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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44798/psn-pdf
    November 02, 2016 - From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. November 2, 2016 Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. BMJ Qual Saf. 2016;25(11):889-897. doi:…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847051/psn-pdf
    April 05, 2023 - Distractions in the operating room: a survey of the healthcare team. April 5, 2023 Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. https://psnet.ahrq.gov/issue/distractions-operating-ro…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47574/psn-pdf
    November 21, 2018 - The architecture of safety: an emerging priority for improving patient safety. November 21, 2018 Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643. https://psnet.ahrq.gov/issue/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41947/psn-pdf
    January 30, 2013 - Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. January 30, 2013 Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10.1136/bmjqs-2012-001308. https://…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47258/psn-pdf
    January 09, 2019 - The effect of cognitive load and task complexity on automation bias in electronic prescribing. January 9, 2019 Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/0018720818781224. https://psnet.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44419/psn-pdf
    September 02, 2015 - Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. September 2, 2015 Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curric…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48094/psn-pdf
    June 19, 2019 - New persistent opioid use after postoperative intensive care in US veterans. June 19, 2019 Karamchandani K, Pyati S, Bryan W, et al. New Persistent Opioid Use After Postoperative Intensive Care in US Veterans. JAMA Surg. 2019;154(8):778-780. doi:10.1001/jamasurg.2019.0899. https://psnet.ahrq.gov/issue/new-persiste…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46707/psn-pdf
    October 13, 2018 - Medication errors involving nursing students: a systematic review. October 13, 2018 Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. https://psnet.ahrq.gov/issue/medication-errors-i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866114/psn-pdf
    June 12, 2024 - Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. June 12, 2024 Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives. BMJ Open Qual. 2024;13(2):e002672. doi:10.11…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866311/psn-pdf
    January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. July 17, 2024 Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. J Adv Nurs. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44484/psn-pdf
    May 04, 2016 - Failure mode and effects analysis: a comparison of two common risk prioritisation methods. May 4, 2016 McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10.1136/bmjqs-2015-004130. https://psn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866105/psn-pdf
    June 12, 2024 - Collective intelligence increases diagnostic accuracy in a general practice setting. June 12, 2024 Blanchard MD, Herzog SM, Kämmer JE, et al. Collective intelligence increases diagnostic accuracy in a general practice setting. Med Decis Making. 2024;44(4):451-462. doi:10.1177/0272989x241241001. https://psnet.ahrq.…
  13. digital.ahrq.gov/principal-investigator/veline-james
    January 01, 2023 - Veline, James Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality - Final Report Citation Veline J. Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality - Final Report. (Prepared by Avera Health under Grant No. R18 HS0…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74273/psn-pdf
    January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. January 19, 2022 Washington, DC: United States Government Accountability Office; November 30, 2021. Publication GAO- 22-105142. https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-ad…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46141/psn-pdf
    May 17, 2017 - Ethical dilemma in missed melanoma: what to tell the patient and other providers. May 17, 2017 Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016.08.030. https://psnet.ahrq.gov/issue/et…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44490/psn-pdf
    September 16, 2015 - Implementation of a custom alert to prevent medication- timing errors associated with computerized prescriber order entry. September 16, 2015 Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Am J Heal…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852282/psn-pdf
    August 09, 2023 - Implementation of medication reconciliation in outpatient cancer care. August 9, 2023 Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. https://psnet.ahrq.gov/issue/implementation-medication-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866323/psn-pdf
    July 17, 2024 - AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. July 17, 2024 Rockville, MD: Agency for Healthcare Research and Quality; June 2024. AHRQ Pub. No. 24-0017-2-EF. https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety…
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
    January 01, 2023 - 2023 National Healthcare Quality and Disparities Report 2023 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Qual…
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
    May 01, 2017 - types of data you choose to use for further analysis will depend on the issues you identified when examining …  Examining and testing alternative changes to improve the process. … Do the same in the examining room. If a patient would undress, you should undress.