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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47539/psn-pdf
    November 28, 2018 - The star of the diagnostic journey: assessing patient perspectives. November 28, 2018 Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45. https://psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives Patients are increasingly seen as partners in efforts to improve health ca…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43185/psn-pdf
    May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44550/psn-pdf
    September 30, 2015 - Infections associated with reprocessed flexible bronchoscopes. September 30, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes Use of incompletely cleaned medical devices has b…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50805/psn-pdf
    January 15, 2020 - Advancing safety with closed-loop communication of test results. January 15, 2020 Quick Safety. December 17, 2019;(52):1-3. https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…
  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/43591/psn-pdf
    August 02, 2015 - The automated operating room: a team approach to patient safety and communication. August 2, 2015 Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825. https://psnet.ahrq.gov/issue/au…
  7. 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 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41360/psn-pdf
    September 30, 2012 - The simulated ward: ideal for training clinical clerks in an era of patient safety. September 30, 2012 Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050. https://psnet.ahrq.gov/issue/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43152/psn-pdf
    May 07, 2014 - The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014 Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. https://psnet.ahrq.gov/issue/trainees-voice-recog…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34782/psn-pdf
    November 01, 2016 - When systems fail. November 1, 2016 Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090- 2616(01)00025-0. https://psnet.ahrq.gov/issue/when-systems-fail This review provides a detailed account of managerial causes of failure and managerial failure prevention strategies. The aut…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46055/psn-pdf
    July 26, 2017 - Bridging the gap between work-as-imagined and work-as- done. July 26, 2017 Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done Understanding what is possible in the context of frontline practice is key when designing enhancements …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44503/psn-pdf
    November 18, 2024 - Certified Professional in Patient Safety Review Course. November 18, 2024 Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern). https://psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course This online class prepares individuals to apply for the Institute for Healthca…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44703/psn-pdf
    December 16, 2015 - Defining the Role of Social Sciences in Patient Safety. December 16, 2015 Su L, Fernandez R, Grand J, et al, eds. Curr Probl Pediatr Adolesc Health Care. 2015;45:365-394. https://psnet.ahrq.gov/issue/defining-role-social-sciences-patient-safety Applying principles from other fields, such as aviation and nuclear pow…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43322/psn-pdf
    January 28, 2015 - Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. January 28, 2015 Oakbrook, IL: Joint Commission Resources; January 2014. https://psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies This toolkit draws from experiences of the Joint …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860400/psn-pdf
    January 10, 2024 - AHA Patient Safety Initiative. January 10, 2024 American Hospital Association. https://psnet.ahrq.gov/issue/aha-patient-safety-initiative Leadership at the organization and system level is crucial to gaining improvement traction and sustainability. This initiative centers on safety culture, care inequities, and wo…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37216/psn-pdf
    July 28, 2010 - Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. July 28, 2010 Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. https://psnet.ahrq.gov/issue/discharge-rounds-80-hour-workwee…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47354/psn-pdf
    November 21, 2018 - Improving Diagnosis in Medicine Change Package. November 21, 2018 Chicago, IL: Health Research & Educational Trust; 2018. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package Proactive identification of conditions that degrade the diagnostic process can drive improvement. This toolkit provides …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845658/psn-pdf
    June 08, 2023 - Simulation Articles of Influence. June 8, 2023 Society for Simulation in Healthcare. 2017-2023. https://psnet.ahrq.gov/issue/simulation-articles-influence Simulation can be used to reveal teamwork coordination gaps and latent factors that contribute to failure. This article collection has been curated by experts i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40658/psn-pdf
    August 03, 2011 - Development and validation of a tool to improve paediatric referral/consultation communication. August 3, 2011 Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781. https:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43356/psn-pdf
    July 16, 2014 - Introducing the safety score audit for staff member and patient safety. July 16, 2014 Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. https://psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-membe…