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8081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46467/psn-pdf
      October 18, 2017 - The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. October 18, 2017 Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical Learning Environment. Chicago, IL: Accreditation Council for Graduate Medical Education; 2017. ht…

8082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47535/psn-pdf
      November 07, 2018 - Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. November 7, 2018 Gosport Independent Panel. London, England: Crown Copyright; 2018. ISBN: 9781528604062. https://psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel Organizational culture influences how comf…

8083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72483/psn-pdf
      November 18, 2020 - ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. November 18, 2020 Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments: Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical Educatio…

8084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45322/psn-pdf
      July 20, 2016 - RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30- day inpatient mortality: a national cross-sectional study of acute-care hospitals. July 20, 2016 Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of excellent quality of care and patie…

8085. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73438/psn-pdf
      June 30, 2021 - Implementation of patient safety structures and processes in the patient-centered medical home. June 30, 2021 Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339. doi:10.1097/jhq.000000000…

8086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72847/psn-pdf
      March 17, 2021 - Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. March 17, 2021 Catalanotti JS, O’Connor AB, Kisielewski M, et al. Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. J Gen Intern Med. 2021;36(7):1974-1979. doi:10.1007/s11606-0…

8087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851055/psn-pdf
      June 28, 2023 - How do we learn about error? A cross-sectional study of urology trainees. June 28, 2023 Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…

8088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42964/psn-pdf
      May 10, 2014 - What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. May 10, 2014 Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96. d…

8089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45596/psn-pdf
      January 09, 2018 - More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? January 9, 2018 Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomics. 2018;61(1):5-14. doi:10.1080/…

8090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74007/psn-pdf
      October 27, 2021 - The impact of hospital accreditation on the quality of healthcare: a systematic literature review. October 27, 2021 Hussein M, Pavlova M, Ghalwash M, et al. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Serv Res. 2021;21(1):1057. doi:10.1186/s12913-021…

8091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60050/psn-pdf
      March 18, 2020 - Zero harm in health care. March 18, 2020 Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. https://psnet.ahrq.gov/issue/zero-harm-health-care Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…

8092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44642/psn-pdf
      September 29, 2017 - 2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in Patient Safety. September 29, 2017 National Academy of Sciences; National Academy of Medicine; IOM; NAS. https://psnet.ahrq.gov/issue/2015-rosenthal-symposium-protecting-patients-advances-and-future- directions-patient-safety In reco…

8093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865814/psn-pdf
      May 08, 2024 - Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. May 8, 2024 Ippolito M, Einav S, Giarratano A, et al. Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. Br J Anaesth. 2024;133(1):111-117. doi:10.1016/j.bja.2024.03.017. https://psnet.ahrq.gov/…

8094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47757/psn-pdf
      February 06, 2019 - Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019 Park A. Time Magazine. January 24, 2019. https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they- do-and-how-fix-it This news article reports on the documentar…

8095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44864/psn-pdf
      March 23, 2016 - Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. March 23, 2016 Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Acad Med. 2016;91(3):301-4. doi:10.1097…

8096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47483/psn-pdf
      March 04, 2019 - Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. March 4, 2019 Ost S. Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. J Med Ethics. 2019;45(3):151-155. doi:10.1136/medethics-2018-105135. https://psnet.ahrq.gov/issue/drs-bramhall-and-bawa-garba-and-rightful-domain-cr…

8097. Implement an Infection Prevention Quality Improvement Project | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
      March 01, 2017 - Implement an Infection Prevention Quality Improvement Project Start with the Implementation Guide , and then consult the Sustainability Guide Long -Term Care Safety Toolkit Modules Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety…

8098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837899/psn-pdf
      August 24, 2022 - Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. August 24, 2022 Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative stu…

8099. Centre for Patient Safety and Service Quality. | PSNet
      psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
      August 01, 2024 - Multi-use Website Centre for Patient Safety and Service Quality. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 17, 2009 This research program was established to explo…

8100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73464/psn-pdf
      July 07, 2021 - Errors in breast imaging: how to reduce errors and promote a safety environment. July 7, 2021 Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. https://psnet.ahrq.gov/issue/errors-breast-im…