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3561. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47387/psn-pdf
      September 12, 2018 - Guideline implementation: team communication. September 12, 2018 Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. https://psnet.ahrq.gov/issue/guideline-implementation-team-communication Although team development has rec…

3562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73255/psn-pdf
      May 12, 2021 - Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. May 12, 2021 National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Academies Press. https://psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care Primary…

3563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44281/psn-pdf
      July 22, 2015 - Surgeon Scorecard. July 22, 2015 Wei S; Allen M; Pierce O. https://psnet.ahrq.gov/issue/surgeon-scorecard Transparency has been advocated as a key element of safe, patient-centered care, but data on individual performance has not been made widely available. This database compiles the death and complication rates …

3564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43778/psn-pdf
      April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph, but call him Joe. April 22, 2015 Sun LH. https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe This newspaper article reports on a pilot program which involved redesigning intensive care unit processes to enhance staff knowled…

3565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43057/psn-pdf
      January 01, 2015 - Health care huddles: managing complexity to achieve high reliability. December 12, 2014 Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. https://psnet.ahrq.gov/issue/health-care-h…

3566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60695/psn-pdf
      July 15, 2020 - The coronavirus pandemic’s wider health-care crisis. July 15, 2020 Khullar D. The coronavirus pandemic’s wider health-care crisis. New Yorker. 2020;Jun 29. https://psnet.ahrq.gov/issue/coronavirus-pandemics-wider-health-care-crisis The COVID-19 crisis has disrupted care delivery around the globe. This story discuss…

3567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46810/psn-pdf
      April 18, 2018 - Unintended doses in radiotherapy—over, under and outside? April 18, 2018 Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863. https://psnet.ahrq.gov/issue/unintended-doses-radiotherapy-over-under-and-outside…

3568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42415/psn-pdf
      July 24, 2013 - Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. July 24, 2013 Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Jt Comm J Qual Patient Saf. 2013;39(6)…

3569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41771/psn-pdf
      March 20, 2018 - Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. March 20, 2018 Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 12- 0041. https://psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-prof…

3570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844792/psn-pdf
      January 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…

3571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46104/psn-pdf
      May 03, 2017 - Secret data on hospital inspections may soon become public. May 3, 2017 Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017. https://psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public Summary data about serious errors in hospitals are available, but often detail…

3572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44200/psn-pdf
      February 18, 2019 - Structured handover in general surgery: an audit of current practice. February 18, 2019 Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. https://psnet.ahrq.gov/issue/structured-handover-general-…

3573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60192/psn-pdf
      April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce…

3574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46414/psn-pdf
      January 10, 2018 - Leveraging the electronic health record to improve quality and safety in rheumatology. January 10, 2018 Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. https://psnet.ahrq.gov/issue/lev…

3575. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45223/psn-pdf
      September 27, 2017 - Hospital safety climate and safety behavior: a social exchange perspective. September 27, 2017 Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118. https://psnet.ahrq.gov/issue…

3576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48167/psn-pdf
      August 28, 2019 - ASHP guidelines on perioperative pharmacy services. August 28, 2019 Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. https://psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services Pharm…

3577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43961/psn-pdf
      August 02, 2015 - Reducing inappropriate polypharmacy: the process of deprescribing. August 2, 2015 Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. https://psnet.ahrq.gov/issue/reducing-inappropriate-pol…

3578. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39572/psn-pdf
      January 03, 2017 - The tangible handoff: a team approach for advancing structured communication in labor and delivery. January 3, 2017 Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient Saf. 2010;36(6):282-287, 241. https:…

3579. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46043/psn-pdf
      April 05, 2017 - High-reliability and the I-PASS communication tool. April 5, 2017 Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. https://psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool High reliability has y…

3580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46301/psn-pdf
      October 11, 2017 - Care transitions know-how not just for clinicians. October 11, 2017 Ready T. HealthLeaders Media. September 26, 2017. https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians Transitions are an error-prone process. This news article reports that organizational leadership should be engaged in enha…