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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45083/psn-pdf
    July 18, 2016 - Toward a safer health care system: the critical need to improve measurement. July 18, 2016 Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448. https://psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-n…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47760/psn-pdf
    February 06, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. February 6, 2019 Rockville, MD: Agency for Healthcare Research and Quality; January 2019. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867350/psn-pdf
    December 11, 2024 - Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. December 11, 2024 Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; November 2024. AHRQ Publication No. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37757/psn-pdf
    March 10, 2011 - Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. March 10, 2011 Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 20…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39338/psn-pdf
    April 30, 2014 - The effect of multidisciplinary care teams on intensive care unit mortality. April 30, 2014 Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369-76. doi:10.1001/archinternmed.2009.521. https://psnet.ahrq.gov/issue/effect-…
  6. www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkutn.html
    October 01, 2014 - Kutney Lee, Ann Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Pennsylvania Grant Title: Changes in Hospital Care Organization and Outcomes Grant Number: K08…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42917/psn-pdf
    February 05, 2014 - The PROMISES Project. February 5, 2014 Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health Care for All; Massachusetts Medical Society; Massachusetts Departme…
  8. www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumcoch.html
    October 01, 2014 - Cochran, Gary Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Nebraska Medical Center Grant Title: Comparing the Effectiveness of Medication Use Systems in Small…
  9. www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumlafl.html
    October 01, 2014 - Lafleur, Joanne Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Utah Grant Title: Knowledge Engineering for Decision Support in Osteoporosis Grant Number: K08…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50458/psn-pdf
    October 09, 2019 - Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. October 9, 2019 Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41983/psn-pdf
    January 16, 2013 - A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. January 16, 2013 Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-0015…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45461/psn-pdf
    January 03, 2017 - Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. January 3, 2017 Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9):400-14. https://psnet.ahrq.gov/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43041/psn-pdf
    January 06, 2015 - Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. January 6, 2015 Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013. https://psnet.ahrq.gov/issue/through-eyes-workforce-creating-joy-meaning-and…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46531/psn-pdf
    January 24, 2019 - Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. January 24, 2019 Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2. ht…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39396/psn-pdf
    November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe Patient Care. November 2, 2014 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care Medical schools face an urgent need to transform their cur…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46339/psn-pdf
    August 20, 2018 - Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. August 20, 2018 Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60315/psn-pdf
    May 13, 2020 - Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. May 13, 2020 Cinar P, Kubal T, Freifeld A, et al. Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. J Natl Compr Canc Netw. 2020;18(5):504-509. doi:1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46236/psn-pdf
    April 03, 2018 - The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. April 3, 2018 Porat T, Delaney B, Kostopoulou O. The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. BMC Med Inform Decis Mak. 2017;17(1):79. doi:10.1186/s12…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43401/psn-pdf
    August 02, 2015 - Morning handover of on-call issues: opportunities for improvement. August 2, 2015 Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033. https://psnet.ahrq.gov/issue/morning-handover-call-issu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…