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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851069/psn-pdf
    June 28, 2023 - Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. June 28, 2023 Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2022-015680. https://psnet.ahrq.gov/issu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44090/psn-pdf
    November 21, 2016 - Insensible losses: when the medical community forgets the family. November 21, 2016 Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. https://psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-fami…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73223/psn-pdf
    May 05, 2021 - Pandemic imperiled non-English speakers more than others. May 5, 2021 Bebinger M. WBUR and Kaiser Health News. April 27, 2021. https://psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others Non-English-speaking patients experience barriers to safely navigating the American healthcare system.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47925/psn-pdf
    August 21, 2019 - Second victims and mindfulness: a systematic review. August 21, 2019 S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review The secon…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41498/psn-pdf
    December 31, 2014 - Standard practices for computerized clinical decision support in community hospitals: a national survey. December 31, 2014 Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform Assoc. 2012;19(6):980-7. doi:10.…
  6. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/safety-assessment.html
    March 01, 2017 - Staff Safety Assessment AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Purpose: To tap into your experience to determine risks that could harm residents. Who should use this tool? Anyone who works in or provides services to this nursing home. How should you use this tool? Provide as muc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47342/psn-pdf
    August 22, 2018 - The doctor doesn't listen to her. But the media is starting to. August 22, 2018 Fetters A. The Atlantic. August 10, 2018. https://psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting Women face implicit bias that can affect the safety and effectiveness of their care. Reviewing several high- profile accoun…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50758/psn-pdf
    December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43106/psn-pdf
    September 27, 2016 - The sterile cockpit: an effective approach to reducing medication errors? September 27, 2016 Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. https://psnet.ahrq.gov/issue/sterile-cockpi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35704/psn-pdf
    March 28, 2011 - Relationship between patient complaints and surgical complications. March 28, 2011 Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46731/psn-pdf
    July 25, 2018 - When bullying affects patient safety. July 25, 2018 When Bullying Affects Patient Safety. AORN J. 2018;108(1):78-80. doi:10.1002/aorn.12294. https://psnet.ahrq.gov/issue/when-bullying-affects-patient-safety Bullying has been recognized as an important factor to consider in health care work environments. Describing…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47513/psn-pdf
    October 24, 2021 - Measurement and Monitoring of Safety Framework October 24, 2021 Healthcare Excellence Canada. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply a framework fo…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858324/psn-pdf
    December 13, 2023 - Many people of color worry good health care is tied to their appearance. December 13, 2023 DeGuzman C. KFF Health News. December 5, 2023 https://psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance Racial and ethnic bias permeates medical interactions to detract from safe and effecti…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43826/psn-pdf
    June 01, 2015 - Radiation Oncology Incident Learning System. June 1, 2015 American Society for Radiation Oncology and American Association of Physicists in Medicine. https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system Reporting of near misses and adverse events can provide a foundation for learning from error.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42446/psn-pdf
    May 19, 2014 - The Human Factors Analysis Classification System (HFACS) applied to health care. May 19, 2014 Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. https://psnet.ahrq.gov/issue/human-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44816/psn-pdf
    June 29, 2016 - Paralyzed by errors, this Xbox designer is taking on hospital safety. June 29, 2016 Aleccia J. https://psnet.ahrq.gov/issue/paralyzed-errors-xbox-designer-taking-hospital-safety Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37052/psn-pdf
    April 06, 2011 - Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. April 6, 2011 Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to c…
  18. digital.ahrq.gov/ahrq-funded-projects/developing-design-principles-integrate-patient-reported-outcomes-pros-clinical/citation/learning
    January 01, 2023 - A learning health system approach to integrating electronic patient-reported outcomes across the health care organization. Citation Austin EJ, LeRouge C, Lee J, et al. A learning health system approach to integrating electronic patient-reported outcomes across the health care organization. Learning H…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46193/psn-pdf
    May 31, 2017 - Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief. May 31, 2017 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2017. https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop-brief Medication safety is a gl…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48194/psn-pdf
    August 28, 2019 - Framing of clinical information affects physicians' diagnostic accuracy. August 28, 2019 Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409. https://psnet.ahrq.gov/issue/framing-clinical-informa…