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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42978/psn-pdf
    February 26, 2014 - The Francis Report: One Year On. February 26, 2014 Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.  https://psnet.ahrq.gov/issue/francis-report-one-year This publication offers insights from acute care hospital staff in England regarding recommendations from the Francis rep…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44912/psn-pdf
    November 18, 2016 - Patient safety in genomic medicine: an exploratory study. November 18, 2016 Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16. https://psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study This …
  3. 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…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42370/psn-pdf
    June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44237/psn-pdf
    November 03, 2015 - Consistent with prior studies, the authors recommend enhancing communication among team members to augment
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38193/psn-pdf
    November 05, 2008 - hospital-finances-and-patient-safety-outcomes https://psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39745/psn-pdf
    September 09, 2010 - duty-hours-emergency-medicine-balancing-patient-safety-resident-wellness-and-resident https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47035/psn-pdf
    April 18, 2018 - should take to improve diagnosis in primary care, such as leading efforts to reduce diagnostic error, enhancing
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36804/psn-pdf
    August 26, 2011 - analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42619/psn-pdf
    January 23, 2019 - organizational safety and reliability from other industries, the authors identify three key domains critical to enhancing
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40364/psn-pdf
    July 01, 2011 - psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40859/psn-pdf
    October 19, 2011 - issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive- support-necessary By enhancing
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43764/psn-pdf
    July 03, 2016 - This commentary describes a rounding process that focuses on enhancing safety culture, engaging patients
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39197/psn-pdf
    January 06, 2010 - root-cause-analysis https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43027/psn-pdf
    July 23, 2014 - improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44513/psn-pdf
    September 23, 2015 - recommendations to improve diagnosis, including promoting teamwork among interdisciplinary health care teams, enhancing
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47516/psn-pdf
    December 19, 2018 - Diverse stakeholders in Australia established an agenda for enhancing test result management, which
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44819/psn-pdf
    June 21, 2016 - notes the lack of systems to ensure clinicians' awareness of patients' opioid overdoses and recommends enhancing

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