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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836775/psn-pdf
    March 23, 2022 - Four principles of managing multiple aims and five key strategies for practical action are described
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840483/psn-pdf
    November 30, 2022 - In this study, pilots described crisis preparedness strategies, which surgical safety experts then developed
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74130/psn-pdf
    December 01, 2021 - malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons While prior research has described
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860385/psn-pdf
    January 10, 2024 - This study assessed which factors influence residents to take a post-call day (PCD) off as described
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866316/psn-pdf
    July 17, 2024 - In this study, recently hospitalized patients described the various ways they tried to improve their
  6. psnet.ahrq.gov/youtube
    Visit Curated Libraries   Audio-Described Version  (1 minute, 58 seconds)
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853440/psn-pdf
    September 13, 2023 - Factors described by participants included the use of standardized tools and work routines (e.g., checklists
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845634/psn-pdf
    March 08, 2023 - Nurses reported inconsistent use of the checklist, described barriers to its use, and offered suggestions
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60225/psn-pdf
    April 15, 2020 - beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare- systems Using ethnographic methods and resilient healthcare principles (described
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838918/psn-pdf
    October 26, 2022 - In this study, primary care and specialist physicians described challenges with caring for patients
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47989/psn-pdf
    August 14, 2019 - A WebM&M commentary described how patients with lung nodules are at risk for both overtreatment and
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846149/psn-pdf
    March 15, 2023 - Event type, severity, medication class, and method of detection are described.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848043/psn-pdf
    April 26, 2023 - Fourteen tools (e.g., databases, leadership seminars) and their results are described.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48032/psn-pdf
    July 10, 2019 - An Annual Perspective described how patients can effectively coengineer safer health care systems.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50378/psn-pdf
    September 25, 2019 - evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology- academic-medical Disruptive and unprofessional behavior is a well-described
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851916/psn-pdf
    August 02, 2023 - Hospitals reported small scale success and described challenges with implementation when the Framework
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47879/psn-pdf
    June 05, 2019 - incidents Underreporting of safety events and near misses in the health care setting has been well described
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838626/psn-pdf
    January 01, 2023 - Responses described what made them “feel safe” in their experiences with the organization, staff, the
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852456/psn-pdf
    August 16, 2023 - Residents described learning to differentiate errors from complications, how the work environment and
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854636/psn-pdf
    October 18, 2023 - customization and individualization (e.g., simplifying medication regimens for certain patients) and described

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