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5241. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39796/psn-pdf
      July 09, 2013 - Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. July 9, 2013 Romano PS, Hussey P, Ritley D. Rockville, MD: Agency for Healthcare Research and Quality; 2010. AHRQ Publication No. 09(10)-0073. https://psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures…

5242. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60157/psn-pdf
      March 25, 2020 - Conspicuous by its absence: diagnostic expert testing under uncertainty. March 25, 2020 Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci. 2020;39(3):540-563. doi:10.1287/mksc.2019.1201. https://psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing…

5243. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47164/psn-pdf
      January 01, 2022 - Quality Improvement Series. February 25, 2019 British Medical Journal. 2022. https://psnet.ahrq.gov/issue/quality-improvement-series Efforts to enhance safety and quality are integrated into daily work in health care, but improvements are not being realized as quickly as desired. This compiled series of articles h…

5244. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44939/psn-pdf
      March 09, 2016 - Listening for What Matters: Avoiding Contextual Errors in Health Care. March 9, 2016 Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996. https://psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care This book discusses how physicians can reduce cont…

5245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39098/psn-pdf
      November 11, 2009 - Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. November 11, 2009 Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. Simul Health…

5246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39966/psn-pdf
      February 01, 2011 - Journey to no preventable risk: The Baylor Health Care System patient safety experience. February 1, 2011 Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.1177/1062860610374645. https://psnet.ahr…

5247. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47821/psn-pdf
      May 22, 2019 - Patient Safety. May 22, 2019 National Pharmacy Association; NPA. https://psnet.ahrq.gov/issue/patient-safety-15 This website for independent community pharmacy owners across the United Kingdom features both free and members-only guidance, reporting platforms, and document templates to support patient safety. It i…

5248. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44452/psn-pdf
      September 04, 2016 - Reflecting on diagnostic errors: taking a second look is not enough. September 4, 2016 Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4. https://psnet.ahrq.gov/issue/reflecting-diagnostic…

5249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46875/psn-pdf
      March 07, 2018 - Improving medication-related clinical decision support. March 7, 2018 Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…

5250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841197/psn-pdf
      December 07, 2022 - Does malpractice liability promote patient safety? A methodological excursion. December 7, 2022 Saks MJ, Landsman S. Jurimetrics. 2022;62:397-419. https://psnet.ahrq.gov/issue/does-malpractice-liability-promote-patient-safety-methodological-excursion Malpractice liability is an unconfirmed driver for safety. This …

5251. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46593/psn-pdf
      November 08, 2017 - Unreadable barcodes and multiple barcodes on packages can lead to errors. November 8, 2017 ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors Barcodes can both enhance and degrade the medication …

5252. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44468/psn-pdf
      September 23, 2015 - LINNEAUS Collaboration on Patient Safety in Primary Care. September 23, 2015 Eur J Gen Pract. 2015;(suppl 21):1-77. https://psnet.ahrq.gov/issue/linneaus-collaboration-patient-safety-primary-care Collaborative efforts provide learning opportunities for groups that seek to develop widely implementable improvements…

5253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41929/psn-pdf
      January 09, 2013 - Quality improvement: Universal Protocol use in office- based gastrointestinal procedure units. January 9, 2013 Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3182747956. https://psnet.ahrq.gov/issu…

5254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37286/psn-pdf
      December 23, 2011 - Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force. December 23, 2011 Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Force.; 2007:17-23, 25. doi:10.1002/jhr…

5255. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46557/psn-pdf
      November 22, 2017 - Safe handover. November 22, 2017 Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328. https://psnet.ahrq.gov/issue/safe-handover Patient handovers between clinical teams are a common point of information exchange that can be challenging to perform due to interruptions, produ…

5256. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43530/psn-pdf
      April 02, 2015 - Patient participation in patient safety and nursing input—a systematic review. April 2, 2015 Vaismoradi M, Jordan S, Kangasniemi M. Patient participation in patient safety and nursing input - a systematic review. J Clin Nurs. 2015;24(5-6):627-39. doi:10.1111/jocn.12664. https://psnet.ahrq.gov/issue/patient-partici…

5257. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37272/psn-pdf
      December 23, 2011 - Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. December 23, 2011 Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. Am J Health Behav. 2007;31…

5258. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44016/psn-pdf
      November 21, 2016 - Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. November 21, 2016 Chicago, IL: Health Research & Educational Trust; 2015. https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family- advisors Patient and family advisor…

5259. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43376/psn-pdf
      January 16, 2017 - Resilience and resilience engineering in health care. January 16, 2017 Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care Resilience is a charac…

5260. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837076/psn-pdf
      May 11, 2022 - AHRQ Challenge on Innovative Solutions To Update or Re-Create TeamSTEPPS Videos. May 11, 2022 Rockville, MD; Agency for Healthcare Research and Quality: April 2022. https://psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos TeamSTEPPS promotes effective teamwork, collabo…