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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45752/psn-pdf
    January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. January 11, 2017 Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06. https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44326/psn-pdf
    October 21, 2015 - Safety first! Using a checklist for intrafacility transport of adult intensive care patients. October 21, 2015 Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16-25. doi:10.4037/ccn2015991. https:/…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41852/psn-pdf
    June 03, 2013 - Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. June 3, 2013 Turner K, Frush K, Hueckel RM, et al. Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. J Nurs Care Qual. 2013;28(3):257-64. …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855090/psn-pdf
    January 01, 2024 - Supporting nurses in acute and emergency care settings to speak up. November 8, 2023 Clarke-Romain B. Supporting nurses in acute and emergency care settings to speak up. Emerg Nurse. 2024;32(3):16-21. doi:10.7748/en.2023.e2162. https://psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857059/psn-pdf
    November 29, 2023 - The Risks of a Malpositioned Gastrostomy Tube and Poor Communication November 29, 2023 Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication Disclosure of Relevant Financial …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867527/psn-pdf
    January 15, 2025 - Interventions to improve timely cancer diagnosis: an integrative review. January 15, 2025 Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113. https://psnet.ahrq.gov/issue/interventions-improve-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46749/psn-pdf
    April 04, 2018 - Toolkit for Improving Perinatal Safety. April 4, 2018 Rockville, MD: Agency for Healthcare Research and Quality. June 2017. https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safe…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48088/psn-pdf
    January 01, 2020 - A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. June 19, 2019 Ansari SP, Rayfield ME, Wallis VA, et al. A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Culture in a Tertiary Maternity Unit. J…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43142/psn-pdf
    June 15, 2014 - Development and sustainability of an inpatient-to- outpatient discharge handoff tool: a quality improvement project. June 15, 2014 Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014;40(5…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851657/psn-pdf
    July 26, 2023 - Weight stigma and barriers to effective obesity care. July 26, 2023 Puhl RM. Weight stigma and barriers to effective obesity care. Gastroenterol Clin North Am. 2023;52(2):417-428. doi:10.1016/j.gtc.2023.02.002. https://psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care Implicit biases and stigm…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39767/psn-pdf
    August 18, 2010 - Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. August 18, 2010 Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TO…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44772/psn-pdf
    January 13, 2016 - Post event debriefs: a commitment to learning how to better care for patients and staff. January 13, 2016 Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. https://psnet.ahrq.gov/issue/post-eve…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48129/psn-pdf
    August 14, 2019 - When there's no one to whom an error can be disclosed, how should an error be handled? August 14, 2019 Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553. https://psnet.ahrq.gov/issue/when-theres-no-one-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45162/psn-pdf
    August 15, 2016 - Partial codes—when "less" may not be "more." August 15, 2016 Rousseau P. Partial Codes-When "Less" May Not Be "More". JAMA Intern Med. 2016;176(8):1057-8. doi:10.1001/jamainternmed.2016.2522. https://psnet.ahrq.gov/issue/partial-codes-when-less-may-not-be-more The complexity around end-of-life care increases risks…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47314/psn-pdf
    November 24, 2018 - Adverse effects of computers during bedside rounds in a critical care unit. November 24, 2018 Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752. https://psnet.ahrq.gov/issue/adverse-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45588/psn-pdf
    January 23, 2017 - Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. January 23, 2017 Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasurg.2016.2839. https://psnet.ahrq…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72605/psn-pdf
    December 23, 2020 - Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. December 23, 2020 Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport briefing form and checklist. Am J Obstet Gynecol. 2020;223(5):B12-B15. doi:10.1016/j.ajog.2020.0…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43139/psn-pdf
    April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia. April 23, 2014 Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86- 110. doi:10.1097/AIA.0000000000000017. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia Labor and delive…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72800/psn-pdf
    March 03, 2021 - Reaching the summit of discharge summaries: a quality improvement project. March 3, 2021 Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142. https://psnet.ahrq.gov/issue/reaching-summ…
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