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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45720/psn-pdfApril 13, 2017 - Medical morbidity and mortality conferences: past, present and future. April 13, 2017 George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103. https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conference… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74141/psn-pdfDecember 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74172/psn-pdfDecember 08, 2021 - Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members. December 8, 2021 Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With Other Healthcare Team … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851457/psn-pdfJuly 19, 2023 - Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. July 19, 2023 Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Patient… -
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast1-sorra-intro.pdfJuly 25, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals Introduction (Sorra) New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals Webcast July 25, 2018 2:00-2:50 PM ET Need Help? • No sound from computer speakers? • Trouble with …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36614/psn-pdfJanuary 14, 2011 - Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. January 14, 2011 Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. Am J Med Qual. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37448/psn-pdfJanuary 06, 2017 - Patient safety rounds in a pediatric tertiary care center. January 6, 2017 Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center Executive walk… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867141/psn-pdfNovember 13, 2024 - WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. November 13, 2024 Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839815/psn-pdfNovember 09, 2022 - A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. November 9, 2022 Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e1096-e1101. doi:10.1097/pts.000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35229/psn-pdfJanuary 02, 2017 - Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. January 2, 2017 Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37. https://psnet.ahrq.gov/issue/p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35451/psn-pdfJanuary 05, 2017 - Closing the loop: follow-up and feedback in a patient safety program. January 5, 2017 Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. https://psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850355/psn-pdfJune 14, 2023 - Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. June 14, 2023 Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Am J Infect Control. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45487/psn-pdfJuly 21, 2020 - Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement." July 21, 2020 Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient Safety and Quality Improvement”. Am J Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857452/psn-pdfDecember 06, 2023 - Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. December 6, 2023 Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from successes and failures: qualita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843079/psn-pdfJanuary 25, 2023 - Electronic health record use issues and diagnostic error: a scoping review and framework. January 25, 2023 Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73312/psn-pdfMay 26, 2021 - Healthcare professionals experience of psychological safety, voice, and silence. May 26, 2021 O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. https://psnet.ahrq.gov/issue/healthcare-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73865/psn-pdfSeptember 22, 2021 - Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. September 22, 2021 Van Slambrouck L, Verschueren R, Seys D, et al. Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an explorato… -
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/866563/psn-pdfAugust 21, 2024 - Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. August 21, 2024 Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73687/psn-pdfSeptember 08, 2021 - Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. September 8, 2021 Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2021;8(3):347-352. doi:10.1515/dx-2020-0032. https:/…
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