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4781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46448/psn-pdf
      September 27, 2017 - Simulation in Otolaryngology. September 27, 2017 Malekzadeh S, ed. Otolaryngol Clin North Am. 2017;50(5):xv-xviii, 875-1036. https://psnet.ahrq.gov/issue/simulation-otolaryngology This special issue highlights areas in otolaryngology where simulation is being used to develop multidisciplinary team-based approaches…

4782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39850/psn-pdf
      January 19, 2011 - Tracing the foundations of a conceptual framework for a patient safety ontology. January 19, 2011 Runciman WB, Baker GR, Michel P, et al. Tracing the foundations of a conceptual framework for a patient safety ontology. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2009.035147. https://psnet.ahrq.gov/issue/tracing-fou…

4783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36172/psn-pdf
      August 09, 2006 - The Patient Safety Group. August 9, 2006 https://psnet.ahrq.gov/issue/patient-safety-group Development of The Patient Safety Group was motivated by the death of a young girl named Josie King. The King family responded to their personal experience from medical errors by making a commitment to improve and advance sa…

4784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40705/psn-pdf
      August 17, 2011 - Health Information Technology and Patient Safety: A Dynamic Discussion. August 17, 2011 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; May 2011. https://psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-dynamic-discussion This report from the Lucian Leape Institut…

4785. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45741/psn-pdf
      November 16, 2018 - Monitoring the diagnostic process on an inpatient neurology service. November 16, 2018 Dhand A, Bucelli R, Varadhachary A, et al. Monitoring the Diagnostic Process on an Inpatient Neurology Service. Neurohospitalist. 2017;7(3):132-136. doi:10.1177/1941874416677681. https://psnet.ahrq.gov/issue/monitoring-diagnosti…

4786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41086/psn-pdf
      January 25, 2012 - Cognitive errors detected in anaesthesiology: a literature review and pilot study. January 25, 2012 Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/aer387. https://psnet.ahrq.gov/issu…

4787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43113/psn-pdf
      April 09, 2014 - Transforming the health care environment collaborative. April 9, 2014 Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529- 39. doi:10.1016/j.aorn.2014.01.012. https://psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative This commentary examines the…

4788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38192/psn-pdf
      November 05, 2008 - Evaluation of critical incidents in general surgery. November 5, 2008 Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296. https://psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery This study developed an…

4789. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43510/psn-pdf
      April 21, 2015 - Running a hospital patient safety campaign: a qualitative study. April 21, 2015 Ozieranski P, Robins V, Minion J, et al. Running a hospital patient safety campaign: a qualitative study. J Health Organ Manag. 2014;28(4):562-75. https://psnet.ahrq.gov/issue/running-hospital-patient-safety-campaign-qualitative-study …

4790. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38378/psn-pdf
      September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient care. September 24, 2010 Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…

4791. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35576/psn-pdf
      December 23, 2012 - Anatomy of a patient safety event: a pediatric patient safety taxonomy. December 23, 2012 Woods DM, Johnson JK, Holl JL, et al. Anatomy of a patient safety event: a pediatric patient safety taxonomy. Qual Saf Health Care. 2005;14(6):422-7. https://psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient…

4792. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34901/psn-pdf
      April 15, 2005 - Thirty Safe Practices for Better Health Care. April 15, 2005 AHRQ; Agency for Healthcare Research and Quality; NQF; National Quality Forum https://psnet.ahrq.gov/issue/thirty-safe-practices-better-health-care This fact sheet presents 30 safe practices that can work to reduce or prevent adverse events and medicatio…

4793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40212/psn-pdf
      April 04, 2011 - Creating effective quality-improvement collaboratives: a multiple case study. April 4, 2011 Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. https://psnet.ahrq.gov/issue/creatin…

4794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37813/psn-pdf
      June 04, 2008 - A model of recovering medical errors in the coronary care unit. June 4, 2008 Hurley A, Rothschild JM, Moore ML, et al. A model of recovering medical errors in the coronary care unit. Heart Lung. 2008;37(3):219-26. doi:10.1016/j.hrtlng.2007.06.002. https://psnet.ahrq.gov/issue/model-recovering-medical-errors-corona…

4795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34583/psn-pdf
      July 03, 2015 - Patient Safety Challenge Grants. July 3, 2015 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/patient-safety-challenge-grants In fiscal year 2004, the Agency for Healthcare Research and Quality (AHRQ) awarded nearly $4 million in Patient Safety Challenge Grants to support 13 new prac…

4796. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39669/psn-pdf
      July 07, 2010 - ASHP guidelines on remote medication order processing. July 7, 2010 Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. https://psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-proce…

4797. New Insights on Safety and Health IT | PSNet
      psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
      August 01, 2015 - New Insights on Safety and Health IT A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS | August 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Hettinger ZA, Ratwani RM, Fairbanks RJ. New …

4798. Interdisciplinary teamwork | PSNet
      psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
      November 10, 2025 - and quality problems, integration of care across teams and disciplines, engaging patients in safety, developing

4799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42216/psn-pdf
      June 28, 2013 - Simulation for ward processes of surgical care. June 28, 2013 Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013. https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care This commentary describes one hospital…

4800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38562/psn-pdf
      April 16, 2018 - Safe intrahospital transport of the non-ICU patient using standardized handoff communication. April 16, 2018 PA-PSRS Patient Safety Advisory; Patient Safety Authority. https://psnet.ahrq.gov/issue/safe-intrahospital-transport-non-icu-patient-using-standardized-handoff- communication This article discusses strateg…