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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73408/psn-pdf
    July 27, 2023 - Patient Safety/Quality Improvement Primer. July 27, 2023 Otolaryngol Head Neck Surg. 2018-2023. https://psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present in surgical care. This series of articles highli…
  2. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/worksheet.html
    July 01, 2023 - Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership AHRQ Safety Program for Perinatal Care Purpose: To enhance communication and shared problem solving between clinical staff and senior executives with respect to patient safety issues on the labor and delivery unit. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39435/psn-pdf
    April 07, 2010 - Patient safety in surgery: non-technical aspects of safe surgical performance. April 7, 2010 Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4. https://psnet.ahrq.gov/issue/patient-safety-surgery-non-technica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841198/psn-pdf
    December 07, 2022 - Technology, Education and Safety. December 7, 2022 Arna D, ed. Curr Opin Anaesthesiol. 2022;35(6):710-737. https://psnet.ahrq.gov/issue/technology-education-and-safety-1 Safety challenges in anesthesiology and perioperative care are high-risk situations. This segment of a reoccurring special section covers strateg…
  5. digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/effect
    January 01, 2023 - Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Grannis SJ, Xu H, Vest JR, Kasthurirathne S, Bo N, Moscovitch B, Torkzadeh R, Rising J. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. …
  6. digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/evaluation
    January 01, 2023 - Evaluation of real-world referential and probabilistic patient matching to advance patient identification strategy. Citation Grannis SJ, Williams JL, Kasthuri S, Murray M, Xu H. Evaluation of real-world referential and probabilistic patient matching to advance patient identification strategy. J Am Med…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43964/psn-pdf
    November 25, 2015 - Simulation-based Surgical Education. November 25, 2015 Surgery. 2015;158:1395-1440. https://psnet.ahrq.gov/issue/simulation-based-surgical-education Simulation training is widely accepted as a method to enhance operative techniques and nontechnical behaviors. Articles in this special issue cover topics in surgical…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44137/psn-pdf
    May 13, 2015 - AHRQ Patient Safety YouTube Channel. May 13, 2015 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel This Web site hosts a collection of training videos to highlight two improvement strategies: the Comprehensive Unit-based Safety Program and …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42180/psn-pdf
    April 22, 2013 - Building collaborative teams in neonatal intensive care. April 22, 2013 Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909. https://psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care An i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44071/psn-pdf
    November 16, 2015 - Quality Improvement in Neurosurgery. November 16, 2015 Rolston JD, Han SJ, Parsa AT, eds. Neurosurg Clin N Am. 2015;26(2):143-322. https://psnet.ahrq.gov/issue/quality-improvement-neurosurgery This special issue covers elements of safe care delivery in neurosurgery and features articles exploring the use of simula…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46824/psn-pdf
    June 26, 2018 - Management reasoning: beyond the diagnosis. June 26, 2018 Cook DA, Sherbino J, Durning SJ. Management Reasoning: Beyond the Diagnosis. JAMA. 2018;319(22):2267-2268. doi:10.1001/jama.2018.4385. https://psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis This commentary reviews five differences between diagno…
  12. digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/understanding
    January 01, 2023 - Toward a better understanding of task demands, workload, and performance during physician-computer interactions. Citation Mazur LM, Mosaly PR, Moore C, et al. Toward a better understanding of task demands, workload, and performance during physician-computer interactions. J Am Med Inform Assoc 2016 Mov…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864868/psn-pdf
    March 27, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices March 27, 2024 Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices Background Transitions of care occur …
  14. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
    August 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025 Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare April 18, 2025, 10 AM–Noon 1 Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriation…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
    October 01, 2016 - We employed a highly engaged process to develop an enhanced set of measures. … Two excellent measures proposed by The Vermont Oxford Network (VON) are complemented and enhanced by … multidisciplinary expert panel who participated in a two-round RAND/UCLA modified Delphi process, with enhanced … temperature measurement, and specific and meaningful temperature cutoffs, were developed using an enhanced
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45932/psn-pdf
    May 18, 2017 - Polypharmacy. May 18, 2017 Zagaria MAE, ed. Clin Geriatr Med. 2017;33:153-292. https://psnet.ahrq.gov/issue/polypharmacy Older patients are likely to be prescribed multiple medications, which can increase risks. Articles in this special issue explore polypharmacy in a variety of care settings and provide tactics f…
  17. digital.ahrq.gov/ahrq-funded-projects/patient-centered-informatics-system-enhance-health-care-rural-communities-0
    January 01, 2023 - Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings. Citation Hung M, Carter M, Hayden C, et al. Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings. Qual Life Res 2013 Apr;22(3):521-9. Link http://www.ncbi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837813/psn-pdf
    January 21, 2021 - Recognizing Excellence in Diagnosis. January 21, 2021 The Leapfrog Group. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise to be successful. This collaborative initiative will initially dev…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38452/psn-pdf
    December 30, 2014 - The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference. December 30, 2014 Sanborn M, Gabay M, Moody ML. Hosp Pharm. 2009;44:159-164. https://psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999- consensus-develo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42521/psn-pdf
    August 21, 2013 - Why your TeamSTEPPS program may not be working. August 21, 2013 Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007. https://psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working This commentary explores barriers to implementi…