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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60968/psn-pdf
    September 30, 2020 - Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. September 30, 2020 Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46400/psn-pdf
    September 06, 2017 - The Charter on Professionalism for Health Care Organizations. September 6, 2017 Egener BE, Mason DJ, McDonald WJ, et al. The Charter on Professionalism for Health Care Organizations. Acad Med. 2017;92(8):1091-1099. doi:10.1097/ACM.0000000000001561. https://psnet.ahrq.gov/issue/charter-professionalism-health-care-o…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43566/psn-pdf
    December 19, 2014 - Bedside shift reports: what does the evidence say? December 19, 2014 Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. https://psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say Bedside shift report…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34589/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. January 4, 2017 Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. Jt Comm J…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73351/psn-pdf
    June 02, 2021 - Optimising the delivery of remediation programmes for doctors: a realist review. June 2, 2021 Price T, Wong G, Withers L, et al. Optimising the delivery of remediation programmes for doctors: a realist review. Med Educ. 2021;55(9):995-1010. doi:10.1111/medu.14528. https://psnet.ahrq.gov/issue/optimising-delivery-r…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41229/psn-pdf
    March 04, 2015 - The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. March 4, 2015 Ancker JS, Kern LM, Abramson EL, et al. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. J Am Med Inform Assoc. 2012;19(1):61-5…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38346/psn-pdf
    April 01, 2010 - Human factors engineering in healthcare systems: the problem of human error and accident management. April 1, 2010 Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17. doi:10.1016/j.ijmedinf.2008.10.005. http…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46158/psn-pdf
    October 31, 2017 - Improving care teams' functioning: recommendations from team science. October 31, 2017 Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.009. https://psnet.ahrq.gov/issue/impr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74734/psn-pdf
    January 19, 2024 - Disclosure of errors in surgical procedures. January 19, 2024 Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023. https://psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures Error disclosure is fundamental to addressing harm and psychological distress after medical error. This review highlights issues a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47185/psn-pdf
    June 27, 2018 - Why we need a single definition of disruptive behavior. June 27, 2018 Petrovic MA, Scholl AT. Why We Need a Single Definition of Disruptive Behavior. Cureus. 2018;10(3):e2339. doi:10.7759/cureus.2339. https://psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior Disruptive behavior affects patient…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60799/psn-pdf
    August 12, 2020 - Good and bad reasons: the Swiss cheese model and its critics. August 12, 2020 Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci. 2020;126:104660. doi:10.1016/j.ssci.2020.104660. https://psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics Thi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46675/psn-pdf
    April 12, 2019 - The hidden curricula of medical education: a scoping review. April 12, 2019 Lawrence C, Mhlaba T, Stewart KA, et al. The Hidden Curricula of Medical Education: A Scoping Review. Acad Med. 2018;93(4):648-656. doi:10.1097/ACM.0000000000002004. https://psnet.ahrq.gov/issue/hidden-curricula-medical-education-scoping-r…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44073/psn-pdf
    April 15, 2015 - Clinician support: five years of lessons learned. April 15, 2015 Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31. https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned This magazine article relates insights from an academic health care system that developed a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42000/psn-pdf
    March 06, 2013 - Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. March 6, 2013 Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Patient Saf. 2013;39(2):89-95. https://psnet…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836999/psn-pdf
    April 27, 2022 - Toolkit for Preventing CLABSI and CAUTI in ICUs. April 27, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 2022. https://psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus Healthcare-associated infections can result in significant morbidity and mortality. Developed by AHRQ, this cu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44053/psn-pdf
    November 16, 2015 - ANA CAUTI Prevention Tool. November 16, 2015 Silver Spring, MD: American Nurses Association; 2015. https://psnet.ahrq.gov/issue/ana-cauti-prevention-tool Nurses play an important role in reducing catheter–associated urinary tract infections (CAUTIs). This toolkit, developed as a Partnership for Patients strategy, …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44629/psn-pdf
    December 09, 2015 - Toolkit for Reducing CAUTI in Hospitals. December 9, 2015 Rockville, MD: Agency for Healthcare Research and Quality; October 2015. https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals Catheter–associated urinary tract infections (CAUTIs) are common complications in hospitalized patients. This toolkit was …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42153/psn-pdf
    April 03, 2013 - Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. April 3, 2013 Chamberlain JM, Shaw KN, Lillis KA, et al. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. Pediatr Em…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45058/psn-pdf
    February 18, 2017 - Learning from incidents in healthcare: the journey, not the arrival, matters. February 18, 2017 Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. https://psnet.ahrq.gov/issue/learni…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35966/psn-pdf
    January 02, 2017 - Assessing and monitoring override medications in automated dispensing devices. January 2, 2017 Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. https://psnet.ahrq.gov/issue/assessing-and-monitoring…

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