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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73572/psn-pdf
    August 04, 2021 - Center for Innovations in Quality, Effectiveness and Safety. IQuESt! August 4, 2021 Houston, TX:  Baylor College of Medicine. https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42595/psn-pdf
    November 25, 2013 - Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request. November 25, 2013 Agency for Healthcare Research and Quality. Federal Register. August 27, 2013;78:52927-52929. https://psnet.ahrq.gov/issue/agency-information-colle…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45793/psn-pdf
    July 19, 2024 - SHOT Annual Report. July 19, 2024 S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. https://psnet.ahrq.gov/issue/shot-annual-report-2019 Although errors in the blood transfusion process are rare, they can be harmful. This annual report provides an anal…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44553/psn-pdf
    October 07, 2015 - A medical detective story: why doctors make diagnostic errors. October 7, 2015 Landro L. Wall Street Journal. September 26, 2015. https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44703/psn-pdf
    December 16, 2015 - Defining the Role of Social Sciences in Patient Safety. December 16, 2015 Su L, Fernandez R, Grand J, et al, eds. Curr Probl Pediatr Adolesc Health Care. 2015;45:365-394. https://psnet.ahrq.gov/issue/defining-role-social-sciences-patient-safety Applying principles from other fields, such as aviation and nuclear pow…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41053/psn-pdf
    December 30, 2014 - Time to accelerate integration of human factors and ergonomics in patient safety. December 30, 2014 Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. https://psnet.ahrq.gov/issue/time-acc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41668/psn-pdf
    December 21, 2014 - A surgical simulation curriculum for senior medical students based on TeamSTEPPS. December 21, 2014 Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340. https://psnet.ahrq.gov/issue/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43152/psn-pdf
    May 07, 2014 - The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014 Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. https://psnet.ahrq.gov/issue/trainees-voice-recog…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46971/psn-pdf
    July 18, 2018 - The Future of NHS Patient Safety Investigation. July 18, 2018 NHS Improvement. London, UK: National Health Service; 2018. https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation Organizational processes to investigate adverse care incidents play an important part in generating the learning needed for …
  10. digital.ahrq.gov/ahrq-funded-projects/ambulatory-clinic-exam-room-design-respect-computing-devices-enhance-patient/citation/provider
    January 01, 2023 - Provider preference in exam room layout design and computing. Citation Read JM, Weiler DT, Satterly T, Soares C, Saleem JJ. Provider preference in exam room layout design and computing. Appl Clin Inform. 2019 Oct;10(5):972-980. doi: 10.1055/s-0039-3401813. Epub 2019 Dec 25. PMID: 31875647. Link …
  11. digital.ahrq.gov/location/usa-ky-louisville
    January 01, 2023 - USA, KY, Louisville Ambulatory Clinic Exam Room Design With Respect to Computing Devices to Enhance Patient Centeredness Description This project studied the impact of changing the computing layout in a clinical exam room and evaluated its impact on workflow and patient center…
  12. digital.ahrq.gov/organization/purdue-university
    January 01, 2023 - Purdue University An Evaluation of the Spread and Scale of PatientToc™ From Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes Description The research team implemented PatientToc™ - a mobile application for patient-reported outcomes co…
  13. digital.ahrq.gov/location/usa-west-lafayette
    January 01, 2023 - USA, IN, West Lafayette An Evaluation of the Spread and Scale of PatientToc™ From Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes Description The research team implemented PatientToc™ - a mobile application for patient-reported outco…
  14. digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/relating
    January 01, 2023 - Relating task demand, mental effort and task difficulty with physicians’ performance during interactions with electronic health records (EHRs). Citation Mosaly P, Mazur LM, Fei Y, et al. Relating task demand, mental effort and task difficulty with physicians’ performance during interactions with elect…
  15. digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/usability
    January 01, 2023 - Association of the usability of electronic health records with cognitive workload and performance levels among physicians. Citation Mazur LM, Mosaly PR, Moore C, Marks L. Association of the usability of electronic health records with cognitive workload and performance levels among physicians. JAMA Net…
  16. digital.ahrq.gov/care-setting/urgent-care-center
    January 01, 2023 - Urgent Care Center Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgent care by …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37071/psn-pdf
    September 30, 2011 - Improving patient safety in radiotherapy by learning from near misses, incidents and errors. September 30, 2011 Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. https://psnet.ahrq.gov/issue/improving-patient-safety-radiother…
  18. digital.ahrq.gov/organization/american-association-homes-and-services-aged
    January 01, 2023 - American Association of Homes and Services for the Aged Telemonitoring in Rural Elder Nutrition Centers: Demonstration Project of Hypertension Management - 2011 Principal Investigator Resnick, Helaine Project Name Telemonitoring in Rural Elder Nutrition Centers: …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44232/psn-pdf
    January 29, 2019 - Optimizing medication safety in the home. January 29, 2019 LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. https://psnet.ahrq.gov/issue/optimizing-medication-safety-home Patients who receive home care services are vulnerable to a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43371/psn-pdf
    June 19, 2019 - Medication Safety Officer's Handbook. June 19, 2019 Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. https://psnet.ahrq.gov/issue/medication-safety-officers-handbook This book provides information about medication errors and quality improvement to gui…