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2981. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45015/psn-pdf
      July 18, 2016 - Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. July 18, 2016 Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577. https://psnet.ahr…

2982. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48058/psn-pdf
      June 19, 2019 - Organisational learning in hospitals: a concept analysis. June 19, 2019 Lyman B, Hammond EL, Cox JR. Organisational learning in hospitals: A concept analysis. J Nurs Manag. 2019;27(3):633-646. doi:10.1111/jonm.12722. https://psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis Organizations are …

2983. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40672/psn-pdf
      September 03, 2011 - Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. September 3, 2011 Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Jt Comm J Qual Pat…

2984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47241/psn-pdf
      October 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. October 10, 2018 McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291. https://psnet.ahrq.gov/issu…

2985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72561/psn-pdf
      December 09, 2020 - Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. December 9, 2020 Washington DC; United States Government Accountability Office; November 26, 2020. Publication GAO- 21-7SP. https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challeng…

2986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72828/psn-pdf
      March 10, 2021 - A recurring call to action: every healthcare organization needs a medication safety officer! March 10, 2021 ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4. https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety- officer Leadership ro…

2987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47615/psn-pdf
      January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute; 2019. https://psnet.ahrq.g…

2988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47246/psn-pdf
      September 19, 2018 - Implementing Optimal Team-Based Care to Reduce Clinician Burnout. September 19, 2018 Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2018. https://psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout Teamwork can contribute to a h…

2989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46691/psn-pdf
      December 06, 2017 - Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. December 6, 2017 Washington, DC: United States Government Accountability Office; November 2017. Publication GAO-18- 63. https://psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-rep…

2990. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47076/psn-pdf
      August 15, 2018 - Incident learning in radiation oncology: a review. August 15, 2018 Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800. https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review Learning from adverse events is a core component of …

2991. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44330/psn-pdf
      September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop Summary. September 2, 2015 Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN: 9780309371544. https://psnet.…

2992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43876/psn-pdf
      September 09, 2015 - Improving medication administration safety in a community hospital setting using Lean methodology. September 9, 2015 Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/NCQ.0000000000000112. https://psnet.…

2993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867700/psn-pdf
      March 01, 2023 - Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 2023. https://psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections Eliminatin…

2994. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44988/psn-pdf
      September 20, 2016 - The promise of big data: improving patient safety and nursing practice. September 20, 2016 Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux). 2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09. https://psnet.ahrq.gov/issue/promise-big-data-improving…

2995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36511/psn-pdf
      January 07, 2011 - Facing ambiguous threats. January 7, 2011 Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. https://psnet.ahrq.gov/issue/facing-ambiguous-threats This study describes how organizations respond to signs that may or may not portend future catastrophes. The authors…

2996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47101/psn-pdf
      December 21, 2018 - Education and reporting of diagnostic errors among physicians in internal medicine training programs. December 21, 2018 Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178(11):1548-1549. doi:10.1001/ja…

2997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45297/psn-pdf
      July 13, 2016 - Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. July 13, 2016 Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. BMJ. …

2998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44055/psn-pdf
      April 15, 2015 - Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. April 15, 2015 Rockville, MD: Agency for Healthcare Research and Quality; February 2015. AHRQ Publication No. 15- 0021. https://psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats Simulation …

2999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43285/psn-pdf
      July 16, 2014 - Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. July 16, 2014 Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. J Contin Educ Nurs. 2014;…

3000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47653/psn-pdf
      January 16, 2019 - Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. January 16, 2019 Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Res Social Adm Pharm…