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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60297/psn-pdf
    January 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46230/psn-pdf
    September 24, 2017 - Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. September 24, 2017 Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41464/psn-pdf
    November 26, 2014 - Risk of unintentional overdose with non-prescription acetaminophen products. November 26, 2014 Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3. https://psnet.ahrq.gov/issue/risk-uni…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847719/psn-pdf
    April 19, 2023 - Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. April 19, 2023 Crowley N. Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. Prim Care. 2023;50(1):89-101. doi:10.1016/j.pop.2022.10.002. https://psnet.ah…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35565/psn-pdf
    June 16, 2011 - Error, stress, and teamwork in medicine and aviation: cross sectional surveys. June 16, 2011 Sexton JB. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2002;320(7237):745-749. doi:10.1136/bmj.320.7237.745. https://psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviat…
  6. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/01-pt-narratives-support-px-strategy-intro.pdf
    December 10, 2024 - How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) - Introduction How Patient Narratives Can Support Your Patient Experience Strategy A Webinar Presented by the AHRQ CAHPS User Network Tuesday, December 10, 2024 1:00 – 2:00 pm ET Webcast Technical Info • Audio issues • Poor connecti…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74760/psn-pdf
    February 09, 2022 - We're all in this together: how COVID-19 revealed the co- construction of mindful organising and organisational reliability. February 9, 2022 Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co- construction of mindful organising and organisational reliability. BMJ Qual…
  8. www.ahrq.gov/hai/cusp/cauti-interim/index.html
    July 01, 2013 - Eliminating CAUTI: Interim Data Report Next Page Table of Contents Eliminating CAUTI: Interim Data Report Executive Summary Introduction and Objectives Methods Results Outcome and Process Measures Culture Measures Conclusions A National Patient Safety Imperative This in…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47251/psn-pdf
    July 25, 2018 - Fail-safe patient ID matching remains just out of reach. July 25, 2018 Arndt RZ. Mod Healthc. July 14, 2018. https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach Similarities in patient names and clinical situations can result in medical errors. Discussing how digital technologies can …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47034/psn-pdf
    May 16, 2018 - Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. May 16, 2018 John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945. htt…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45085/psn-pdf
    May 04, 2016 - A piece of my mind. The patient you least want to see. May 4, 2016 Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221. https://psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see Providing insights from a physician regarding the complexit…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38697/psn-pdf
    June 10, 2009 - A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. June 10, 2009 Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44616/psn-pdf
    November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. November 4, 2015 Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39745/psn-pdf
    September 09, 2010 - Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations. September 9, 2010 Wagner MJ, Wolf S, Promes S, et al. Duty hours in emergency medicine: balancing patient …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837428/psn-pdf
    June 15, 2022 - A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. June 15, 2022 Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Patient Saf. 2022;18(4):358-364. doi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45445/psn-pdf
    September 27, 2016 - Using Kotter's change model for implementing bedside handoff: a quality improvement project. September 27, 2016 Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212. https:/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861286/psn-pdf
    January 24, 2024 - Surgical safety does not happen by accident: learning from perioperative near miss case studies. January 24, 2024 Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15. doi:10.1016/j.jopa…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34843/psn-pdf
    March 02, 2011 - Hand hygiene among physicians: performance, beliefs, and perceptions. March 2, 2011 Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. https://psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-percept…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39856/psn-pdf
    December 21, 2014 - Patient perceptions of mistakes in ambulatory care. December 21, 2014 Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. https://psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care Pat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46999/psn-pdf
    June 27, 2018 - Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. June 27, 2018 Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and- polsts Patient harm associated with adva…