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  1. Safer Sign Out. | PSNet

    psnet.ahrq.gov/issue/safer-sign-out
    April 22, 2020 - Tools/Toolkit Safer Sign Out. Citation Text: Safer Sign Out. Emergency Medicine Patient Safety Foundation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  2. Using Human Factors Engineering to Improve Patient Safety, Second edition. | PSNet

    psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition
    May 18, 2016 - Book/Report Using Human Factors Engineering to Improve Patient Safety, Second edition. Citation Text: Using Human Factors Engineering to Improve Patient Safety, Second edition. Gosbee JW, Gosbee LL. Oakbrook, IL: Joint Commission; 2010. ISBN: 9781599404110. Copy Citation …

  3. Health Care Professionals Tools. | PSNet

    psnet.ahrq.gov/issue/health-care-professionals-tools
    January 30, 2003 - Multi-use Website Health Care Professionals Tools. Citation Text: Health Care Professionals Tools. Little Rock, AR: National Transitions of Care Coalition; April 2008. Copy Citation Save Save to your library Print Download PDF Share Face…

  4. Most dangerous time at the hospital? It may be when you leave. | PSNet

    psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
    March 08, 2017 - Newspaper/Magazine Article Most dangerous time at the hospital? It may be when you leave. Citation Text: Most dangerous time at the hospital? It may be when you leave. Khullar D. New York Times. March 17, 2016. Copy Citation Save Save to your library Print …

  5. The most crucial half-hour at a hospital: the shift change. | PSNet

    psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
    August 17, 2016 - Newspaper/Magazine Article The most crucial half-hour at a hospital: the shift change. Citation Text: The most crucial half-hour at a hospital: the shift change. Landro L. Copy Citation Save Save to your library Print Download PDF Share Faceb…

  6. Diagnosis. | PSNet

    psnet.ahrq.gov/issue/diagnosis
    June 08, 2022 - Newsletter/Journal Diagnosis. Citation Text: Diagnosis. Graber ML, Plebani M, eds. Berlin, Germany: Society to Improve Diagnosis in Medicine and DeGruyter. ISSN: 2194-802X. Copy Citation Save Save to your library Print Download PDF Share Fa…

  7. Getting Your Best Health Care: Real-World Stories for Patient Empowerment. | PSNet

    psnet.ahrq.gov/issue/getting-your-best-health-care-real-world-stories-patient-empowerment
    April 27, 2011 - Book/Report Getting Your Best Health Care: Real-World Stories for Patient Empowerment. Citation Text: Getting Your Best Health Care: Real-World Stories for Patient Empowerment. Farbstein K. Rockville, MD: Access Intelligence, LLC; 2011. ISBN: 9781885461452. Copy Citation …

  8. In Conversation with...Geri Amori, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
    December 01, 2010 - In Conversation with...Geri Amori, PhD December 1, 2010  Also Read an Essay Citation Text: In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010.In Conversation with...Geri Amori, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

  9. Risk Management and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/risk-management-and-patient-safety
    December 01, 2010 - Risk Management and Patient Safety Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…

  10. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx Spotlight The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Source and Credits • This presentation is based on the November 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahr…

  11. Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. | PSNet

    psnet.ahrq.gov/issue/patient-doctor-continuity-and-diagnosis-cancer-electronic-medical-records-study-general
    September 11, 2019 - Study Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Citation Text: Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…

  12. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. | PSNet

    psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
    December 06, 2023 - Study Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. Citation Text: Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of …

  13. Work–life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis. | PSNet

    psnet.ahrq.gov/issue/work-life-balance-behaviours-cluster-work-settings-and-relate-burnout-and-safety-culture
    September 14, 2022 - Study Emerging Classic Work–life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis. Citation Text: Schwartz SP, Adair KC, Bae J, et al. Work-life balance behaviours cluster in work settings an…

  14. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet

    psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
    September 14, 2022 - Study Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. Citation Text: Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73201/psn-pdf
    March 04, 2024 - Diagnostic Safety Supplemental Item Set for Medical Office SOPS. March 4, 2024 Agency for Healthcare Research and Quality.  https://psnet.ahrq.gov/issue/diagnostic-safety-supplemental-item-set-medical-office-sops Safe diagnosis in medical offices is challenged by staff workload, communication, and poor inform…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48106/psn-pdf
    July 24, 2019 - Teamwork Toolkit. July 24, 2019 Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. https://psnet.ahrq.gov/issue/teamwork-toolkit Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed to help organizations create a culture that embeds teamwork…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42981/psn-pdf
    March 19, 2014 - Recognizing and managing errors of cognitive underspecification. March 19, 2014 Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification Inc…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44343/psn-pdf
    July 22, 2015 - Speaking up to reduce noise in the OR. July 22, 2015 Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. https://psnet.ahrq.gov/issue/speaking-reduce-noise-or Noise in health care settings can hinder communication and contribute to distractions. This commentary…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46210/psn-pdf
    July 12, 2017 - Could emotional intelligence make patients safer? July 12, 2017 Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db. https://psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer Nontechnical skill development i…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837774/psn-pdf
    August 03, 2022 - Preventing retained surgical items. August 3, 2022 Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575. doi:10.1002/aorn.13697. https://psnet.ahrq.gov/issue/preventing-retained-surgical-items Unintentionally retained foreign objects can be exacerbated by fatigue, distractions, and c…
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