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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46087/psn-pdf
    September 24, 2017 - Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. September 24, 2017 Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Important Legal Precedent From the da…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844765/psn-pdf
    September 18, 2019 - Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019 Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45230/psn-pdf
    July 20, 2016 - Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. July 20, 2016 Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.0000000000000532. https://psnet.ahrq.gov/issu…
  4. 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 …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48019/psn-pdf
    June 26, 2019 - Please reconcile, not wait a while. June 26, 2019 Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while Medication reconciliation to ensure ac…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46873/psn-pdf
    June 27, 2018 - Diagnostic errors and the bedside clinical examination. June 27, 2018 Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. https://psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination Diag…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50418/psn-pdf
    January 01, 2020 - Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. September 1, 2019 Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Safety Curriculum. American Journal o…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46984/psn-pdf
    April 04, 2018 - Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. April 4, 2018 Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident W…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50651/psn-pdf
    November 13, 2019 - How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. November 13, 2019 Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic rev…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45432/psn-pdf
    September 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43978/psn-pdf
    September 01, 2016 - Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. September 1, 2016 Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm. 2015;50(2):113-7. doi:10.1310/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45013/psn-pdf
    April 13, 2016 - Good Practice Guides on Medication Errors: Part 1 and Part 2. April 13, 2016 Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264- 016-0410-4. https://psnet.ahrq.gov/issue/go…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43277/psn-pdf
    June 18, 2014 - The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. June 18, 2014 Weick-Brady M, Singh S. The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. Home Healthc Nurse. 2014;32(6):343-8. doi:10.1097/NHH.0000000000…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43799/psn-pdf
    January 07, 2015 - Omission of high-alert medications: a hidden danger. January 7, 2015 Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med…
  15. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
    September 26, 2019 - hospital’s multi-faceted intervention included antibiotic stewardship measures, contact isolation, and enhanced … Toth et al., 201719 • Enhanced contact isolation • Active surveillance The model’s intervention … Active surveillance and enhanced contact isolation were found to be successful in one model of LTACHs … high Organism: CP-KP Toth et al., 201719 Mathematical model that measured the effects of enhanced … The enhanced isolation model accounted for patients contributing 75% less to transmission rate compared
  16. www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
    January 01, 2024 - in the data: 1) changing interactions between facilitators, 2) shift in debriefing content, and 3) enhanced … Theme 3: Enhanced interprofessional learning Prior to implementation of the guidelines, interprofessional … team dynamics and created an environment in which interprofessional learning between team members was enhanced … A history of simulation-enhanced interprofessional education.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
    June 02, 2025 - o Process efficiencies and enhanced team communication save the staff time.
  18. psnet.ahrq.gov/print/pdf/node/865308
    January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Organizational Learning Curated Library Foundations Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35. This comment…
  19. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023960-rudin-final-report-2018.pdf
    January 01, 2018 - Using mHealth and Patient-Reported Outcomes to Deliver Evidence-Based Asthma Care - Final Report Using mHealth and Patient-Reported Outcomes to Deliver Evidence-Based Asthma Care Final Report Principal Investigator and Team Members: Robert S. Rudin, PI; Maria O. Edelen, Co-I; David W. Bates, Co…
  20. psnet.ahrq.gov/curated-library/maternal-safety
    January 31, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Maternal Safety  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team …