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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37370/psn-pdf
    March 28, 2012 - Communication skills and error in the intensive care unit. March 28, 2012 Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-6. https://psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit This article examines how ef…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37494/psn-pdf
    January 23, 2008 - Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. January 23, 2008 Levinson DR. Washington DC: US Department of Health and Human Services, Office of Inspector General. January 2008, OEI-02-06-00310. https://psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medic…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42798/psn-pdf
    June 17, 2014 - The concept of shared mental models in healthcare collaboration. June 17, 2014 McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307. https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration This conce…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37967/psn-pdf
    August 27, 2009 - Life after death: the aftermath of perioperative catastrophes. August 27, 2009 Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77. https://psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-ca…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36930/psn-pdf
    September 09, 2011 - Team structure and adverse events in home health care. September 9, 2011 Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61. https://psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care The investigators examined the role of team var…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36396/psn-pdf
    December 22, 2010 - Interdisciplinary communication: an uncharted source of medical error? December 22, 2010 Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. https://psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-…
  7. hcup-us.ahrq.gov/datainnovations/CaseStudy_QDRanalysis04072017.pdf
    April 07, 2017 - Because the QDR focuses on examining trends in health care in the United States, it is essential to … Ability to Test for Significant Differences in QI Trends Because the QDR focuses on examining trends
  8. effectivehealthcare.ahrq.gov/sites/default/files/related_files/measuring-blood-pressure-surveillance-160412.pdf
    May 29, 2025 - either$SBP,$DBP,$BP$control,$or$ The$conclusions$are$still$valid.$ One$cluster$RCT$(Margolis$2013)$ examining … Hg,$p<.001),$and$at$18$months$(" 3.0$mm$Hg,$p$=$.07).$ $ One$multi"center$RCT$(McKinstry$ 2013)$examining … $Both$experts$ recommended$ examining$evidence$ from$a$new$IPD$meta" analysis 1 $currently$being … In$ addition,$no$form$of$additional$ support$was$examined$by$ subgroup.$ One$cluster$RCT 6 $ examining … months$(" 5.1$mm$Hg,$p<.001),$and$ at$18$months$("3.0$mm$ Hg,$p$=$.07).$ One$multi"center$RCT 7 $ examining
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34906/psn-pdf
    June 27, 2011 - System weaknesses as contributing causes of accidents in health care. June 27, 2011 Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. https://psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care The aut…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38383/psn-pdf
    June 30, 2011 - A system analysis of a suboptimal surgical experience. June 30, 2011 Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. https://psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience A post-surgical complicatio…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42239/psn-pdf
    May 01, 2013 - The impossible workload for doctors in training. May 1, 2013 Chen PW. https://psnet.ahrq.gov/issue/impossible-workload-doctors-training This newspaper article examines how duty hour restrictions have not necessarily led to trainees getting more sleep but have resulted in trainees needing to do more work in less ti…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41233/psn-pdf
    March 21, 2012 - ASPEN Parenteral Nutrition Safety Summit. March 21, 2012 Andris DA, Mirtallo JM, Guenter P, eds. JPEN J Parenter Enteral Nutr. 2012;36(2 Suppl):1S-62S.   https://psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-summit Articles in this special issue examine parenteral nutrition administration and provide …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39953/psn-pdf
    October 27, 2010 - Implementing bedside handover: strategies for change management. October 27, 2010 McMurray A, Chaboyer W, Wallis M, et al. Implementing bedside handover: strategies for change management. J Clin Nurs. 2010;19(17-18):2580-9. doi:10.1111/j.1365-2702.2009.03033.x. https://psnet.ahrq.gov/issue/implementing-bedside-han…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37600/psn-pdf
    March 19, 2008 - Medical emergency team: a review of the literature. March 19, 2008 Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85. doi:10.1111/j.1478-5153.2007.00258.x. https://psnet.ahrq.gov/issue/medical-emergency-team-review-literature This review examines the literature…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38520/psn-pdf
    September 19, 2016 - Inpatient suicide in a general hospital. September 19, 2016 Cheng I-C, Hu F-C, Tseng M-CM. Inpatient suicide in a general hospital. Gen Hosp Psychiatry. 2009;31(2):110-5. doi:10.1016/j.genhosppsych.2008.12.008. https://psnet.ahrq.gov/issue/inpatient-suicide-general-hospital Suicide attempts by hospitalized patient…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38974/psn-pdf
    February 18, 2019 - Patient Safety and Adverse Events. February 18, 2019 Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISBN: 9781607500445. https://psnet.ahrq.gov/issue/patient-safety-and-adverse-events P…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38262/psn-pdf
    September 29, 2017 - Roadmap for patient safety research: approaches and roadforks. September 29, 2017 Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public Health. 2008;36(8):812-7. doi:10.1177/1403494808096168. https://psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-ro…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42443/psn-pdf
    January 07, 2015 - Medical audible alarms: a review. January 7, 2015 Edworthy J. Medical audible alarms: a review. J Am Med Inform Assoc. 2013;20(3):584-9. doi:10.1136/amiajnl-2012-001061. https://psnet.ahrq.gov/issue/medical-audible-alarms-review This review examines design, implementation, and standardization concerns related to a…
  19. www.ahrq.gov/research/shuttered/toolkitchecklist/medcare.html
    July 01, 2018 - Medical/Patient Care Availability of other space for ancillary services. Examine general condition of facilities. Other experts will look at these areas from a different perspective. Date: ____________  Location: _______________________  Team member: __________________________ General Observations: …
  20. www.ahrq.gov/nursing-home/resources/frontline-workers-survey.html
    September 01, 2021 - Frontline Health Care Workers Survey Resource:   Frontline Health Care Workers Survey (PDF, 3.3 MB) The partnership survey from the Kaiser Family Foundation and The Washington Post examines the experiences and attitudes of frontline healthcare workers during the coronavirus pandemic. This report highlights f…