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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45350/psn-pdf
    October 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38096/psn-pdf
    January 02, 2017 - Handoffs causing patient harm: a survey of medical and surgical house staff. January 2, 2017 Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. https://psnet.ahrq.gov/issue/handoffs-causing-patient-harm-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44098/psn-pdf
    April 29, 2015 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. April 29, 2015 McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquire…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47806/psn-pdf
    January 01, 2021 - Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. February 27, 2019 Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health Care Delivery Research: An Ongoing …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47044/psn-pdf
    April 18, 2018 - Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. April 18, 2018 Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38625/psn-pdf
    November 19, 2009 - The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. November 19, 2009 van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? study: a cluster randomised trial…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34849/psn-pdf
    May 14, 2012 - The end of the beginning: patient safety five years after 'To Err Is Human.' May 14, 2012 Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50792/psn-pdf
    January 15, 2020 - Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center January 15, 2020 Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37324/psn-pdf
    February 16, 2011 - A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. February 16, 2011 Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Acad Med. 2007;82…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41686/psn-pdf
    September 19, 2012 - The association between sepsis and potential medical injury among hospitalized patients. September 19, 2012 Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556. https://psnet.ahrq.gov/issue/as…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38029/psn-pdf
    September 03, 2008 - Minimizing surgical error by incorporating objective assessment into surgical education. September 3, 2008 Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038. https://psnet.ahr…
  13. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/readiness.html
    May 01, 2017 - Readiness To Partner With Patient and Family Advisers - Patient and Family Engagement in the Surgical Environment Module As a clinician or staff member, I am ready to work with patient and family advisers when— |___| I believe in the importance of patient and family participation in planning and d…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44577/psn-pdf
    October 21, 2015 - Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. October 21, 2015 Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891. https://psn…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36407/psn-pdf
    April 19, 2011 - Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. April 19, 2011 Gillman L, Leslie G, Williams T, et al. Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47111/psn-pdf
    September 26, 2018 - Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. September 26, 2018 Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study. Int J Nu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50406/psn-pdf
    October 02, 2019 - The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns October 2, 2019 Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation and evaluation of a serious board game 'Pl…
  18. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-11.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.11. Dissemination of Results from Lean Projects Throughout the Organization Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Cas…
  19. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/case-study.html
    March 01, 2017 - Antibiotic Stewardship: Case Study Worksheet AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Instructions: Divide into small groups of two to three people. Ask each group to work through each part of the case scenario, pausing for discussion before moving to the next section. Useful R…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45914/psn-pdf
    March 20, 2018 - Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. March 20, 2018 Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours Restrictions: A Thematic Analysis of Published Viewpoints in Su…