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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61057/psn-pdf
    October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report October 28, 2020 Washington DC; National Quality Forum: October 6, 2020. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error- measurement-considerations With input…
  2. digital.ahrq.gov/principal-investigator/matthews-karen
    January 01, 2023 - Matthews, Karen The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology - Final Report Citation Fox K. The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes O…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36549/psn-pdf
    March 21, 2017 - Patients' concerns about medical errors during hospitalization. March 21, 2017 Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. https://psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hosp…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42439/psn-pdf
    November 23, 2016 - Guide to Patient and Family Engagement in Hospital Quality and Safety. November 23, 2016 Rockville, MD: Agency for Healthcare Research and Quality; June 2013. https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety Studies have shown that a surprisingly large proportion of hosp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60576/psn-pdf
    June 10, 2020 - Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. June 10, 2020 Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Professionals' Speaking-up Skills Training. J Healthc Qual. 2020;42(5):249-263. doi:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73962/psn-pdf
    October 13, 2021 - Building a program of expanded peer support for the entire health care team: no one left behind. October 13, 2021 Klatt TE, Sachs JF, Huang C-C, et al. Building a program of expanded peer support for the entire health care team: no one left behind. Jt Comm J Qual Patient Saf. 2021;47(12):759-767. doi:10.1016/j.jcj…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73425/psn-pdf
    June 23, 2021 - A qualitative study of what care workers do to provide patient safety at home through telecare. June 23, 2021 Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4. htt…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60906/psn-pdf
    August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. August 18, 2021 Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705. https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable- harm-health-care The Wo…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865968/psn-pdf
    May 29, 2024 - A strategic solution to preventing the harm associated with ambulance handover delays. May 29, 2024 Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. https://psnet.ahrq.gov/issue/strategic-solu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838186/psn-pdf
    September 28, 2022 - Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. September 28, 2022 Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841152/psn-pdf
    December 07, 2022 - Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022 Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838247/psn-pdf
    October 05, 2022 - Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. October 5, 2022 Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. BMJ Open. 202…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867596/psn-pdf
    January 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. January 22, 2025 Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm,…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867523/psn-pdf
    January 15, 2025 - How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. January 15, 2025 Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Jt Com…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867445/psn-pdf
    January 08, 2025 - Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. January 8, 2025 Militello LG, Diiulio J, Wilson DL, et al. Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. J Am Med Inform Assoc. 2025;32(2):398-403. doi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73513/psn-pdf
    July 21, 2021 - Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. July 21, 2021 Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. Crisis. 2021;43(4):307-314. do…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60646/psn-pdf
    July 01, 2020 - An integrative total worker health framework for keeping workers safe and healthy during the COVID-19 pandemic. July 1, 2020 Dennerlein JT, Burke L, Sabbath EL, et al. An Integrative Total Worker Health Framework for Keeping Workers Safe and Healthy During the COVID-19 Pandemic. Hum Factors. 2020;62(5):689–696. do…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44774/psn-pdf
    June 21, 2016 - Association of safety culture with surgical site infection outcomes. June 21, 2016 Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcollsurg.2015.11.008. https://psnet.ahrq.gov/issue/association-safety-cu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764404/psn-pdf
    March 02, 2022 - Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers. March 2, 2022 Ramsey L, Albutt AK, Perfetto K, et al. Systemic safety inequities for people wit…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865678/psn-pdf
    April 24, 2024 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024 Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q…