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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44444/psn-pdf
    September 02, 2015 - Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. September 2, 2015 Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;41(9):387-395. https://psnet.ahrq.g…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46606/psn-pdf
    July 10, 2019 - Implementation of a mock root cause analysis to provide simulated patient safety training. July 10, 2019 Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096. https://psnet.ahrq.gov/iss…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73979/psn-pdf
    January 01, 2022 - The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians. October 20, 2021 Aasen L, Johannessen A?K, Ruud Knutsen I, et al. The work of nurses to provide good and safe services to children rec…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45484/psn-pdf
    December 04, 2016 - High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. December 4, 2016 Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44616/psn-pdf
    November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. November 4, 2015 Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45365/psn-pdf
    August 03, 2016 - Workarounds and test results follow-up in electronic health record–based primary care. August 3, 2016 Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135. https://psnet.ahrq.g…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73133/psn-pdf
    April 14, 2021 - A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. April 14, 2021 Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43141/psn-pdf
    April 30, 2014 - Engaging residents and fellows to improve institution- wide quality: the first six years of a novel financial incentive program. April 30, 2014 Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46065/psn-pdf
    January 01, 2021 - Measurement as a performance driver: the case for a national measurement system to improve patient safety. April 26, 2017 Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134. doi:10.10…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47001/psn-pdf
    August 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45594/psn-pdf
    December 19, 2017 - Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. December 19, 2017 Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Meaningful Resident Quality and Safet…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45145/psn-pdf
    January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. January 8, 2018 Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family Involvement in Care in a Pediatric…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47388/psn-pdf
    March 13, 2019 - Artificial intelligence systems for complex decision- making in acute care medicine: a review. March 13, 2019 Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2. https://psnet.ahrq.gov/issue/artificial-in…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45340/psn-pdf
    August 17, 2016 - To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. August 17, 2016 Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48119/psn-pdf
    August 07, 2019 - Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. August 7, 2019 Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inp…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46142/psn-pdf
    June 14, 2017 - Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. June 14, 2017 Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. https://psnet.ahrq.gov/issue/introducing-new-ju…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44930/psn-pdf
    June 01, 2016 - How well is quality improvement described in the perioperative care literature? A systematic review. June 1, 2016 Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2016;42(5):196-206. https://psnet.ahr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47216/psn-pdf
    July 11, 2018 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. July 11, 2018 Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380. https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45014/psn-pdf
    July 18, 2016 - Improving patient safety through simulation training in anesthesiology: where are we? July 18, 2016 Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523. https://psnet.ahrq.gov/issue/impro…

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