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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841762/psn-pdfDecember 21, 2022 - Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. December 21, 2022 Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is need… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73248/psn-pdfMay 12, 2021 - Universal protection: operationalizing infection prevention guidance in the COVID-19 era. May 12, 2021 Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. doi:10.1016/j.jcjq.2021.01.007. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48119/psn-pdfAugust 07, 2019 - Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. August 7, 2019 Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40805/psn-pdfJuly 19, 2016 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011. July 19, 2016 Oakbrook Terrace, IL: The Joint Commission; September 2011. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2011 This report emphasizes perfor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836715/psn-pdfMarch 09, 2022 - Non-technical skills in surgery during the COVID-19 pandemic: an observational study. March 9, 2022 Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19 pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.2021.106210. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45482/psn-pdfSeptember 14, 2016 - 'America's other drug problem': copious prescriptions for hospitalized elderly. September 14, 2016 Gorman A. Kaiser Health News. August 30, 2016. https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly Older patients are particularly vulnerable to medication errors, as t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43040/psn-pdfMarch 05, 2014 - Framework for analysing risk and safety in clinical medicine. March 5, 2014 Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0 This commentary outli… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47768/psn-pdfFebruary 27, 2019 - Challenging authority and speaking up in the operating room environment: a narrative synthesis. February 27, 2019 Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative synthesis. Br J Anaesth. 2019;122(2):233-244. doi:10.1016/j.bja.2018.10.056. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866639/psn-pdfSeptember 04, 2024 - Relationship between patient safety culture and patient experience in hospital settings: a scoping review. September 4, 2024 Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Health Serv Res. 2024;24(1):906. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60293/psn-pdfMay 06, 2020 - Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience. May 6, 2020 Zarzaur BL, Stahl CC, Greenberg JA, et al. Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73081/psn-pdfMarch 31, 2021 - Health professionals' perspectives of safety issues in mental health services: a qualitative study. March 31, 2021 Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837298/psn-pdfJune 01, 2022 - Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. June 1, 2022 doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. https://psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72749/psn-pdfFebruary 17, 2021 - Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance February 17, 2021 Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' pe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837892/psn-pdfJanuary 01, 2023 - Teamwork before and during COVID-19: the good, the same, and the ugly…. August 24, 2022 Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070. https://psnet.ahrq.gov/issue/teamwork-and-during-c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73183/psn-pdfApril 28, 2021 - Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. April 28, 2021 Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. doi:10.1097/pts.0000000000000298. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43944/psn-pdfDecember 04, 2015 - Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. December 4, 2015 van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837677/psn-pdfJuly 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-… -
www.ahrq.gov/hai/cusp/videos/index.htmlSeptember 01, 2019 - CUSP Videos The following videos give examples of CUSP practices. Introduction About CUSP—A Doctor's Perspective About CUSP: A Nurse's Perspective About CUSP: Overview Assemble the Team The 4 E's Building Your CUSP Team Psychological Safety Physician Engagement Engage the Senior Executive …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836960/psn-pdfApril 20, 2022 - Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. April 20, 2022 Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37378/psn-pdfFebruary 24, 2011 - Medication discrepancies in resident sign-outs and their potential to harm. February 24, 2011 Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. https://psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs…
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