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8001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45000/psn-pdf
      August 15, 2016 - Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. June 29, 2016 Centers for Medicare & Medicaid Services. Fed Regist. 2016;81:39447-39480. https://psnet.ahrq.gov/issue/medicare-and-medicaid-progra…

8002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60198/psn-pdf
      April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…

8003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866591/psn-pdf
      August 28, 2024 - Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. August 28, 2024 Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. Healthcare (Base…

8004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866354/psn-pdf
      July 24, 2024 - Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. July 24, 2024 Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. Jt Comm J Qual P…

8005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837313/psn-pdf
      June 01, 2022 - Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022 ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5. https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…

8006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73570/psn-pdf
      January 01, 2022 - Long-term care nurses' experiences with patient safety incident management: a qualitative study. August 4, 2021 Serre N, Espin S, Indar A, et al. Long-term care nurses' experiences with patient safety incident management: a qualitative study. J Nurs Care Qual. 2022;37(2):188-194. doi:10.1097/ncq.0000000000000583. …

8007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/856631/psn-pdf
      November 29, 2023 - Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. November 29, 2023 Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patien…

8008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864374/psn-pdf
      March 13, 2024 - Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. March 13, 2024 Hunt DF. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. BMJ Lead. 2024;Epub Jan 17. doi:10.1136/leader-2023-000906. https://psnet.ahrq.…

8009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60211/psn-pdf
      April 08, 2020 - With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. April 8, 2020 Trinchero E, Kominis G, Dudau A, et al. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. Public Manag Rev. 2020;22(1). …

8010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60751/psn-pdf
      January 01, 2021 - Fighting a common enemy: a catalyst to close intractable safety gaps. August 5, 2020 Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390. https://psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-clos…

8011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849601/psn-pdf
      May 31, 2023 - VHA's movement for change: implementing high- reliability principles and practices. May 31, 2023 Cox GR, Starr LM. VHA's movement for change: implementing high-reliability principles and practices. J Healthc Manag. 2023;68(3):151-157. doi:10.1097/jhm-d-23-00056. https://psnet.ahrq.gov/issue/vhas-movement-change-im…

8012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837673/psn-pdf
      July 13, 2022 - The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study. July 13, 2022 Loerbroks A, Vu-Eickmann P, Dreher A, et al. The relationship of medical assistants' work engagement with their concerns of having made an important medical …

8013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74235/psn-pdf
      January 12, 2022 - Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. January 12, 2022 Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. Ann Fam Med. 2021;19(6):521-52…

8014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853073/psn-pdf
      August 30, 2023 - Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. August 30, 2023 Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197. https://psnet.ahrq.gov/issue/mind-…

8015. The Ambulatory Surgery SOPS Database – What You Need to Know Infographic (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/asc-sops-webcast-graphic.pdf
      July 22, 2019 - The Ambulatory Surgery SOPS Database – What You Need to Know Infographic The Ambulatory Surgery Center SOPSTM Database WHAT YOU NEED TO KNOW January 2019 Webcast Highlights Ambulatory Surgery Centers (ASCs) can voluntarily submit their ASC Survey on Patient Safety Culture (SOPS) data to the ASC SOPS Database.…

8016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847725/psn-pdf
      April 19, 2023 - A scoping review of the hidden curriculum in pharmacy education. April 19, 2023 Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999. https://psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy…

8017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46132/psn-pdf
      September 24, 2017 - The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. September 24, 2017 Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Education During the Morbidity and Mort…

8018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865666/psn-pdf
      April 24, 2024 - Why do nurses miss nursing care? A qualitative meta- synthesis. April 24, 2024 Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta?synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. https://psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthe…

8019. Exhibit 4.18. Major Factors that Facilitate Lean Success | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.18. Major Factors that Facilitate Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Ca…

8020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45528/psn-pdf
      October 26, 2016 - Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. October 26, 2016 Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. doi:10.1136/bmjopen-2016-011708. …