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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45736/psn-pdfFebruary 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43109/psn-pdfDecember 10, 2014 - Creating a physician-led quality imperative. December 10, 2014 Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683. https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative This commentary relates one… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850912/psn-pdfJune 21, 2023 - Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? June 21, 2023 Gangopadhyaya A, Pugazhendhi A, Austin M et al. Washington DC: Leapfrog Group; 2023. https://psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47350/psn-pdfNovember 29, 2018 - Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality? November 29, 2018 Perez V, Freedman S. Do Crowdsourced Hospital Ratings Coincide with Hospital Compare Measures of Clinical and Nonclinical Quality? Health Serv Res. 2018;53(6):4491-4506. doi:10.1111/1475-6… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41020/psn-pdfJanuary 04, 2012 - A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? January 4, 2012 Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000297. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44772/psn-pdfJanuary 13, 2016 - Post event debriefs: a commitment to learning how to better care for patients and staff. January 13, 2016 Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. https://psnet.ahrq.gov/issue/post-eve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44371/psn-pdfSeptember 09, 2015 - Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. September 9, 2015 Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0000000000001830. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44662/psn-pdfJanuary 25, 2016 - The stories clinicians tell: achieving high reliability and improving patient safety. January 25, 2016 Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety. Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039. https://psnet.ahrq.gov/issue/stories-clinicians-tell-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45009/psn-pdfMarch 30, 2016 - Fatal mistakes. March 30, 2016 Kliff S. Vox Media. March 15, 2016. https://psnet.ahrq.gov/issue/fatal-mistakes Health professionals involved in medical errors experience psychological stress, which can have serious consequences if they are unable to cope with their mistake. Reporting on the second victim phenomeno… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60959/psn-pdfSeptember 30, 2020 - Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. September 30, 2020 DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10.1097/cnq.0000000000000327. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43261/psn-pdfJune 18, 2014 - Activation of a medical emergency team using an electronic medical recording–based screening system. June 18, 2014 Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. doi:10.1097/CCM.0000000000000031. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35265/psn-pdfFebruary 03, 2011 - A 38-year-old woman with fetal loss and hysterectomy. February 3, 2011 Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy Part of a series in JAMA entitled Clinical Crossro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44548/psn-pdfNovember 20, 2015 - Safety-II and resilience: the way ahead in patient safety in anaesthesiology. November 20, 2015 Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. https://psnet.ahrq.gov/issue/safety-ii-and-resilience… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846761/psn-pdfSeptember 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852801/psn-pdfAugust 23, 2023 - Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ August 23, 2023 McPhillips D. CNN. August 10, 2023. https://psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting- care-third-say Drug shortages present… -
www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.htmlMarch 01, 2017 - Tips for Implementing Interventions These tips are to help educators prepare for a live training session and facilitate an interactive experience. Reinforce that the session focuses on ways the team can work together to improve resident safety and reduce catheter-associated urinary tract infections (CAUTIs)…
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Core-Discussion (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/core-discussion.docxMarch 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 2 — Core Team Discussion Guide Clean Equipment and Environment: Knowledge and Practice Directions Answer the following questions to help reflect on how you can prepare to discuss cleaning and disinfection practices at your facility. Discussion Questio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74138/psn-pdfJanuary 01, 2022 - The combined effect of psychological and social capital in registered nurses experiencing second victimization: a structural equation model. December 1, 2021 Hinkley T?L. The combined effect of psychological and social capital in registered nurses experiencing second victimization: a structural equation model. J N… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73468/psn-pdfJuly 07, 2021 - The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. July 7, 2021 Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. J Surg Educ. 2021;78(3):942-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47155/psn-pdfOctober 17, 2018 - Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. October 17, 2018 Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packaging Improvements. Acad Pediatr. …
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