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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34780/psn-pdf
    March 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47222/psn-pdf
    October 03, 2018 - Decision support tools, systems, and artificial intelligence in cardiac imaging. October 3, 2018 Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032. https://psnet.ahrq.gov/issu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45520/psn-pdf
    October 05, 2016 - Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. October 5, 2016 Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):31994. doi:10.3402/jchimp.v6.31994. http…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866190/psn-pdf
    June 26, 2024 - What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. June 26, 2024 Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. doi:10.1515/dx-2024-0008. https://ps…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46757/psn-pdf
    February 07, 2018 - Practical application of high-reliability principles in healthcare to optimize quality and safety outcomes. February 7, 2018 Oster CA, Deakins S. Practical Application of High-Reliability Principles in Healthcare to Optimize Quality and Safety Outcomes. J Nurs Admin. 2017;48(1):50-55. doi:10.1097/nna.00000000000005…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46671/psn-pdf
    June 25, 2018 - Twelve tips for embedding human factors and ergonomics principles in healthcare education. June 25, 2018 Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159x.2017.1387240. https://psnet.ahrq.gov/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47029/psn-pdf
    August 15, 2018 - Peer support in anesthesia: turning war stories into wellness. August 15, 2018 Vinson AE, Randel G. Peer support in anesthesia: turning war stories into wellness. Curr Opin Anaesthesiol. 2018;31(3):382-387. doi:10.1097/ACO.0000000000000591. https://psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-w…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36494/psn-pdf
    August 29, 2016 - Medication prescribing errors involving the route of administration. August 29, 2016 Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. https://psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866966/psn-pdf
    October 16, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. October 16, 2024 Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No. 24- 0010-9-EF https://psnet.ahrq.g…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72773/psn-pdf
    February 24, 2021 - Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. February 24, 2021 Blake JWC, Giuliano KK. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. AACN Adv Crit Care. 2020;31(4):357-363. doi:10.4037/aacnacc2020241. https://psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46393/psn-pdf
    September 06, 2017 - The role of South--North partnerships in promoting shared learning and knowledge transfer. September 6, 2017 Basu L, Pronovost P, Molello NE, et al. The role of South-North partnerships in promoting shared learning and knowledge transfer. Global Health. 2017;13(1):64. doi:10.1186/s12992-017-0289-6. https://psnet.a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46978/psn-pdf
    April 04, 2018 - Using the patient safety huddle as a tool for high reliability. April 4, 2018 Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. https://psnet.ahrq.gov/issue/using-patient-safety-huddle-t…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45609/psn-pdf
    November 16, 2016 - A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. November 16, 2016 Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000000536. https://psnet.ahrq.gov/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43024/psn-pdf
    March 05, 2014 - Speaking up for patient safety by hospital-based health care professionals: a literature review. March 5, 2014 Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61. https://psnet.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844554/psn-pdf
    February 15, 2023 - Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. February 15, 2023 Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 https://psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care- providers High-profile medication errors like tha…
  16. psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
    March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Institute for Healthcare Improvement (IHI) …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47235/psn-pdf
    July 11, 2018 - Safety, performance, and satisfaction outcomes in the operating room: a literature review. July 11, 2018 Joseph A, Bayramzadeh S, Zamani Z, et al. Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review. HERD. 2018;11(2):137-150. doi:10.1177/1937586717705107. https://psnet.ahrq.go…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45298/psn-pdf
    April 22, 2017 - The problem with root cause analysis. April 22, 2017 Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417- 422. doi:10.1136/bmjqs-2016-005511. https://psnet.ahrq.gov/issue/problem-root-cause-analysis Root cause analysis (RCA) is a strategy to investigate incident…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44821/psn-pdf
    December 05, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. December 5, 2022 Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication No. 23-0011. https://psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture Im…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35227/psn-pdf
    June 15, 2011 - Building a Better Delivery System: A New Engineering/Health Care Partnership. June 15, 2011 Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Engineering, Committee on Engineering and the Health Care System. Washington, DC: National Academies Press; 2005. ISBN-10: 030909…