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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41389/psn-pdf
    June 27, 2012 - Can we make postoperative patient handovers safer? A systematic review of the literature. June 27, 2012 Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:10.1213/ANE.0b013e318253af4b. https:/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44666/psn-pdf
    August 01, 2017 - Leveraging trainees to improve quality and safety at the point of care: three models for engagement. August 1, 2017 Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. doi:10.1097/ACM.0000000000000975. https…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854981/psn-pdf
    November 01, 2023 - Defining a high-quality and effective morbidity and mortality conference: a systematic review. November 1, 2023 Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-1343. doi:10.1001/jamasurg.2023.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60686/psn-pdf
    July 15, 2020 - The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensions: a scientometric analysis and scoping review. July 15, 2020 Haghani M, Bliemer MCJ, Goerlandt F, et al. The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensio…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60973/psn-pdf
    September 30, 2020 - During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. September 30, 2020 ISMP Medication Safety Alert! Acute care edition. August 27, 2020;25(17). https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid- blaming-attitudes …
  6. www.ahrq.gov/patient-safety/settings/esrd/resource/engagement.html
    December 01, 2014 - Patient and Family Engagement ESRD Toolkit The Patient and Family Engagement module of the ESRD Toolkit defines patient engagement in the context of end-stage renal disease facilities, discusses how to recognize and overcome obstacles to patient engagement, explains how to engage patients and their families i…
  7. www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.html
    January 01, 2015 - Creating a Culture of Safety ESRD Toolkit The Creating a Culture of Safety module of the ESRD Toolkit discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm in dialysis centers. Presentation Slides ( PPTX, 20 M B) Facilitator …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60525/psn-pdf
    May 27, 2020 - Public sector organizational failure: a study of collective denial in the UK national health service. May 27, 2020 Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10.1007/s10551-020-04517-1. https://p…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43200/psn-pdf
    May 21, 2014 - How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. May 21, 2014 Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115. https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
  10. www.ahrq.gov/teamstepps-program/resources/patient/index.html
    June 01, 2023 - TeamSTEPPS Patient Videos In these three videos, patients describe their interactions with their doctors and medical teams and how their interactions relate to tools used as a part of TeamSTEPPS. YouTube embedded video: https://www.youtube-nocookie.com/embed/qkJqcrLf8rM TeamSTEPPS Patient Video: Tara (7:1…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45935/psn-pdf
    September 29, 2017 - Radiology research in quality and safety: current trends and future needs. September 29, 2017 Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021. https://psnet.ahrq.gov/issue/radiolog…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848085/psn-pdf
    April 26, 2023 - Understanding complexity in a safety critical setting: a systems approach to medication administration. April 26, 2023 Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:104000. doi:10.1016/j.apergo.2023.1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43779/psn-pdf
    May 28, 2015 - Debriefing in the emergency department after clinical events: a practical guide. May 28, 2015 Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019. https://psnet.ahrq.gov/issue/debri…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34784/psn-pdf
    June 24, 2015 - The potential for improved teamwork to reduce medical errors in the emergency department. June 24, 2015 Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4. https://ps…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844057/psn-pdf
    February 08, 2023 - Impact of medical education on patient safety: finding the signal through the noise. February 8, 2023 Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. https://psnet.ahrq.gov/issue/impact-medical-edu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44957/psn-pdf
    March 09, 2016 - Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. March 9, 2016 ISMP Medication Safety Alert! Acute care edition. February 25, 2016;21(4):1-5. https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-the…
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication6.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Conclusions Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. D…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48034/psn-pdf
    May 22, 2019 - Chasing zero harm in radiation oncology: using pre- treatment peer review. May 22, 2019 Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre- treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. https://psnet.ahrq.gov/issue/chasing-zero-harm-ra…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47461/psn-pdf
    December 27, 2018 - IV push medications survey results—part 1 and part 2. December 27, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. https://psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2 Errors in the administration of intravenous medications can r…
  20. www.ahrq.gov/ncepcr/about/pcr-webinar-series/person-centered-care.html
    July 01, 2024 - NCEPCR Webinar: Research on Person-Centered Care This webinar features research on person-centered techniques, models, tools, and programs and their impact on patient health outcomes. Three presenters discuss their research on the associations between shared decision making and chronic care; how primary care cl…