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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47030/psn-pdf
    June 06, 2018 - Creating a safer operating room: groups, team dynamics and crew resource management principles. June 6, 2018 Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008. https://p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60650/psn-pdf
    July 01, 2020 - COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends. July 1, 2020 Young E. COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disb…
  3. www.ahrq.gov/talkingquality/distribute/promote/multiple/index.html
    September 01, 2019 - Using Multiple Strategies To Promote a Health Care Quality Report Effective promotion of a comparative quality report requires a multi-faceted approach. Even if you have focused carefully on a particular group, you are still trying to communicate with a large and probably diverse audience. That means that the…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45859/psn-pdf
    August 03, 2017 - Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. August 3, 2017 Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Education. Orthopedics. 2017;40(4):e628-e635…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61101/psn-pdf
    November 04, 2020 - Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. November 4, 2020 Farnborough, UK; Healthcare Safety Investigation Branch. October 2020 https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following- thrombol…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60613/psn-pdf
    June 24, 2020 - A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. June 24, 2020 Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Ann Intern Med. 2020;172(11_Supp):S92…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47596/psn-pdf
    March 27, 2019 - Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. March 27, 2019 Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnost…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853241/psn-pdf
    September 06, 2023 - Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. September 6, 2023 McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non?24/7 theatre on?site staffed obstetric units. Aust N Z J Obstet Gynaecol. 2023;63(4):606-611. doi:10.111…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44568/psn-pdf
    October 21, 2015 - Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. October 21, 2015 Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. J…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866937/psn-pdf
    October 09, 2024 - Improving nursing home safety through adoption of a practical resilient health care approach. October 9, 2024 Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014. doi:10.1016/j.jamda.2024.03.124. ht…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72504/psn-pdf
    November 25, 2020 - Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. November 25, 2020 McMullen KM, Smith BA, Rebmann T. Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. Am J Infect Control. 2020;48(11):1409-1411…
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/1-2023hcbs-survey-webcast-shaller.pdf
    June 06, 2024 - Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Opening Participating in the 2023 CAHPS® Home and Community-Based Services (HCBS CAHPS) Survey Database: What You Need to Know A Webcast Presented by the AHRQ CAHPS User Network June 6, 2024 3:30pm Webc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35511/psn-pdf
    May 31, 2011 - An objective methodology for task analysis and workload assessment in anesthesia providers. May 31, 2011 Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. Anesthesiology. 2006;80(1):77-92. doi:10.1097/00000542- 199401000-00015. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43812/psn-pdf
    January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. January 14, 2015 Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14- 04705-62. https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46830/psn-pdf
    May 30, 2018 - A call to bridge across silos during care transitions. May 30, 2018 Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866447/psn-pdf
    August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. August 7, 2024 Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856634/psn-pdf
    January 01, 2024 - Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. November 29, 2023 Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Patient Saf. 2024;50(2):139-148. d…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74037/psn-pdf
    January 01, 2022 - Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. November 3, 2021 Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152. doi:10.1136/bmjqs-2021-014163. http…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851456/psn-pdf
    July 19, 2023 - Nurses and nursing students as second victims: a scoping review. July 19, 2023 Sahay A, McKenna L. Nurses and nursing students as second victims: a scoping review. Nurs Outlook. 2023;71(4):101992. doi:10.1016/j.outlook.2023.101992. https://psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-rev…