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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33642/psn-pdf
    November 01, 2006 - In Conversation With...Donald A. Norman, PhD November 1, 2006 In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background. How did you become interested…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846127/psn-pdf
    March 15, 2023 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists March 15, 2023 Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among- spec…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60609/psn-pdf
    June 24, 2020 - When the Indications for Drug Administration Blur June 24, 2020 Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …

  5. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet

    psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
    April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps Citation Text: Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy …

  6. Adverse Events in Dentistry | PSNet

    psnet.ahrq.gov/perspective/adverse-events-dentistry
    December 22, 2020 - we learned from a culture survey we did was that the two areas that we were particularly weak in are communicating

  7. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations | PSNet

    psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
    October 27, 2022 - SPOTLIGHT CASE Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations Citation Text: Tan F, Johl K, Kotova M. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations. PSNet [internet]. Rockville (MD): Agency for He…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840140/psn-pdf
    January 01, 2023 - Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I?PASS handoff program in diverse clinical environments: a multicenter prospective effectiv…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867383/psn-pdf
    December 18, 2024 - Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. December 18, 2024 Horck S. Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. Leadership H…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73091/psn-pdf
    March 31, 2021 - Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. March 31, 2021 Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141. doi:10.1097…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867591/psn-pdf
    January 22, 2025 - Biased language in simulated handoffs and clinician recall and attitudes. January 22, 2025 Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. https://psnet.ahrq.gov/issue/bias…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42503/psn-pdf
    September 18, 2013 - The patient is in: patient involvement strategies for diagnostic error mitigation. September 18, 2013 McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623. https://psnet.ahrq.gov/i…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847531/psn-pdf
    April 12, 2023 - Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. April 12, 2023 Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. BMC Health Serv Res.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60763/psn-pdf
    August 05, 2020 - Supporting the emotional well-being of health care workers during the COVID-19 pandemic. August 5, 2020 Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(3):93-96. doi:10.1177/2516043520931971. https://psnet.a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36167/psn-pdf
    June 29, 2011 - Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. June 29, 2011 Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. https://psnet.ahrq.gov/issue/nurses-and-nursing-assistants-per…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851189/psn-pdf
    July 05, 2023 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. July 5, 2023 Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852275/psn-pdf
    January 01, 2024 - Improving emergency medicine clinician awareness of prehospital-administered medications. August 9, 2023 Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital- administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/10903127.2023.2238815. https://p…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865703/psn-pdf
    May 01, 2024 - Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. May 1, 2024 McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. In…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47379/psn-pdf
    November 14, 2018 - Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. November 14, 2018 Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing C…

  20. Patient Stories. | PSNet

    psnet.ahrq.gov/issue/patient-stories
    March 27, 2024 - Multi-use Website Patient Stories. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 6, 2013 This Web site hosts documentary accounts of medical errors to encourage clinici…
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