfors T, et al. Virtual patients designed for training against medical error: Exploring the impact of decision-making on learner motivation. PLoS One. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46480/psn-pdfOctober 29, 2017 - Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. October 29, 2017 Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.1097/SIH.0000000000000232. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47461/psn-pdfDecember 27, 2018 - IV push medications survey results—part 1 and part 2. December 27, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. https://psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2 Errors in the administration of intravenous medications can r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46994/psn-pdfOctober 31, 2018 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018 Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73194/psn-pdfApril 28, 2021 - CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. April 28, 2021 Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative and Procedural Subprotocol National Advisory Group, and the CLER Program. Chicago, IL: Accreditation Council for Gradua… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47679/psn-pdfApril 03, 2019 - 'So why didn't you think this baby was ill?' Decision- making in acute paediatrics. April 3, 2019 Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-313199. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48157/psn-pdfAugust 21, 2019 - Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. August 21, 2019 Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis (Berl). 2019;6(4):315-323. doi:10.151… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74699/psn-pdfJanuary 26, 2022 - Indication alerts to improve problem list documentation. January 26, 2022 Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285. https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851062/psn-pdfJune 28, 2023 - Systems approach to suicide prevention: strengthening culture, practice, and education. June 28, 2023 Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/appi.focus.20220081. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853074/psn-pdfFebruary 06, 2024 - Patient Experience, Patient Safety, and Provider Well- Being: Associations and Paths for Quality Improvement. February 6, 2024 Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no. 24-0030. https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37610/psn-pdfJune 16, 2011 - Is yours a learning organization? June 16, 2011 Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. https://psnet.ahrq.gov/issue/yours-learning-organization Key tenets of improving patient safety at the organizational level include taking a systems approach to s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47903/psn-pdfJanuary 01, 2021 - A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. April 17, 2019 Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilitie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863217/psn-pdfFebruary 28, 2024 - Interpreting and coding causal relationships for quality and safety using ICD-11. February 28, 2024 Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12911-023-02363-5. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39339/psn-pdfApril 01, 2010 - Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. April 1, 2010 Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Ve…
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