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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46303/psn-pdf
    November 21, 2017 - How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. November 21, 2017 Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf. 2017;26(12):978-986. doi:10.1…
  2. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/strategic-planning
    January 01, 2023 - Strategic Planning Examples Medical Group Management Association. Strategic planning self-assessment questionnaire. 2006 [cited 2009 July 10]; Available from: http://www.mgma.com/WorkArea/DownloadAsset.aspx?id=10364 . Description Strategic planning is a method for organizing, identifying,…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36804/psn-pdf
    August 26, 2011 - Patterns of communication breakdowns resulting in injury to surgical patients. August 26, 2011 Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40. https://psnet.ahrq.gov/issue/patterns-communication-brea…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836916/psn-pdf
    April 13, 2022 - Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. April 13, 2022 Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1):23-30. doi:10.1097/jhq.000000000…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842758/psn-pdf
    January 18, 2023 - Paediatric family activated rapid response interventions; qualitative systematic review. January 18, 2023 Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):103363. doi:10.1016/j.iccn.2022.10336…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42001/psn-pdf
    August 02, 2015 - Diagnostic inaccuracy of smartphone applications for melanoma detection. August 2, 2015 Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382. https://psnet.ahrq.gov/issue/diagnostic-inacc…
  7. www.ahrq.gov/prevention/guidelines/tobacco/index.html
    February 01, 2020 - Treating Tobacco Use and Dependence: 2008 Update This update will make an important contribution to the quality of care in the United States and to the health of the American people. For Clinicians All health care providers, especially those with direct patient contact, have a unique opportunity to he…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60618/psn-pdf
    June 24, 2020 - Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. June 24, 2020 Härkänen M, Turunen H, Vehviläinen-Julkunen K. Differences between methods of detecting medication errors: a …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37498/psn-pdf
    April 30, 2014 - Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. April 30, 2014 Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Failures in Communication. Archives…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35436/psn-pdf
    September 15, 2009 - Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. September 15, 2009 Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254. https://psnet.ahrq.gov/issue/hosp…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837804/psn-pdf
    August 10, 2022 - Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. August 10, 2022 Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi?method qualitative study. J Adv Nurs. 2022;78(1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50832/psn-pdf
    January 01, 2021 - Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. January 29, 2020 Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quant…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858162/psn-pdf
    January 01, 2024 - Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. December 13, 2023 Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic, and health resource utilizatio…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73446/psn-pdf
    June 30, 2021 - A comprehensive departmental care review model: requirements, structure, and flow. June 30, 2021 Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. doi:10.1016/j.jcjq.2021.04.009. https:/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41703/psn-pdf
    November 08, 2012 - Anatomy of an incident disclosure: the importance of dialogue. November 8, 2012 Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue Physician organizations who…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43363/psn-pdf
    September 12, 2016 - Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. September 12, 2016 Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016. https://ps…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43787/psn-pdf
    June 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. June 22, 2016 Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional stud…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842429/psn-pdf
    January 11, 2023 - How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. January 11, 2023 Zigman Suchsland M, Kowalski L, Burkhardt HA, et al. How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulator…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36833/psn-pdf
    March 03, 2011 - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. March 3, 2011 Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40102/psn-pdf
    July 05, 2013 - Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. July 5, 2013 Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J Hosp Med. 2011;6(2):68-72. doi:10.1002/…