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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45579/psn-pdf
    November 01, 2017 - Factors influencing patient safety during postoperative handover. November 1, 2017 Rose M, Newman SD. AANA J. 2016;84:329-338. https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover Patient handoffs between care teams are vulnerable to error. This scoping review explored the …
  2. digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ak
    January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Alaska Project Description Project Details - Completed Contract Number 290-05-0015-RTI-034 Funding Mechanism(s) Health Information Security and Privacy Colla…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838082/psn-pdf
    September 14, 2022 - Organizational factors that promote error reporting in healthcare: a scoping review. September 14, 2022 Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166. https://psnet.ahrq.gov/issue/organiz…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840490/psn-pdf
    February 14, 2006 - Evidence of bias and variation in diagnostic accuracy studies. February 14, 2006 Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090. https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74269/psn-pdf
    January 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837910/psn-pdf
    August 24, 2022 - How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. August 24, 2022 Jefs L, Kuluski K, MacLaurin A, et al. Ottawa, Ontario, Canada: Healthcare Excellence Canada; 2022. https://psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-thr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73474/psn-pdf
    July 07, 2021 - Resident and family engagement in medication management in aged care facilities: a systematic review. July 7, 2021 Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug Saf. 2021:1-19. doi:10.1080/14740338.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47116/psn-pdf
    August 15, 2018 - Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. August 15, 2018 Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;47(3):324-332. doi:10.1016/j.jogn…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836752/psn-pdf
    March 16, 2022 - The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. March 16, 2022 Logan?Athmer AL. The necessary leadership skillsets for the high?reliability organization framework adoption within acute healthcare organizations. J Healthc Risk Manag.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73416/psn-pdf
    June 23, 2021 - An observational study of postoperative handoff standardization failures. June 23, 2021 Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. https://psnet.ahrq.gov/issue/observational-study…
  11. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
    April 01, 2017 - Learn From Defects - Implementation Guide AHRQ Safety Program for Ambulatory Surgery Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety. Who should use this tool? Seni…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867683/psn-pdf
    March 05, 2025 - Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. March 5, 2025 Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine- related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117. doi:10…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863225/psn-pdf
    February 28, 2024 - Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients. February 28, 2024 Fernandez H, Ayo-Vaughan M, Zephyrin LC, et al. New York, NY: The Commonwealth Fund; February 15, 2024. https://psnet.ahrq.gov/issue/revealing-disparities-health-care-workers-observations-discrimination-a…
  14. digital.ahrq.gov/organizations/university-missouri
    January 01, 2023 - University of Missouri IQ Health Survey for Clinicians Description This is a questionnaire designed to be completed by nurses and physicians in an ambulatory setting. The tool includes questions to assess user's perceptions of personal health records and secure messaging. …
  15. digital.ahrq.gov/document-type/checklist
    January 01, 2023 - Checklist GI Clinic Registry: Scripts, Protocols, Processes for Panel Managers Description This document is a comprehensive protocol for colorectal cancer screening followup using a population health management tool. Document Source Measuring and Improving Ambulatory…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866166/psn-pdf
    June 19, 2024 - Understanding risk factors for complaints against pharmacists: a content analysis. June 19, 2024 Wang Y, Ram S (S), Scahill S. Understanding risk factors for complaints against pharmacists: a content analysis. J Patient Saf. 2024;20(4):e18-e28. doi:10.1097/pts.0000000000001217. https://psnet.ahrq.gov/issue/underst…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35207/psn-pdf
    December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861283/psn-pdf
    January 24, 2024 - What and when to debrief: a scoping review examining interprofessional clinical debriefing. January 24, 2024 Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730. https://p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36088/psn-pdf
    September 28, 2010 - Impact and implications of disruptive behavior in the perioperative arena. September 28, 2010 Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48073/psn-pdf
    June 19, 2019 - Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. June 19, 2019 Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308. https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions- advance-surgical Surg…