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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43881/psn-pdf
    February 11, 2015 - Cognitive Systems Engineering in Health Care. February 11, 2015 Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care This publication provides information about the role of cognition in medical error. Th…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838016/psn-pdf
    January 02, 2021 - Racism as a Root Cause approach: a new framework. January 2, 2021 Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework Structural racism, which manife…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45679/psn-pdf
    January 03, 2018 - Global Guidelines on the Prevention of Surgical Site Infection. January 3, 2018 Global Guidelines on the Prevention of Surgical Site Infection. https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection Efforts to reduce surgical site infections have achieved some success. The World Health O…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45124/psn-pdf
    June 22, 2016 - The impact of surgical safety checklists on theatre departments: a critical review of the literature. June 22, 2016 Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the literature. J Perioper Pract. 2016;26(4):62-71. https://psnet.ahrq.gov/issue/impact-surgical-safety…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866324/psn-pdf
    July 17, 2024 - Total systems safety supports practitioners in partnering with families to protect patients. July 17, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. https://psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients Patient and family concerns can provide…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47898/psn-pdf
    January 01, 2020 - Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. May 8, 2019 Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safety Framework. J Patient Saf. 2020;16…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50656/psn-pdf
    November 13, 2019 - Whistleblowing over patient safety and care quality: a review of the literature. November 13, 2019 Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Manag. 2019;33(6):737-756. doi:10.1108/JHOM-12-2018-0363. https://psnet.ahrq.g…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46522/psn-pdf
    October 29, 2017 - Public reporting of surgical outcomes: surgeons, hospitals, or both? October 29, 2017 Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429- 1430. doi:10.1001/jama.2017.13815. https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861291/psn-pdf
    January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. January 24, 2024 Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61063/psn-pdf
    October 28, 2020 - The radiology impact of healthcare errors during shift work. October 28, 2020 Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography. 2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007. https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work Ext…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60622/psn-pdf
    January 01, 2021 - Managing teamwork in the face of pandemic: evidence- based tips. June 24, 2020 Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence- based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447. https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74065/psn-pdf
    November 10, 2021 - AHRQ announces interest in research on digital healthcare safety. November 10, 2021 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication No. NOT-HS-22-004. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety Digital in…
  14. www.ahrq.gov/ncepcr/communities/pbrn/registry/southern-illinois-practice-research-organization.html
    January 01, 2012 - Southern Illinois Practice Research Organization Status: Inactive Registered Date: January 1, 2012 PBRN Acronym: SIPRO PBRN Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties) Other PBRN Type Other: Non-a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44853/psn-pdf
    February 03, 2016 - Aviation and healthcare: a comparative review with implications for patient safety. February 3, 2016 Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548. https://psnet.ahrq.gov/is…
  16. digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome/citation/capturing
    January 01, 2023 - Capturing relevant patient data in clinical encounters through integration of an electronic patient-reported outcome system into routine primary care in a Boston community health center: Development and implementation study. Citation Loo S, Grasso C, Glushkina J, McReynolds J, Lober W, Crane H, Mayer …
  17. digital.ahrq.gov/ahrq-funded-projects/expansion-implementation-evaluation-electronic-health-record-integrated-patient/citation/protocol
    January 01, 2023 - Protocol for a type 2 hybrid effectiveness-implementation study expanding, implementing and evaluating electronic health record-integrated patient-reported symptom monitoring in a multisite cancer centre. Citation Garcia SF, Smith JD, Kallen M, Webster KA, Lyleroehr M, Kircher S, Bass M, Cella D, Pene…
  18. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Conclusion Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in …
  19. www.ahrq.gov/research/findings/evidence-based-reports/er208-series.html
    July 01, 2016 - Closing the Quality Gap Series Revisiting the State of the Science Overview of a new series of reports on quality improvement strategies. Overview Between 2004 and 2007, the Agency for Healthcare Research and Quality (AHRQ) published a series of evidence reports— Closing the Quality Gap: A Critical Analys…
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-1.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklis…