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5121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47062/psn-pdf
      October 13, 2018 - Latent risk assessment tool for health care leaders. October 13, 2018 Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. https://psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders Health …

5122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41799/psn-pdf
      December 29, 2014 - Types and patterns of safety concerns in home care: staff perspectives. December 29, 2014 Craven CK, Byrne K, Sims-Gould J, et al. Types and patterns of safety concerns in home care: staff perspectives. Int J Qual Health Care. 2012;24(5):525-31. doi:10.1093/intqhc/mzs047. https://psnet.ahrq.gov/issue/types-and-pat…

5123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42929/psn-pdf
      February 05, 2014 - Do no harm: is it time to rethink the Hippocratic Oath? February 5, 2014 Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. https://psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath This commentary discusses how health ca…

5124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60700/psn-pdf
      July 22, 2020 - Cognitive bias and public health policy during the COVID- 19 pandemic. July 22, 2020 Halpern SD, Truog RD, Miller FG. Cognitive bias and public health policy during the COVID-19 pandemic. JAMA. 2020;324(4):337-338. doi:10.1001/jama.2020.11623. https://psnet.ahrq.gov/issue/cognitive-bias-and-public-health-policy-du…

5125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44561/psn-pdf
      October 30, 2023 - AHRQ Impact Case Studies: Patient Safety. October 30, 2023 Agency for Healthcare Research and Quality. 2019-2023. https://psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety AHRQ supports the development and testing of various resources for health care organizations to implement as safety improvement stra…

5126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44016/psn-pdf
      November 21, 2016 - Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. November 21, 2016 Chicago, IL: Health Research & Educational Trust; 2015. https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family- advisors Patient and family advisor…

5127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40015/psn-pdf
      November 17, 2010 - Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. November 17, 2010 Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Qual Saf Health Care. 2010…

5128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35254/psn-pdf
      April 06, 2011 - Adverse events and near miss reporting in the NHS. April 6, 2011 Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553. https://psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs This study evaluated the utility of a volu…

5129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46535/psn-pdf
      November 08, 2017 - Parents' perspectives on navigating the work of speaking up in the NICU. November 8, 2017 Lyndon A, Wisner K, Holschuh C, et al. Parents' Perspectives on Navigating the Work of Speaking Up in the NICU. J Obstet Gynecol Neonatal Nurs. 2017;46(5):716-726. doi:10.1016/j.jogn.2017.06.009. https://psnet.ahrq.gov/issue/…

5130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45606/psn-pdf
      October 27, 2016 - Unprofessional workplace conduct...defining and defusing it. October 27, 2016 MacLean L, Coombs C, Breda K. Unprofessional workplace conduct..defining and defusing it. Nurs Manage. 2016;47(9):30-34. doi:10.1097/01.NUMA.0000491126.68354.be. https://psnet.ahrq.gov/issue/unprofessional-workplace-conductdefining-and-d…

5131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42182/psn-pdf
      April 10, 2013 - Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. April 10, 2013 Dave B. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Br Dent J. 2013;214(5):223-5. doi:10.1038/sj.bdj.2013.214. https://psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-…

5132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44363/psn-pdf
      May 05, 2018 - Selection of incorrect medication pump leads to chemotherapy overdose. May 5, 2018 ISMP Canada. August 26, 2015;15:1-4. https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. I…

5133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38305/psn-pdf
      January 15, 2009 - High-alert medications in the pediatric intensive care unit. January 15, 2009 Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. https://psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-c…

5134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35393/psn-pdf
      April 06, 2011 - Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? April 6, 2011 Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):358-63. https://psnet.ahrq.gov/issue/…

5135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38249/psn-pdf
      November 26, 2008 - Operational rounds: a practical administrative process to improve safety and clinical services in radiology. November 26, 2008 Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical services in radiology. J Am Coll Radiol…

5136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47056/psn-pdf
      April 20, 2022 - Healthcare Simulation Week. April 20, 2022 Society for Simulation in Healthcare. https://psnet.ahrq.gov/issue/healthcare-simulation-week Simulation provides a safe space to observe behaviors and generate constructive feedback to enhance individual and team performance. This website provides promotional materials f…

5137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35317/psn-pdf
      July 14, 2009 - Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. July 14, 2009 Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3). …

5138. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.176_slideshow.ppt
      May 01, 2008 - Acquired Immunodeficiency Syndrome Without treatment, median time from HIV seroconversion to developing

5139. Ebola: Are We Ready? | PSNet
      psnet.ahrq.gov/web-mm/ebola-are-we-ready
      July 01, 2012 - technique during the central venous catheter (CVC) insertion, put the simulated patient at risk for developing

5140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42562/psn-pdf
      June 09, 2015 - Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. June 9, 2015 Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Acad Med. 2013;88(8):1149-5…