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5501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40345/psn-pdf
      April 20, 2011 - The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America. April 20, 2011 Staiger TO, Wong EY, Schleyer AM, et al. The role of quality improvement and patient safety in academic promotion: results of a survey of chai…

5502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41420/psn-pdf
      September 26, 2012 - Improving healthcare quality through organisational peer- to-peer assessment: lessons from the nuclear power industry. September 26, 2012 Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. BMJ Qual Saf. 2012;21(10):872-5. h…

5503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50575/psn-pdf
      October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift handover communication. October 23, 2019 Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. https://psnet.ahrq.gov/issue/dynam…

5504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47265/psn-pdf
      February 22, 2019 - Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. February 22, 2019 Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Reporting. Am J Med Qual. 2019;34(…

5505. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47906/psn-pdf
      August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience. August 21, 2019 Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-ex…

5506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43461/psn-pdf
      April 22, 2015 - Optimizing the patient handoff between EMS and the emergency department. April 22, 2015 Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1. doi:10.1016/j.annemergmed.2014.07.003. https://psnet.…

5507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35344/psn-pdf
      March 11, 2011 - Creating the web-based intensive care unit safety reporting system.  March 11, 2011 Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408. https://psnet.ahrq.gov/issue/creating-web-based-inten…

5508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74014/psn-pdf
      October 27, 2021 - Adopting system models for multiple incident analysis: utility and usability. October 27, 2021 Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135. https://psnet.ahrq.gov/issue/adopting-system-model…

5509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46157/psn-pdf
      June 07, 2017 - Proactive risk assessment of surgical site infections in ambulatory surgery centers. June 7, 2017 Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.0000000000000119. https://psnet.ahrq.gov/iss…

5510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41336/psn-pdf
      May 02, 2012 - Human factors–focused reporting system for improving care quality and safety in hospital wards. May 2, 2012 Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. doi:10.1177/0018720811434767. https://…

5511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45514/psn-pdf
      November 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m…

5512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46540/psn-pdf
      August 08, 2018 - Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. August 8, 2018 Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-1547. doi:10.1213/ANE.00000000000…

5513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45364/psn-pdf
      September 04, 2016 - A piece of my mind. Changing the narrative. September 4, 2016 Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative Storytelling can share knowledge and build community among physicians. However, if clinicians communicat…

5514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854629/psn-pdf
      October 18, 2023 - Unintended consequences of the electronic health record and cognitive load in emergency department nurses. October 18, 2023 Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. 2023;73:151724. doi:10.1016/j.a…

5515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48042/psn-pdf
      June 12, 2019 - Analysis of medical malpractice claims to improve quality of care: cautionary remarks. June 12, 2019 Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178. https://psnet.ahrq.gov/issue/analysis-medical-mal…

5516. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

5517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49762/psn-pdf
      June 01, 2016 - are the de facto "home" for advance directives and POLSTs and, as such, carry the responsibility for developing

5518. Cultural Competence and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
      December 27, 2019 - We worked together on developing a conceptual model of how cultural competence might reduce disparities

5519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33825/psn-pdf
      January 01, 2017 - Rethinking Root Cause Analysis January 1, 2016 Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis Annual Perspective 2016 Introduction Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…

5520. Copy and Paste | PSNet
      psnet.ahrq.gov/web-mm/copy-and-paste
      December 10, 2014 - Copy and Paste Citation Text: Hersh WR. Copy and Paste. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …